Patient's question:
Currently 60 years old, with a history of benign prostatic hyperplasia for 5-6 years, experiencing symptoms of urinary hesitancy and frequent urination, without receiving treatment. Additionally, there is hyperuricemia and gout, often experiencing swelling and pain in the toes and bilateral foot joints. Recently, occasional knee joint pain has also occurred. No other diseases are present.Doctor's answer:
Surgery remains an important treatment for benign prostatic hyperplasia. The indications for surgery include: ① Presence of lower urinary tract obstruction symptoms, 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 damage; 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 only after the infection is controlled and renal function recovers. If catheter insertion is difficult or prolonged, leading to urethritis, suprapubic cystostomy may be an alternative. The indications for emergency transurethral resection of the prostate (TURP) must be strictly adhered to.