Giant Prostatic Hyperplasia: Case Report

Yılmaz, Kadir; Istanbulluoglu, Okan; Güven, Selçuk; Kılınç, Mehmet

doi:10.1007/s11255-006-9012-x

Cited by 7 publications

(5 citation statements)

References 8 publications

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“…In our series, the meantime for enucleation of the prostate was 28.38 ± 6.61 (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40) min. The detached adenoma pushed into the bladder as a whole or dissected into lobes to facilitate easy and quick retrieval by the minimally invasive approach, which significantly saved the morcellating time when we use TUEP, HOLEP or even by simple open prostatectomy and leads to avoiding water poisoning and the incidence of TUR syndrome as there will be a short time enucleation period.…”

Section: Discussionmentioning

confidence: 62%

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Bipolar transurethral enucleation of the prostate combined with open cystolithotomy in the treatment of large and giant prostate with bladder stones: Case series

Alshayyah

et al. 2021

Urologia

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The surgical management of large or giant prostate still has challenges to urologists, especially if combined with bladder stones, and the traditional techniques by open prostatectomy and cystolithotomy have significant morbidity rates. The endoscopic procedure might not be feasible to treat both conditions in a single procedure, despite advances in surgical techniques and instrumentation, we present a one-session procedure by a combined endoscopic and open approach for treating benign prostatic hyperplasia (BPH) larger than 100 g combined with bladder stones in the elderly patient with other comorbidities. Between May 2017 and January 2020, bipolar transurethral plasma kinetic enucleation of the prostate (TUEP) followed by open cystolithotomy was performed to six patients at our institution, three of them combined with a big bladder stone(s). All the patients have other chronic chest and heart diseases; we retrospectively collected the data. All the patients diagnosed as BPH of big size or giant prostate over 100 g, with bladder stone, and all the patients treated with the same procedure. We founded that the combination methods showed a significant effect in terms of surgery time, patient outcomes and recovery, hospital discharge. The mean age of patients was 78.16 ± 4.2 (73–84) years, and the mean prostate-specific antigen (PSA) value was 16.27 ± 10.01 (8.32–32.17) ng/mL. The mean size of the prostate measured by MRI/US was 266.16 ± 89.1 (169–405) mL. The mean total operation time was 70.5 ± 10.9 (60–90) min, while the mean enucleation time was 28.38 ± 6.61 (23–40) min. The mean intraoperative blood loss was 193.33 ± 19.66 (170–220) mL. The mean resected prostate weight was 217.166 ± 94.67 (117–365) g. The mean post-operative hospital stay was 2.6 ± 0.81 (2–4) days. One patient was readmitted 2 months later due to urinary tract infection, and one patient complains of urine incontinence who spontaneously subsided in 4 months after surgery, other that no severe postoperative complications observed, a significant reduction of serum PSA and IPSS recorded at 3 months, postoperatively. Although simple open prostatectomy remains the reference standard for the treatment. Of excessively large or giant prostatic hyperplasia, the combination procedure not only facilitates the management of selected cases of hyperplasia but further imparts significant benefits to patients and surgeons alike. This treatment plan is safe, time-consuming, and could revolutionize future treatment approaches to giant prostate.

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Section: Discussionmentioning

confidence: 62%

“…The mean size of the prostate measured by MRI/US was 266.16 ± 89.1 (169-405) mL. The mean total operation time was 70.5 ± 10.9 (60-90) min, while the mean enucleation time was 28.38 ± 6.61 (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40) min. The mean intraoperative blood loss was 193.33 ± 19.66 (170-220) mL.…”

Section: Resultsmentioning

confidence: 99%

Bipolar transurethral enucleation of the prostate combined with open cystolithotomy in the treatment of large and giant prostate with bladder stones: Case series

Alshayyah

et al. 2021

Urologia

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“…There have been recent reports in which the giant BPH has been resected by laparoscopy and transurethral electrovaporization. 5 , 6 Although these procedures have a steep learning curve and require expertise, there has been an expected increase in the trend. This will improve the outcome of the patient in terms of morbidity and further reduction in mortality.…”

Section: Discussionmentioning

confidence: 99%

Giant Benign Prostatic Hyperplasia in a Pakistani Patient

Khan

Tahir

Ashraf

et al. 2014

Urology Case Reports

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“…Kawamura et al [1] refers a giant prostate to any prostate hypertrophy (generally benign) exceeding 200 gm; while others have defined this limit to be above 500 gm [2]. Others have managed such cases by open surgery [3] and transurethral electrovaporisation [5]. Recently, robot-assisted laparoscopic retropubic prostatectomy has been reported [8][9][10], for an average size prostate too.…”

Section: Discussionmentioning

confidence: 99%

“…Massive enlargement of the prostate has been reported in the literature [1][2][3][4][5][6]. Traditionally, such cases have been managed by open surgical prostatectomy but these are now also being managed in a minimally invasive manner by using the laparoscopic and robot-assisted laparoscopic approach to simple prostatectomy.…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted laparoscopic prostatectomy for a giant prostate with retrieval of vesical stones

Hudson¹,

Hemal

2010

Int Urol Nephrol

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Giant prostatic enlargement is an uncommonly reported entity. Minimally invasive management of massively enlarged prostate with associated bladder stones is a challenging task. Traditionally such patients have been managed with open surgery. The present case of giant prostate enlargement (incidental localized prostate cancer) with vesical stones was successfully managed by a combination of robotic prostatectomy and removal of bladder stones under flexible endoscopic guidance. The technical problems and nuances associated with the technique of robotic assisted prostatectomy (RAP) for giant prostate enlargement have been discussed. To the best of our knowledge the present case is the largest (384 g) reported case of cancer prostate (concomitant vesical stone), to be removed by minimally invasive robot assisted laparoscopic technique in the English literature (PubMed™).

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Giant Prostatic Hyperplasia: Case Report

Abstract: The giant hyperplasia of the prostate is extremely rare pathology of prostate gland. Here, we report the successful removal of the 9th heaviest prostate ever reported in the literature.

Cited by 7 publications

References 8 publications

Bipolar transurethral enucleation of the prostate combined with open cystolithotomy in the treatment of large and giant prostate with bladder stones: Case series

Bipolar transurethral enucleation of the prostate combined with open cystolithotomy in the treatment of large and giant prostate with bladder stones: Case series

Giant Benign Prostatic Hyperplasia in a Pakistani Patient

Robot-assisted laparoscopic prostatectomy for a giant prostate with retrieval of vesical stones

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