Patient's question:
For inguinal hernia, see urology. When standing, there is an egg-sized lump in the left lower abdomen, which can be reduced when lying down or sitting. The doctor believes it is caused by an enlarged prostate. Ultrasound examination: the prostate is enlarged (4.7×3.6×3.2cm) with calcifications, and residual urine is 17ml. The doctor thinks the prostate issue must be addressed first before dealing with the hernia, and claims that surgery is the only solution. My question is whether surgery is the only option, or if there are other methods. How should it be treated? I am 66 years old, enjoy swimming, and am generally in good health. I feel that my urination is mostly normal, except that I urinate about three times at night.Doctor's answer:
For smaller cysts without symptoms, follow-up observation can be performed, or aspiration through the perineum or rectum can be done, but it is prone to infection and recurrence; larger cysts can be surgically removed through the retroperitoneum or perineum. For cysts that protrude into the bladder, surgical removal through the bladder or transurethral resection can be performed to remove most of the top of the cyst, allowing for adequate drainage.