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ISSN 2305-7939 (Electronic)

2021, Number 2

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RCU 2021; 10 (2)

Giant prostatic hyperplasia

Morales DE, Rodríguez CTL, Carrillo GS, Pompa FJL

Language: Spanish
References: 10
Page: 1-9
PDF size: 330.45 Kb.


ABSTRACT

Giant prostatic hyperplasia is a rarity in daily urological practice. This case is presented with the aim of describing the clinical and therapeutic particularities of a patient with giant prostatic hyperplasia and briefly reviewing the literature on the subject. This is a 68-year-old patient with a history of type 2 diabetes mellitus, high blood pressure and prostatic hyperplasia with terazosin treatment. After stopping the use of this medicine, he began to develop severe low obstructive urinary symptoms, which led to full urine retention, so he showed up in the hospital's emergency room. During the examination of the abdomen, it was found a bladder balloon and in the rectal examination a very enlarged and with fibroelastic consistency prostate. After not being able to catheterize the bladder by the urethral way, a cystostomy was performed by puncture. After this procedure, he had significant hematuria that occupied the bladder with clots, so he underwent an emergency surgery. A very bulky prostate adenoma was found weighing 542 g. He developed infection in the surgical wound in the mediate postoperative period. The histopathologic report of the specimen was fibroadenomatous prostate hyperplasia and chronic prostatitis. In conclusion, although open retropubic adenomectomy is a valid option for the exeresis of giant prostate hyperplasia, various minimally invasive therapeutic variants are glimpsed as alternatives to reduce blood losses and avoid complications.


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