The case of enormous benigne prostate hyperplasia
Authors:
Jiří Klečka; Petr Klézl; Petr Nencka; Věra Mašková; Robert Grill
Authors‘ workplace:
Urologická klinika 3. LF UK a FNKV, Praha
Published in:
Ces Urol 2014; 18(2): 144-149
Category:
Case report
Overview
The authors present a case report of a 72-year-old patient, which had an open prostatectomy using Frayer-Fuller procedure for complicated benign prostatic hyperplasia, reaching monstrous proportions, 930 grams. So far, the largest published case of adenoma was from India in March 2010, when Dr. Rajendra Punjabim removed an adenoma weighing 650 grams. Our case is both a medical rarity, and also a world rarity, aspiring for entry into the Guinness Book of Records.
Key words:
benign prostate hyperplasia, open suprapubic prostatectomy according Frayer-Fuller, transurethral resection of prostate (TUR-P), holmium enucleation of the prostate (HoLEP), photoselective vaporization of the prostate (PVP).
Sources
1. Berry SJ, Coffey DS, Walsh PC, Ewing LL. The development of human benign prostatic hyperplasia with age. J Urol 1984; 132: 474–479. [PubMed: 6206240]
2. Reich O, Gratzke C, Bachmann A, Seitz M, Schlenker B, Hermanek P, et al. Morbidity, mortality and early outcome of transurethral resection of the prostate: A prospective multicenter evaluation of 10,654 patients. J Urol 2008; 180: 246–249. [PubMed: 18499179]
3. Gupta NP, Singh A, Kumar R. Transurethral vapor resection of prostate is a good alternative for prostates < 70 g. J Endourol 2007; 21: 1543–1546. [PubMed: 18186696]
4. Gupta NP, Anand A. Comparison of TURP, TUVRP, and HoLEP. Curr Urol Rep 2009; 10: 276–278. [PubMed: 19570488]
5. Witte F. TUVRP and HOLEP as effective as TURP. Aktuelle Urol 2007; 38: 8–9. [PubMed: 17354351]
6. Al-Hammouri F, Abu-Qamar A. Monopolar transurethral resection of the big prostate, experience at Prince Hussein Bin Abdullah Urology Center. J Pak Med Assoc 2011; 61: 628–631. [PubMed: 22204233]
7. Gupta NP, Anand A, Mishra S. Transurethral vapor resection of prostate: An alternative treatment for benign prostatic hyperplasia < 100 g. J Endourol 2009; 23: 1883–1886. [PubMed: 19821698]
8. Zhang KY, Xing JC, Chen BS, Liu CX, Lau HW, Sim HG, et al. Bipolar plasmakinetic transurethral resection of the prostate vs. transurethral enucleation and resection of the prostate: Pre- and postoperative comparisons of parameters used in assessing benign prostatic enlargement. Singapore Med J 2011; 52: 687747–687514. [PubMed: 22009396]
9. Haraguchi T, Takenaka A, Yamazaki T, Nakano Y, Miyake H, Tanaka K, et al. The relationship between the reproducibility of holmium laser enucleation of the prostate and prostate size over the learning curve. Prostate Cancer Prostatic Dis 2009; 12: 281–284. [PubMed: 19581921]
10. Ahyai SA, Gilling P, Kaplan SA, Kuntz RM, Madersbacher S, Montorsi F, et al. Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic enlargement. Eur Urol 2010; 58: 384–397. [PubMed: 20825758]
11. Elmansy HM, Kotb A, Elhilali MM. Holmium laser enucleation of the prostate: Long-term durability of clinical outcomes and complication rates during 10 years of followup. J Urol 2011; 186: 1972–1976. [PubMed: 21944127]
12. Gilling PJ, Aho TF, Frampton CM, King CJ, Fraundorfer MR. Holmium laser enucleation of the prostate: Results at 6 years. Eur Urol 2008; 53: 744–749. [PubMed: 17475395]
13. Elzayat EA, Elhilali MM. Holmium laser enucleation of the prostate (HoLEP): The endourologic alternative to open prostatectomy. Eur Urol 2006; 49: 87–91. [PubMed: 16314033]
14. Gu X, Vricella GJ, Spaliviero M, Wong C. Does size really matter. The impact of prostate volume on the efficacy and safety of GreenLight HPS™ laser photoselective vaporization of the prostate? J Endourol 2012; 26: 525–530. [PubMed: 22050493]
15. Thangasamy IA, Chalasani V, Bachmann A, Woo HH. Photoselective vaporisation of the prostate using 80-W and 120-W laser versus transurethral resection of the prostate for benign prostatic hyperplasia: A systematic review with meta-analysis from 2002 to 2012. Eur Urol 2012; 62: 315–323. [PubMed: 22575913]
16. Ruszat R, Wyler S, Seifert HH, Reich O, Forster T, Stief CG, et al. Photoselective vaporization of the prostate: Experience with prostate adenomas < 80 cm3. Urologe A 2006; 45: 858–864. [PubMed: 16676147]
17. Gupta NP, Anand A. Lasers are superfluous for the surgical management of benign prostatic hyperplasia in the developing world. Indian J Urol 2009; 25: 413–414. [PMCID: PMC2779974] [PubMed: 19881145]
18. Ahyai SA, Chun FK, Lehrich K, Dahlem R, Zacharias MS, Fisch MM, et al. Transurethral holmium laser enucleation versus transurethral resection of the prostate and simple open prostatectomy – Which procedure is faster? J Urol 2012; 187: 1608–1613. [PubMed: 22425091]
19. Madersbacher S, Alivizatos G, Nordling J, Sanz CR, Emberton M, de la Rosette JJ. EAU 2004 guidelines on assessment, therapy and follow-up of men with lower urinary tract symptoms suggestive of benign prostatic obstruction (BPH guidelines) Eur Urol 2004; 46: 547–554. [PubMed: 15474261]
20. Herrmann TR, Liatsikos EN, Nagele U, Traxer O, Merseburger AS. EAU guidelines on laser technologies. Eur Urol 2012; 61: 783–795. [PubMed: 22285403]
21. Nickel JC, Méndez-Probst CE, Whelan TF, Paterson RF, Razvi H. 2010 Update: Guidelines for the management of benign prostatic hyperplasia. Can Urol Assoc J 2010; 4: 310–316. [PMCID: PMC2950766] [PubMed: 20944799]
Labels
Paediatric urologist Nephrology UrologyArticle was published in
Czech Urology
2014 Issue 2
Most read in this issue
- Intravesical therapy of urinary bladder tumours
- Aneurysmal cyst of the adrenal gland
- Classification of the penile intraepithelial neoplasias preceding invasive squamous cell carcinomas and their analogy with precancers of vulvar squamous cell carcinoma
- „Burned-out“ tumour of a testis with metastasis to retroperitoneal lymph node