Patient: Examination and laboratory tests: The examination results are prostate hypertrophy Treatment: medication mainly eat western medicine such as prostate health …… History: The patient is 80 years old, male, with a history of about 10 years, the symptoms are mainly frequent urination, incomplete urination, urinary retention, recently biased towards severe. There is a small stone, about 6 mm, in the kidney. I would like to consult with the doctor if the 80-year-old man needs surgery. If so, are there any after-effects? What will be the effect? Is there any other solution? If you can reply, thank you very much …… Doctor: Hello! From your description, you are 80 (77?) years old, the main symptom is frequent urination and difficulty in urination for more than 10 years, the current symptoms are more obvious, taking prostate health effect is not very good. The current principles of prostate enlargement treatment are roughly: early stage of the disease, mild symptoms of those who observe and wait. When the symptoms of urinary irritation and difficulty in urination are obvious, medication: mainly Polygamy, Harlequin, Sernitone and Chinese medicine. If the drug control is not good, surgery is considered. Indications for surgery include: urinary frequency, urinary urgency and other lower urinary tract symptoms that seriously affect life, recurrent urinary retention, repeated hematuria that is not treated with Polyclinic, recurrent urinary tract infections, bladder stones, secondary upper urinary tract fluid, combined bladder diverticulum, inguinal hernia, severe hemorrhoids or prolapse, etc. Surgical treatment can be considered if one of the above conditions is met. In your current case, 80 years old is not an absolute contraindication to surgery, and there are many experienced doctors who accept surgical treatment, the key depends on how the patient’s general condition is? Whether or not the patient can tolerate the surgery requires an assessment by the doctor through a thorough physical examination. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. If you are not in a good physical condition, the risk of surgery will be significantly higher, and it is better to treat it conservatively. You can take long term oral Paulette and Harlequin and just keep your condition as stable as possible. If you have too much residual urine in your bladder, you will also need to have a long-term urinary catheter or cystostomy to protect your kidney function. The effect of prostatekang is not very good, you should switch to the drugs I mentioned above is better. I wish you a speedy recovery! Patient: Thank you very much for your timely reply, we will go back for a detailed and comprehensive examination, if there are still questions, come back to you for advice …… Thank you …… Doctor: You are welcome!