Patients with prostatitis in their 80s generally do not need to undergo surgery. Regardless of age, the vast majority of prostatitis patients are not indicated for surgery. Prostatitis requires a combination of medication, physical therapy and other treatment measures under the direction of a physician. Surgical incision and drainage may only be necessary if prostatitis is complicated by an abscess. In addition, elderly patients in their 80s often have comorbid cardiac, respiratory, or other systemic underlying diseases that may lead to increased risks associated with surgery. Therefore, even with incision and drainage, the indications need to be more closely scrutinized. It is recommended that patients with prostatitis in their 80s visit a regular hospital in a timely manner and be treated under the guidance of a specialist.