Mdivnishvili Marika, Khuskivadze Nutsa, Khuskivadze Alexandre
Cardiac, Thoracic, and Vascular Surgery, Jerarsi Hospital, Tbilisi, GEO.
Cardiology, Tbilisi State Medical University, Tbilisi, GEO.
Cureus. 2024 May 29;16(5):e61295. doi: 10.7759/cureus.61295. eCollection 2024 May.
We present the case of a 69-year-old man experiencing lower urinary tract symptoms (LUTS), notably difficulties with urination. His total prostate-specific antigen level was measured at 3.52 ng/ml, accompanied by an International Prostate Symptom Score of 32. Transrectal ultrasound revealed a prostate volume of 268 cm. Benign prostatic hyperplasia (BPH) is a common condition among aging men, often manifesting as LUTS. However, in rare instances, BPH can progress pathologically to giant prostatic hyperplasia, characterized by a prostate gland exceeding 500 g in weight. This report documents the successful enucleation of the giant BPH without significant complications, utilizing a transvesical prostatectomy technique. Our case underscores the importance of early diagnosis and appropriate management strategies.
我们报告了一例69岁男性出现下尿路症状（LUTS）的病例，特别是排尿困难。他的总前列腺特异性抗原水平测得为3.52 ng/ml，国际前列腺症状评分32分。经直肠超声显示前列腺体积为268 cm。良性前列腺增生（BPH）是老年男性中的常见病症，常表现为LUTS。然而，在罕见情况下，BPH可病理进展为巨大前列腺增生，其特征为前列腺重量超过500 g。本报告记录了采用经膀胱前列腺切除术技术成功摘除巨大BPH且无明显并发症的情况。我们的病例强调了早期诊断和适当管理策略的重要性。
