Does prostate enlargement require surgery?

Most cases of prostate enlargement (80%) are well controlled with medical treatment such as: Prostate size reduction drugs; Urinary tract muscle relaxants, supporting symptom relief.

Ask:

My father is 67 years old and has been diagnosed with prostate enlargement. Does he need surgery or can he be treated with medication? Can you please advise?

Hoai Thanh ( Hanoi )

Illustration photo.

BSCK II. Nguyen Quang Khoi, Center for Nephrology, Urology and Dialysis, Bach Mai Hospital answered:

Most cases of prostate enlargement (80%) are well controlled by medical treatment such as: Prostate-reducing drugs (5-alpha reductase inhibitors); Urinary tract muscle relaxants, supporting symptom relief.

Cases that do not require surgical intervention are: Patients with mild to moderate symptoms that do not seriously affect daily activities; patients with poor health who are not eligible for anesthesia or surgery.

The choice of surgical treatment will be based on many factors: Prostate size, age, overall health status, severity of symptoms...

Surgery is indicated when there are dangerous complications such as acute urinary retention; kidney failure due to long-term urinary tract obstruction; recurrent urinary tract infections, bladder stones. Severe symptoms that do not improve despite taking the correct medication regimen affect quality of life.

There are 3 criteria to decide whether surgery is necessary or not, which are: Age and overall health, if the patient is young and in good health, early surgery can be considered to prevent complications; prostate size, if the gland is too large (>80g) it often responds poorly to medication.

Patients with complications of benign prostatic hyperplasia: urinary retention, renal failure, recurrent bladder stones, recurrent urinary tract infections, persistent hematuria and patient's wishes.

Source: https://www.baogiaothong.vn/phi-dai-tuyen-tien-liet-co-can-phau-thuat-192250317225018888.htm