Patient's question:
A 70-year-old man with benign prostatic hyperplasia has poor health and difficulty urinating. In such a case, can surgery be performed?Doctor's answer:
1. Mild hyperplasia does not require treatment.2. Estrogen therapy: Oral ethinyl estradiol 1–3 mg once daily, three times a day, for 1–3 weeks. For acute urinary retention or more severe urinary difficulties, the initial dose may be slightly higher, or estradiol valerate 10 mg may be given intramuscularly every 5–7 days.
3. During acute urinary retention, acupuncture can be applied to points such as Guanyuan, Qihai, Sanyinjiao, and Yanglingquan. Catheterization should be performed to relieve urinary retention, and a catheter should be left in place to gradually empty the bladder.
4. Surgical treatment: If the prostate hyperplasia is significant, there have been multiple episodes of acute urinary retention, a large amount of residual urine (60–100 mL or more), urinary tract infection, impaired renal function, and the condition does not respond to the above treatments, prostatectomy is recommended.