The main character of the story is a 79-year-old gentleman, this year before the Spring Festival clinic, this old gentleman came to the clinic to ask me to add a number, because the front has added a lot of numbers, in order to ensure the quality I did not agree, because it is an old patient, I asked him what is important, the old gentleman replied: I just want to tell Dr. Song, I now urinate feel twice as good. After saying that, the whole consultation room laughed. How did it happen? I have to start from a general outpatient clinic last year. It was a busy and orderly morning as usual, when a sturdy, hale and hearty old man came in, looking at the previous information of the old man’s visit: prostate enlargement. I thought it was to review and follow up, but the old man said he wanted to change his catheter, professional habits make me want to know more about his situation: why does such a healthy looking old man need to be catheterized all the time, how does it affect the quality of life? Later, the old man said: He has been wearing a catheter for two years, before he went to two other large hospitals in Beijing, they said they could operate, but finally gave up because “the risk is too great”, they are also very distressed, and do not know whether there is still a chance to urinate on their own? The old man’s words showed some expectation and helplessness, and I asked him more about his condition and found that there was still hope for the old man to have normal urination. The first is that the diagnosis of the old man is clear: long-term difficulty in urination leading to urinary retention, a large prostate gland (about 100g), and no other neurological or vesicourethral diseases, the second is benign, PSA (prostate-specific antigen) is normal, the third old man’s body can still have the conditions for surgery: mild hypertension, no heart or lung disease and other key organ diseases, and the third old man’s body can still have the conditions for surgery. The third is that the old man is still physically eligible for surgery: he has mild hypertension, no heart or lung disease, and good bladder function. The first reason is that the two original hospitals are not aware of this, and the second reason is that the prostate is large and requires high surgical techniques. If the surgery for the two risks can be used to respond to: improve the patient’s physical examination assessment, in conjunction with the multidisciplinary development of the risk plan, surgery to choose a short time, less trauma, less bleeding and fast recovery ~ transurethral resection of the prostate. The old man listened and agreed very much with my analysis, then was hospitalized after a thorough arrangement for the surgery, which went well, without blood transfusion, and the catheter was withdrawn two days after the surgery for normal urination, with occasional slight hematuria at the time of discharge (the wound in the urethra was not fully healed at this time), and after less than three months of complete recovery, the urination was more painful and the hematuria disappeared. I can understand the feeling of the old man, that is a kind of pleasure of regaining the flow, regaining the feeling of youth, that kind of feeling should be twice as good!