Whether to do puncture surgery for large prostate

Prostate biopsy is not based on the size of the prostate. If the prostate is slightly enlarged and the symptoms are mild, medication may be considered. Surgery can be considered for patients with severe benign prostatic hyperplasia or those whose lower urinary tract symptoms have significantly affected their quality of life, especially those who are ineffective in drug therapy or who refuse to receive drug therapy. Surgical treatment is recommended when it leads to the following complications: ①Recurrent urinary retention (inability to urinate after at least one extubation or two urinary retention); ②Repeated hematuria, ineffective treatment with 5α-reductase inhibitors; ③Recurrent urinary tract infections ; ④ Bladder stones; ⑤ Secondary upper urinary tract hydrops (with or without renal impairment) In patients with large bladder diverticulum, inguinal hernia, severe hemorrhoids or prolapse of the anus, it is difficult to achieve treatment if the lower urinary tract obstruction is not relieved by clinical judgment effect, surgical treatment should be considered.

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