Abstract
Benign prostatic hyperplasia is a common cause of bladder outlet obstruction and may cause macroscopic hematuria. Giant median lobe hyperplasia is very rare and its definition is not clear. In this case report, the diagnosis and treatment of a case with giant median lobe hyperplasia of the prostate mimicking a bladder tumor were evaluated. A 65-year-old male patient was admitted to our clinic with a 9-month history of intermittent hematuria. Abdominopelvic computed tomography revealed a mass measuring 95x85x57 mm filling the bladder. A distinct anatomical plane between the mass and the seminal vesicles could not be identified. In the urethrocystoscopy, it was determined that the mass was the giant median lobe of the prostate. Open suprapubic prostatectomy was performed. A total of 330 g prostate tissue consisting of 180 g median lobe was enucleated. Giant median lobe
hyperplasia of the prostate is a rare pathology and may mimic a bladder tumor by causing painless hematuria
References
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- 8. Hunter DJ, Berra-Unamuno A, Martin-Gordo A. Prevalence of urinary symptoms and other urological conditions in Spanish men 50 years old or older. J Urol. 1996;155(6):1965-70
- 9. Foley SJ, Bailey DM. Microvessel density in prostatic hyperplasia. BJU international. 2000;85(1):70-3
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Abstract
References
- 1. Joseph CP, Tanagho EA, McAninch JW. Neoplasms of the prostate gland., Smith’s General Urology. 15th ed. New York: Lange Medical Books/McGraw-Hill; 2000. 399 p.
- 2. Fishman JR, Merrill DC. A case of giant prostatic hyperplasia. Urology 1993; 42:336–7
- 3. Barbaric ZL, Barbaric ZL. Principles of genitourinary radiology. New York. Thieme Medical Publishers 1991; 412-427
- 4. Thorpe A, Neal D. Benign prostatic hyperplasia. 67th ed. Lancet 2003; 361:1359.
- 5. Maliakal J, Mousa EE, Menon V. Giant prostatic hyperplasia: fourth largest prostate reported in medical literature. Sultan Qaboos Univ Med J. 2014;14:253-6
- 6. Üçer O, Baser O, Gümüs B. Giant prostatic hyperplasia: Case report and literature review. Dicle Med J. 2011;38(4):489-91
- 7. Ibrahim AG, Mohammed BS, Aliyu S, Wabada S, Iya AM, Sanda AB. Giant median lobe enlargement of the prostate mimicking advanced bladder tumour: a case report. West Afr J Med. 2014 Jan-Mar;33(1):74-6.
- 8. Hunter DJ, Berra-Unamuno A, Martin-Gordo A. Prevalence of urinary symptoms and other urological conditions in Spanish men 50 years old or older. J Urol. 1996;155(6):1965-70
- 9. Foley SJ, Bailey DM. Microvessel density in prostatic hyperplasia. BJU international. 2000;85(1):70-3
- 10. Rigatti P, Cestari A, Gilling P. The motion: large BPH should be treated by open surgery. Eur Urol. 2007;51(3):845-8.
- 11. Khan Z, Tahir M, Ashraf HS, Niazi FK, Khan M, Mustafa S, et al. Giant Benign Prostatic Hyperplasia in a Pakistani Patient. Urol Case Rep. 2014; 33-34
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | CASE REPORTS |
| Authors | |
| Publication Date | September 22, 2020 |
| Submission Date | May 3, 2020 |
| Published in Issue | Year 2020 Volume: 1 Issue: 1 |
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