With the gradual increase in the number of patients with prostate enlargement in specialist outpatient clinics, I have found that many patients and their families are quite unaware of prostate enlargement as a disease. Especially after the relevant examination, the doctor told the need for surgical treatment, some people can not accept. Perhaps the popularization of prostate hyperplasia is not deep enough, or perhaps patients and their families seldom obtain professional knowledge in this area, therefore, for the health of elderly friends, it is the right time to write this article, and it is very necessary. First, a brief introduction to prostate enlargement. The prostate is a gland that lies primarily between the bladder and the urethra (left). BPH is one of the most common diseases in urology and is a proprietary condition to which middle-aged and older men are susceptible. It can result in prostate enlargement as long as it occurs with age and there are functioning testes present. approximately 50% of men over the age of 60 years suffer from BPH; 83% of those over the age of 80 years suffer from the condition; and 50% of patients have moderate to severe symptoms. BPH is not usually found in patients under 45 years of age. Its main clinical manifestations are: urinary frequency (increased urination), urinary urgency, increased nocturia; urinary effort, incomplete urination, slow urinary line, interrupted urine flow and so on. Abnormal urination performance sometimes we can be based on the results of the examination can determine how the patient’s urinary status. We often see, before the examination, the patient described how the urinary symptoms how how okay, but also more self-satisfied, self-conscious as long as you can row out on the line, in fact, this subjective claim will delay the condition. Some people urinate especially often at night, almost once an hour or even shorter, almost unable to sleep, so high blood pressure and high blood sugar and other problems all out, blood pressure and blood sugar control effect is poor not to mention; and easy to fall, there are adverse events such as bone fractures, there is no quality of life to speak of. There are also those with predominantly hyperplasia of the middle lobe of the prostate (see the middle picture), just like the threshold of the house is particularly high, it is particularly difficult to urinate, the waiting time for urine is particularly long, and you even need to push your head against the wall to make a few drops of urine, and the urine does not form a line. Sometimes there is always bloody urine. Some of them are mainly bedwetting, and there is still a large amount of urine left in the bladder after urination, we say this phenomenon is overflow incontinence. In this case, and even some still do not get timely treatment and the emergence of hydronephrosis, renal failure before coming to the hospital, then talk about surgical treatment is too late to save your life, even good, quite regrettable. When the prostate enlargement patients in the outpatient clinic, the doctor will generally be based on your situation to decide whether to first medication or surgical treatment. Generally speaking, the need for surgery to solve the following situations: (1) recurrent urinary tract infections (2) at least 2 times more than the urinary retention: (3) secondary bladder stones, bladder diverticulum; (4) the combination of both hydronephrosis, renal insufficiency; (5) repeated prostate enlargement bleeding caused by hematuria; (6) regular prostate enlargement drug therapy (a-blocker such as HAL + 5a reductase inhibitor such as POLARCEL) for more than 3 months without significant results, and severe prostate enlargement. More than 3 months without obvious effect, and seriously affect the life and work; (7) to the prostate middle lobe hyperplasia, urination feeble symptoms are particularly obvious, this kind of situation drug treatment effect is poor. As long as meet one of them, you can consider surgical treatment. Because they are all elderly friends, the preoperative doctor will be based on your actual situation to improve the relevant tests, such as cardiopulmonary and renal function assessment, exclude prostate cancer, a comprehensive assessment of the value of the operation and the risk. Some older people desire surgery, but the cardiopulmonary function is really too poor, the risk of surgery is very great, can not be operated, then you need to carry a lifelong cystostomy tube or catheter. Current prostate surgery is basically transurethral electrocautery, and the traditional open surgery with incision, obviously highlights the advantages of minimally invasive, fast postoperative recovery. Affected by the past traditional open surgery and electrolysis, some friends are very worried about the occurrence of postoperative incontinence, because before the operation is urine “blockage” panic, after the operation can not be controlled, into the “bipolar” state, the quality of life is also not high. However, with the in-depth use of plasma resection, its advantages are prominent, and the resection technology has been gradually improved, the technology has been quite mature, the probability of postoperative bleeding and incontinence has been quite low. This technology is a boon to patients and deserves the trust and acceptance of the people.