Open Access

RESIDENT’S CORNER

Retropubic prostatectomy for giant benign prostatic hyperplasia

John M. Lacy¹, Raevti Bole², Lauren Hendrix¹, Stephen Strup³

1 Urology Residency Program, University of Kentucky, Lexington, Kentucky, USA
2 College of Medicine, University of Kentucky, Lexington, Kentucky, USA
3 Department of Urology, University of Kentucky, Lexington, Kentucky, USA
Address correspondence to Dr. Stephen Strup, Department of Urology, University of Kentucky, 800 Rose Street, MS275, Lexington, KY 40536-0298 USA

Canadian Journal of Urology 2015, 22(5), 8000-8002.

Abstract

Giant benign prostatic hyperplasia is a rare pathology of the prostate gland. Here we report the successful removal of the ninth largest prostate ever reported. This 65-year-old patient presented with acute urinary retention secondary to a bulky left prostatic mass identified on pelvic magnetic resonance imaging (MRI). His preoperative prostate-specific antigen (PSA) value was 44 ng/mL; preoperative biopsies were negative for malignancy. Open radical retropubic prostatectomy was performed and the resulting prostatic mass was measured at 13.5 cm x 11.5 cm x 5.2 cm, weighing 708 g including the prostate. The patient tolerated the procedure well. Surgical pathology showed no evidence of malignancy.

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