Patient's question:
Last March, I had a minimally invasive surgery for benign prostatic hyperplasia. I had a follow-up check-up with a reading of 3.5 after six months and 5.5 after one year. Recently, I've been experiencing swelling, frequent urination, and a high frequency of urination with small amounts each time.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 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 first inserted 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, leading to urethritis, suprapubic bladder puncture and drainage may be an alternative. The indications for emergency transurethral resection of the prostate (TURP) must be strictly adhered to.