Urination symptoms are severe, and surgery should be considered when the following conditions occur:
Patients with severe benign prostatic hyperplasia or lower urinary tract symptoms such as frequent urination, urgency, painful urination, increased nocturia, incomplete urination, labored urination, bifurcation, etc., have significantly affected the quality of life;
Patients who do not respond well to medication or who refuse to receive medication.
When benign prostatic hyperplasia causes the following complications, surgical treatment is recommended:
①Recurrent urinary retention (cannot urinate after extubation at least once or urinary retention twice);
②Recurrent hematuria, 5α-reductase inhibitor treatment is ineffective;
③Recurrent urinary tract infections;
④ Bladder stones;
⑤Secondary upper urinary tract hydrops (with or without renal impairment), benign prostate patients with large diverticulum of the bladder, inguinal hernia, severe hemorrhoids or prolapse.
Surgical treatment should be considered if the residual urine increases significantly and causes patients with overflow incontinence.
Transurethral minimally invasive surgery is basically the choice of prostate hyperplasia surgery. Transurethral resection or laser enucleation of the prostate is the most common surgical method.