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Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
Published on: March 6, 2018
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Giant benign prostatic hyperplasia: A case report
Seyed Mohammad Kazem Aghamir1, Fatemeh Khatami1, Mohammad Reza Rahimi1
1Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Urology Case Reports
|November 12, 2019
Summary
This study reports a rare case of giant benign prostatic hyperplasia (BPH), weighing 1070g, successfully treated with open retropubic prostatectomy. The procedure for this massive prostate enlargement caused no significant complications.
Area of Science:
- Urology
- Surgical Pathology
Background:
- Benign prostatic hyperplasia (BPH) is a common condition in men over fifty, characterized by prostate enlargement.
- Prostate weight exceeding 500g is considered indicative of BPH, though extreme cases are rare.
Observation:
- A 78-year-old male presented with urinary frequency.
- Transrectal ultrasound revealed a prostate volume of 350 mL.
- Elevated prostate-specific antigen (PSA) levels were noted at 17.3 ng/mL.
Findings:
- A giant BPH adenoma weighing 1070g was enucleated via open retropubic simple prostatectomy.
- The surgical intervention for this extremely large prostate was successful.
Implications:
- This case highlights the feasibility of surgical management for exceptionally large BPH.
- Successful enucleation of giant BPH without complications expands treatment options for rare, severe presentations.
