Patient's question:
I am a 70-year-old male who has been retired for 10 years. For over a decade, every physical examination has pointed out that I have benign prostatic hyperplasia, but it has not been taken seriously. Occasionally, I take medications like, and I often eat some raw pumpkin seeds.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 inserted 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 bladder puncture and cystostomy may be an alternative. The indications for emergency transurethral resection of the prostate (TURP) must be strictly adhered to.