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Giant Prostatic Hyperplasia: Case Report of 3987 mL
Arturo Domínguez1, Josep Gual1, Jesús Muñoz-Rodríguez1
1Urology Department, Hospital de Sabadell Corporació Sanitària Parc Taulí, Sabadell, Spain.
Urology
|November 26, 2015
Summary
This case report details an exceptionally large prostate volume of 3987 mL in a 72-year-old male. Despite high prostate-specific antigen levels, biopsies confirmed benign prostatic hyperplasia, avoiding surgery.
Area of Science:
- Urology
- Andrology
- Medical Case Reports
Background:
- Lower urinary tract symptoms (LUTS) are common in aging males.
- Benign prostatic hyperplasia (BPH) is a frequent cause of LUTS.
- Extremely large prostate volumes are rare but can present diagnostic challenges.
Purpose of the Study:
- To report a unique case of an unprecedentedly large prostate volume.
- To highlight the diagnostic findings in a patient with massive benign prostatic hyperplasia.
- To contribute to the literature on extreme prostate enlargement.
Main Methods:
- Case presentation of a 72-year-old male with LUTS.
- Magnetic resonance imaging (MRI) for prostate volume estimation.
- Serum prostate-specific antigen (PSA) level measurement.
- Prostatic biopsy for histopathological diagnosis.
Main Results:
- Estimated prostate volume of 3987 mL via MRI.
- Serum PSA level of 87.9 ng/mL.
- Prostatic biopsy confirmed benign prostatic hyperplasia.
- Patient did not require prostatic surgery.
Conclusions:
- This case represents the largest prostate volume documented in medical literature.
- Massive prostate enlargement can occur with benign prostatic hyperplasia.
- Careful diagnostic evaluation is crucial even in cases of extreme prostate size.
