Thirty years old man with a huge benign prostatic enlargement

We present a case of a thirty years old man who had suprapubic prostatectomy in our department. Patient's history started from the age of 25, when he experienced multiple urinary retention attacks. Imaging revealed an enormous prostatic mass. Combining this finding with elevated PSA values, lead us to prostatic biopsies which proved to be benign. Following our advice, the patient had children and afterwards he had his prostate removed. The suprapubic prostatectomy was extremely challenging with a lot of technical difficulties, considering that the net weight of the removed adenoma was 250gr. Pathological examination of the tissue proved that it was benign prostatic hyperplasia. Our case is particularly interesting for two reasons: On one hand because of the unusual size of the prostate and on the other hand because of the young age of the patient. Epidemiological studies showed that prostatic hyperplasia has been pathologically proved only after the age of 40, while pathological signs of the disease could be found after the age of 30. Concerning the size of the adenoma, a search in the literature showed that only 4% of the removed glands weight more than 100 gr, and that has to do with men over 70 years of age. Concluding, our case seems to be extremely rare. Furthermore, our search through the literature could not reveal any similar case report.