(Disclaimer: This article is only for scientific purposes, in order to protect the patient’s privacy, the relevant information in the following content has been processed) Abstract: Mr. Ma came to our hospital due to urinary pain, frequent urination with increased nocturia, abdominal fullness and other symptoms, through the questioning, it is clear that the patient exists in the history of prostatic hyperplasia, combined with the recent manifestation of the suspicion of prostatic hyperplasia recurrence. After a series of examinations, he was diagnosed with benign prostatic hyperplasia with urinary retention. After a series of surgical and medication treatments, the patient’s benign prostatic hyperplasia and urethral stricture were corrected, and his urinary retention and other accompanying symptoms disappeared, and he was successfully discharged from the hospital. Basic information] Male, 30 years old [Type of disease] Benign prostatic hyperplasia, urinary retention [Hospital] The First Affiliated Hospital of Zhejiang University School of Medicine [Date of consultation] February 2022 [Treatment plan] Surgery (transurethral resection of the prostate) + indwelling urinary catheter + medication (injectable penicillin sodium, finasteride tablets) [Period of treatment] 5 days [Treatment effect] Benign prostatic hyperplasia, Urethral stricture was corrected, urinary retention and other accompanying symptoms disappeared I. Initial Consultation In February 2022, Mr. Ma, 30 years old, came to our hospital complaining that he had a history of prostatic hyperplasia, and at that time, he only had a history of decreased urination, which was improved by rectal diagnosis and timely treatment with dutasteride soft capsule for a period of time, but lately, he had intermittent urination and a feeling of incomplete urination. With the increase of urination, the frequency of getting up at night to go to the toilet also became more frequent, but each time the amount of urine out of the urine is particularly small, but also can feel the pain associated with urination, the abdomen is sometimes more full, and often a small amount of uncontrolled outflow of urine. Through the patient’s complaints and preliminary examination, it was clear that the patient’s prostate hyperplasia had recurred, and he was admitted to the hospital for treatment of “prostate hyperplasia and urinary retention”. Since the patient had urinary retention, he was first considered to have urinary retention caused by prostatic hyperplasia. Rectal examination and ultrasonography were performed, and it was found that the patient’s prostate was relatively large compared with that of a normal male. Subsequently, urine routine and serum prostate-specific antigen measurement were performed to rule out prostatitis and other diseases, and it was finally considered that it might be related to the excessive proliferation of prostate cells caused by the high level of androgen in the body, and that prostatic hyperplasia would lead to narrowing of the urethra, which would ultimately affect urination. After comprehensive consideration, it was decided that the patient would be treated with surgical removal of the prostate gland to remove the proliferating prostate tissue and correct the benign prostatic hyperplasia. After discussion with the patient and his family, they agreed to the surgical treatment, so transurethral resection of the prostate was performed under local anesthesia, and the operation went smoothly. After the operation, the patient was advised to apply injectable penicillin sodium to inhibit the infection of the surgical wound, and at the same time, a urinary catheter was left in place to promote the drainage of bleeding or exudate from the surgical wound, and finasteride tablets were taken to promote the reduction of prostate size and hemostasis. Third, the therapeutic effect During the patient’s hospitalization, through active transurethral resection of the prostate as well as indwelling urinary catheter, using injectable penicillin sodium and finasteride tablets to improve the prognosis and other therapeutic measures, the patient’s wound healing was better, and the clinical symptoms were also significantly improved. Five days after the operation, the patient’s symptoms of urinary pain, urinary urgency, abdominal distension, uncontrolled outflow of urine, and nocturia disappeared, and the prostate volume was confirmed to be restored to normal size by rectal examination and ultrasonography, which indicated that the benign prostatic hyperplasia had been corrected, urinary stenosis had been ameliorated, and urinary retention had been lifted, and the patient’s somatic symptoms had basically disappeared. The patient’s physical symptoms basically disappeared. The patient was discharged from the hospital for recuperation after the combination of all clinical indicators and their results. IV. Precautions Happily, after a series of treatments, the patient’s symptoms of urinary pain, urinary urgency, abdominal distension, uncontrolled outflow of urine, and excessive nocturia had disappeared, and she was discharged from the hospital successfully. However, since the patient was discharged from the hospital with the wound still not healed, the following points should also be noted: 1, not immediately after discharge from the hospital, excessive greasy diet, should be gradually transitioned to a normal diet, pay attention to supplementing food rich in high-quality protein, carbohydrates and other nutrients, which is conducive to the recovery of the wound; 2, after discharge from the hospital and removal of the catheter, you can carry out appropriate training on a daily basis, such as lifting the anus and other exercises, in order to exercise the function of the pelvic floor muscles, and improve the After the catheter is removed from the hospital, you can do proper training such as anal lifting exercise to exercise the function of pelvic floor muscles and improve the contraction function of bladder forcing muscle, which is conducive to normal urination; 3. You can’t do cross-body riding exercise for 1 month after discharge from the hospital and pay attention to the regular review of the prostate gland in order to observe whether there is any recurrence of benign prostatic hyperplasia and urinary retention. V. Personal perception BPH can lead to urinary retention when it is more serious. Mr. Ma in this case was suffering from recurrence of BPH, which led to narrowing of the urethra after compressing the urethra, and then triggered urinary retention, resulting in a series of physical discomforts. In clinical practice, BPH is often associated with prostatitis, high levels of androgens in the body, and excessive proliferation of cells in the urinary tract, so it is important to pay attention to this condition when it occurs. If you have difficulty urinating, urinary dripping and other physical discomfort, it is recommended that you seek medical attention as soon as possible, so that BPH does not become so severe that it becomes more difficult to treat.