A 74 y.o. patient has been ill with benign prostate hyperplasy for the last 5 years. 4 days ago, after alcochol consumption, there was an acute retention of urination. At the pre-admission stage his urinary bladder was catheterized with metallic catheter. Examination revealed: right epididymis is enlarged, thick and painful, there are purulent discharges from urethra. What way of emergency care must be chosen?

Answer options

1. Placing of intraprostatic stent
2. Introduction of permanent urethral catheter
3. Microwave thermotherapy of prostate
4. Trocar or open epicystostomy
5. Transuretral resection or prostatectomy

Explanation

Open epicystostomy is a surgically created connection between the urinary bladder and the skin used to drain urine from the bladder in individuals with obstruction of normal urinary flow. Urinary flow may be blocked by swelling of the prostate (benign prostate hyperplasia).