Clinically, we often see patients with obvious symptoms of voiding obstruction and small prostate volume on ultrasound or anal diagnosis. Further cystoscopy suggests that the bladder neck orifice is stiff and loses its normal diastolic function, showing a hard ring whether urinating or not. Most patients have painful urination and perineal discomfort. We call this type of hyperplasia small volume prostatic hyperplasia. Patients with this type of enlargement do not respond well to medication. Surgery is needed. Surgery must remove the hyperplasia gland and the bladder neck ring of fibrous tissue, if necessary, to cut the bladder neck fibrous ring. Otherwise, there is a risk of scarring of the bladder neck again. In some patients, despite the relief of obstruction, irritation worsens and takes about 3 months to heal. The main reason for this is the slow healing of the wound; it takes time to recover from impaired bladder function.