Patient's question:
One year ago, the symptoms appeared, with lower abdominal pain and inability to engage in sexual activity. Local medical treatment was sought, but it was ineffective.Doctor's answer:
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 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 catheter should be inserted 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 bladder puncture and cystostomy may be an alternative.
Emergency prostatectomy should be strictly indicated.