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复杂巨大前列腺增生的管理

Management of complicated giant prostate hyperplasia.

作者信息

Kyei Mathew Y, Agyapong-Tandoh Ernest K, Amedewonu Esinam A, Mensah James E, Kyei Josephine M, Oti-Mensah Seth

机构信息

Department of Surgery and Urology, University of Ghana Medical School, Accra, Ghana.

Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana.

出版信息

Ghana Med J. 2025 Jun;59(2):98-101. doi: 10.4314/gmj.v59i2.7.

DOI:10.4314/gmj.v59i2.7
PMID:40621406
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12224212/
Abstract

UNLABELLED

Giant prostate hyperplasia is defined as prostate hyperplasia with a weight greater than 500 grams. This condition is rare. We present the management of a case of giant prostate hyperplasia (541 grams on CT scan) with a surgical enucleated volume of 800 grams in a patient who presented with haematuria. An abdominal-pelvic CT scan was required to differentiate it from a suspected bladder tumour. This case was successfully managed with a favourable outcome following open transvesical prostatectomy, ensuring minimal blood loss. This case report and review provide an update on the management of giant prostate hyperplasia, with emphasis on the prevention and management of haemorrhage.

FUNDING

None declared.

摘要

未标注

巨大前列腺增生定义为前列腺重量超过500克的增生。这种情况很罕见。我们介绍了一例巨大前列腺增生(CT扫描显示重541克)患者的治疗情况,该患者因血尿就诊,手术摘除的前列腺体积达800克。需要进行腹部盆腔CT扫描以将其与疑似膀胱肿瘤相鉴别。该病例经开放经膀胱前列腺切除术后成功治疗,结果良好,术中失血极少。本病例报告及综述提供了巨大前列腺增生治疗的最新情况,重点在于出血的预防和处理。

资金来源

未声明。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e4/12224212/6f42c712ba3e/GMJ5902-0098Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e4/12224212/43b842754fd7/GMJ5902-0098Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e4/12224212/7be75a7c89c2/GMJ5902-0098Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e4/12224212/6f42c712ba3e/GMJ5902-0098Fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e4/12224212/43b842754fd7/GMJ5902-0098Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e4/12224212/7be75a7c89c2/GMJ5902-0098Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56e4/12224212/6f42c712ba3e/GMJ5902-0098Fig3.jpg

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本文引用的文献

1
Systematic review and meta-analyses of tranexamic acid use for bleeding reduction in prostate surgery.系统评价和荟萃分析氨甲环酸在前列腺手术中减少出血的应用。
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Prostate Artery Embolization (PAE) in the Management of Refractory Hematuria of Prostatic Origin Secondary to Iatrogenic Urological Trauma: A Safe and Effective Technique.前列腺动脉栓塞术(PAE)治疗医源性泌尿系统创伤继发的前列腺源性难治性血尿:一种安全有效的技术
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Giant Prostatic Hyperplasia: Fourth largest prostate reported in medical literature.
巨大前列腺增生:医学文献报道的第四大前列腺病例。
Sultan Qaboos Univ Med J. 2014 May;14(2):e253-6. Epub 2014 Apr 7.
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A giant prostatic hyperplasia treated by open surgery.经开放性手术治疗的巨大前列腺增生症。
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Robot-assisted simple prostatectomy for severe benign prostatic hyperplasia.机器人辅助单纯前列腺切除术治疗重度良性前列腺增生。
J Endourol. 2011 Apr;25(4):641-4. doi: 10.1089/end.2010.0528. Epub 2011 Mar 17.
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J Urol. 1946 Jul;56:81. doi: 10.1016/S0022-5347(17)69778-7.
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Modified technique in Freyer's prostatectomy to achieve hemostasis.改良弗赖尔前列腺切除术技术以实现止血。
Indian J Urol. 2009 Jul;25(3):332-4. doi: 10.4103/0970-1591.56189.
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Laparoscopic versus open simple prostatectomy: an evaluation of morbidity.腹腔镜与开放性单纯前列腺切除术:发病率评估
J Endourol. 2009 Jan;23(1):129-33. doi: 10.1089/end.2008.0401.
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Giant prostatic hyperplasia: surgical management of a case.巨大前列腺增生症:一例的手术治疗
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MAXIMAL HEMOSTASIS IN SUPRAPUBIC PROSTATECTOMY.耻骨上前列腺切除术中的最大止血
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