The ninety-year-old Huang is nearly 100 years old, but he is in good spirits and still has the habit of taking morning walks every day. The old man had difficulty in urinating more than ten years ago and had a prostate surgery in a foreign hospital, but in the past year, he again had difficulty in urinating, nocturia is obvious, the effect of oral medication is not good, he needs to get up 8 or 9 times a day and cannot sleep smoothly, which seriously affects the quality of life, the patient has gone to other hospitals several times and was told that he is too old to have surgery, but the old man is really suffering, his family looked up through the Internet to our hospital in The family found out through the internet that our hospital is strong in doing minimally invasive prostate surgery and came to see us on October 3 accompanied by their family. The patient was seen by the urology team led by Director Yu Qingping, who took a detailed medical history and conducted relevant examinations. It was clear that the old man’s difficulty in urinating and nocturia was due to an enlarged prostate gland, and that the old man was 90 years old. In combination with his actual situation of more residual urine, we first gave the patient an indwelling urinary catheter to solve the problem of nocturia, and the old man was able to sleep quietly and adjust his physique to the best condition before surgery. After the consultation with the relevant departments, the surgical team led by the director of the Department of Anesthesiology, He Shaoming, performed a minimally invasive transurethral resection of the prostate with the careful cooperation of the team. The old man recovered very well after the operation without any accidents or complications, and he was out of bed within 3 days after the operation. The patient’s pathology was found to be prostate cancer, which cast a shadow over the old man and his family. The doctor said that the patient’s preoperative PSA was within the normal range and the pathology report had a Gleason score of 6. The disease can still be controlled and does not affect the quality of life and life expectancy as long as the patient undergoes standard endocrine therapy. The old man and his family are relieved to hear that the old man is now urinating less at night and sleeping enough to get up early for his morning walk every day with a full spirit.