A 87 YEARS OLD MALE WITH GIANT PROSTATIC HYPERPLASIA AND BLADDER STONES, THE LARGEST PROSTATE REPORTED IN INDONESIA
Abstract: The aim of this
article is to report a case of Giant Prostatic Hyperplasia and see the
correlation between volume of prostate and benign prostate hyperplasia (BPH)
symptoms. Giant BPH is defined as a prostate weight over 200 g or 500 g; the
lower threshold was suggested by Japanese authors. It’s extremely rare, with
only 16 cases exceeding 500 g till 2013. Case presentation: Patient was an
87-year-old male with chief complaint of haematuria. We performed
Transabdominal Ultra Sonography (USG) on the patient. Discussion:
Transabdominal USG showed enlarged prostate with median lobe protruding into
the bladder measuring 86 x 102 x 76 mm and 348 cc in volume. We performed
transvesical prostatectomy. The large prostate was enucleated completely in one
piece with 23 stones measuring about 1 cm in size. Grossly, the mass measured
12 x 8 cm and weighed 300 g. Histopathology evaluation revealed BPH.
Conclusion: To our knowledge, this is the first giant BPH case being reported
in Indonesia. We would like to emphasize that severity of BPH symptoms does not
correlate with volume of the prostate. Unfortunately, we can not conclude that
there were correlation between body mass index (BMI) and volume due to lack of
BMI data from the literature.
Keywords: giant; benign;
prostatic hyperplasia
Author: Vera, Sawkar Vijay
Pramod
Journal Code: jpkedokterangg170017
