Patient's question:
Prostate hyperplasia, symptoms include frequent urination, urgent urination, pain during urination, and sometimes a thin stream of urine.Doctor's answer:
Surgery remains an important treatment for benign prostatic hyperplasia. The indications for surgery are as follows: ① Presence of lower urinary tract obstruction symptoms, with significant changes in urodynamic tests, or residual urine volume exceeding 60 mL; ② Severe unstable bladder symptoms; ③ Induction of upper urinary tract obstruction and renal damage; ④ Multiple episodes of acute urinary retention, urinary tract infection, or gross hematuria; ⑤ Complication with bladder stones. For patients with long-term urinary tract obstruction, significant renal damage, 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 recovers. If catheter insertion is difficult or prolonged catheterization has caused urethritis, suprapubic cystostomy may be an alternative. The indications for emergency transurethral resection of the prostate (TURP) must be strictly adhered to.