Abstract
Background: Benign prostatic enlargement (BPH) is an age-related condition. Males above the age of 40 years commonly experience lower urinary tract symptoms (LUTS) related to the progressively growing prostate. BPH is coined by a deterioration in the quality of the patient`s life. Medicines along with advanced surgical procedures may not be suitable for treating oversized prostate glands.
Case presentation: A 84-years-old man presented to the urology clinic with severe LUTS that are getting worse over 2 years. He was never catheterized. Medicinal treatments failed to alleviate the symptoms. He has no past medical or surgical history of significance. Prostate ultrasonography revealed a huge prostate of 340cc. He underwent open prostatectomy and enjoyed an uneventful post-operative hospital stay. Histology showed a benign nodular prostatic hyperplasia.
Conclusion: This case presents one of the largest prostates reported in the literature.
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References
- Berry SJ, Coffey DS, Walsh PC, Ewing LL. The development of human benign prostatic hyperplasia with age. J Urol. 1984; 132:474–9. DOI: 10.1016/S0022-5347(17)49174-7
- Egan KB. The Epidemiology of Benign Prostatic Hyperplasia Associated with Lower Urinary Tract Symptoms: Prevalence and Incident Rates. Urol Clin North Am. 2016 Aug;43(3):289-97. DOI: 10.1016/j.ucl.2016.04.004
- Joseph CP. Neoplasms of the prostate gland. In: Tanagho EA, McAninch JW, editors. Smith’s General Urology. 15th ed. New York: Lange Medical Books/McGraw-Hill; 2000. p. 399.
- Soichiro O, Masahiko M, Michihiro Y, Yoshinobu K, Masaaki Y, Yuichi S, et al. A giant prostatic hyperplasia treated by open surgery. Int J Gen Med. 2012; 5:1009–12. DOI: 10.2147/IJGM.S36259
- Kopp W. Diet-Induced Hyperinsulinemia as a Key Factor in the Etiology of Both Benign Prostatic Hyperplasia and Essential Hypertension? Nutr Metab Insights. 2018; 11:1178638818773072. DOI: 10.1177/1178638818773072
- Silva-Gutierrez A, Perez-Evia CA, Alcocer-Gaxiola B, Martinez-Mendez ME. Giant prostatic hyperplasia: A case report and literature review. Rev Mex Urol. 2010; 70:183–6.
