Patient's question:
Prostatic hyperplasia, unable to urinate, patient age 56, physical condition is good.Doctor's answer:
Surgery remains an important treatment for benign prostatic hyperplasia. The indications for surgery include: ① symptoms of lower urinary tract obstruction, with significant changes in urodynamic tests, or residual urine volume exceeding 60 mL; ② severe symptoms of unstable bladder; ③ causing upper urinary tract obstruction and renal function damage; ④ multiple episodes of acute urinary retention, urinary tract infection, or gross hematuria; ⑤ concurrent 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 insertion has caused urethritis, suprapubic cystostomy may be an alternative. The indications for emergency transurethral resection of the prostate (TURP) must be strictly adhered to.