Patient's question:
Hello. My father is 66 years old. He has bladder stones caused by benign prostatic hyperplasia, with several stones. The doctor said that the benign prostatic hyperplasia is quite large.Doctor's answer:
Surgery remains an important treatment for benign prostatic hyperplasia. The indications for surgery include: ① Symptoms of lower urinary tract obstruction, with significant changes in urodynamic tests, or residual urine volume exceeding 60 mL; ② Severe symptoms of an unstable bladder; ③ Causing upper urinary tract obstruction and renal function impairment; ④ Multiple episodes of acute urinary retention, urinary tract infection, or gross hematuria; ⑤ Complicated with bladder stones. For patients with long-term urinary tract obstruction, significant renal impairment, severe urinary tract infection, or acute urinary retention, a catheter should be placed first to relieve the obstruction. Surgery should be performed after the infection is controlled and renal function recovers. If catheter insertion is difficult or prolonged, leading to urethritis, suprapubic bladder puncture and drainage can be considered. The indications for emergency transurethral resection of the prostate (TURP) must be strictly adhered to.