Patient's question:
Prostate hyperplasia for 2-3 years, taking medication for over 1 year, nocturia 5-6 times, with diabetes, using insulin for many years, 83 years old, high blood pressure on medication, generally in good health.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, with significant changes observed in urodynamic tests, or residual urine volume exceeding 60 mL; ② Severe symptoms of unstable bladder; ③ Presence of upper urinary tract obstruction and renal function impairment; 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 impairment, severe urinary tract infection, or acute urinary retention, a urinary 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.