Patient's question:
Prostate hyperplasia, urinary retention, difficulty urinating.Doctor's answer:
Surgery remains an important treatment for benign prostatic hyperplasia. The indications for surgery include: ① symptoms of lower urinary tract obstruction, significant changes in urodynamic tests, or residual urine volume exceeding 60 mL; ② severe symptoms of unstable bladder; ③ causing upper urinary tract obstruction and renal damage; ④ multiple episodes of acute urinary retention, urinary tract infection, or gross hematuria; ⑤ concurrent 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 only after the infection is controlled and renal function has recovered. If catheter insertion is difficult or prolonged, leading to urethritis, suprapubic cystostomy may be an alternative. The indications for emergency prostatectomy must be strictly adhered to.