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Juvenile prostatic hyperplasia.

Young Deuk Choi1, Nam Hoon Cho, Duk Hyung Kwon

  • 1Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea. youngd74@yumc.yonsei.ac.kr

Urology
|October 19, 2005
PubMed
Summary

Juvenile prostatic hyperplasia is rare, affecting a 10-year-old boy with urinary issues. Treatment involved suprapubic prostatectomy for significant prostate enlargement and kidney complications.

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Area of Science:

  • Pediatric Urology
  • Endocrinology
  • Pathology

Background:

  • Benign prostatic hyperplasia (BPH) is a common condition in aging men, characterized by prostate enlargement.
  • Prostatic hyperplasia in childhood is exceptionally rare, with limited documented cases.

Observation:

  • A 10-year-old boy presented with hematuria and lower urinary tract symptoms.
  • Radiologic imaging revealed a significantly enlarged prostate (33g) obstructing the bladder.
  • A prostate biopsy confirmed no malignancy.

Findings:

  • At age 13, the patient experienced worsening voiding difficulties, systemic weakness, and fever.
  • Radiologic studies indicated bilateral hydroureteronephrosis and elevated serum creatinine, suggesting renal compromise.
  • The prostate had further enlarged to 55g.

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Implications:

  • This case highlights the potential for severe urinary and renal complications from juvenile prostatic hyperplasia.
  • Early recognition and management are crucial for preventing irreversible kidney damage in affected children.
  • Further research into the etiology and long-term outcomes of pediatric BPH is warranted.