(a) Introduction to Minimally Invasive Techniques in Zhanjiang No. 2 People’s Hospital Zhanjiang No. 2 People’s Hospital is one of the first hospitals to perform minimally invasive surgery and is committed to developing minimally invasive techniques more vigorously to provide more powerful help to more patients and to alleviate their pain. (ii) What is minimally invasive surgery? Minimally invasive surgery is a type of minimally invasive surgery that minimizes patient injury relative to open surgery and is the most advanced surgical method of the 21st century. It has changed the previous surgical method of treating diseases through large incisions and rough instruments; with fine, high-tech instruments and equipment, it reaches the diseased organ for treatment through the body’s natural cavities or tiny incisions. (iii) What are the advantages of minimally invasive surgery? (1) Small trauma and small incision. Through the natural cavity or small incision, usually <10mm; ② less bleeding, usually do not need blood transfusion; ③ less pain, quick recovery, can eat and go down to the ground on the same day after surgery; ④ economic. It can be discharged from the hospital in 2-3 days after the operation, no blood transfusion, and reduce the medical cost. (iv) What are the clinical manifestations of patients with prostatic hyperplasia? ① middle-aged and elderly male patients ② frequent urination, increased frequency of urination, increased nocturia, urinary urgency, urge incontinence; combined with stones and infections can be accompanied by urinary pain ③ urinary incontinence ④ hesitancy in urination, thinning of the urinary line, weakness, shortening of the range, dribbling of the urine ⑤ acute urinary retention (e) What are the minimally invasive surgical treatments for prostatic hyperplasia? ① transurethral electrocautery of prostate ② transurethral vaporization of the prostate ③ transurethral prostatomy ④ thermotherapy ⑤ balloon dilatation ④ thermotherapy Thermotherapy ⑤ Balloon dilatation ⑥ Stenting etc. Among the above procedures, transurethral resection of the prostate is the gold standard, which is the safest and most effective. (F) which prostate hyperplasia patients are suitable for minimally invasive surgery ⒈ prostate hyperplasia with obvious urinary obstruction symptoms, such as: urinary frequency, urinary urgency, increased nocturia, thin urine line, urinary effort, prolonged urination time, short course, urinary dribbling, etc., non-surgical treatment is ineffective or the symptoms have worsened, affecting the patient's normal life. PEAK prostatic hyperplasia causes kidney, ureteral fluid and renal function damage. Prostatic hyperplasia is associated with recurrent chronic urinary tract infections. If obvious bladder outlet obstruction occurs, which seriously affects urination, partial resection of prostate can be done to form an unobstructed urinary channel 兾 When prostatic hyperplasia is accompanied by hemorrhoids, prolapse and hernia, TUPR should be done first to relieve the urinary obstruction, and then hemorrhoid and hernia repair should be performed. (vii) Whether minimally invasive treatment cannot be thorough This concern is redundant. Minimally invasive treatment is in fact more delicate, safer, more thorough and more conducive to restoring the original health of the organs. (viii) Is it easy to become incontinent after surgery? For doctors who performed minimally invasive surgeries in the early days, postoperative incontinence was a concern. However, as the technique becomes more skillful, this concern is not necessary. (ix) The current status of this technology in our hospital The results of minimally invasive surgery are quite good for patients with complicated prostatic hyperplasia who are accompanied by various underlying diseases, critically ill, old (even 99 years old), and who have been operated on several times by open or minimally invasive surgeries in other cities and hospitals.