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Japanese giant benign prostatic hyperplasia: Sibling cases.
Takehiro Ohyama1, Fumiyasu Endo1, Masaki Shimbo1
1Department of Urology St. Luke's International Hospital Tokyo Japan.
IJU Case Reports
|July 7, 2022
Summary
Familial benign prostatic hyperplasia (BPH) can present with giant prostates. Two brothers with significantly enlarged prostates underwent successful Holmium Laser Enucleation of the Prostate (HoLEP) for BPH treatment.
Area of Science:
- Urology
- Genetics
- Pathophysiology
Background:
- Benign prostatic hyperplasia (BPH) pathophysiology is multifactorial, with potential roles for inflammation, metabolic, and genetic factors.
- Familial clustering suggests a genetic predisposition in some BPH cases.
Observation:
- Two brothers, aged 77 and 69, presented with symptomatic giant benign prostatic hyperplasia (BPH).
- Both brothers experienced urinary retention due to the enlarged prostate volume.
Findings:
- Surgical intervention via Holmium Laser Enucleation of the Prostate (HoLEP) was performed on both patients.
- Excised prostate tissue weighed 276g and 153g, confirming massive BPH.
- Both patients experienced favorable postoperative outcomes.
Implications:
- These cases highlight the possibility of familial aggregation in benign prostatic hyperplasia.
- Giant BPH in siblings may warrant genetic counseling and consideration of hereditary factors.
- Holmium Laser Enucleation of the Prostate (HoLEP) is an effective treatment for massive BPH.
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