Giant Benign prostatic hyperplasia in a 46-year-old man

Najeem Adedamola Idowu; Olushola Ajamu; AS Oguntola; Suliyat Adeleye-Idowu; Ajadi Elijah; Adebayo Ayoade Adekunle

doi:10.4103/NJM.NJM_175_21

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CASE REPORT

Year : 2021 \| Volume : 30 \| Issue : 6 \| Page : 720-723

Giant Benign prostatic hyperplasia in a 46-year-old man Najeem Adedamola Idowu¹, Olushola Ajamu², AS Oguntola³, Suliyat Adeleye-Idowu⁴, Ajadi Elijah⁵, Adebayo Ayoade Adekunle⁶ ¹ Department of Surgery, Urology Division, Lautech Teaching Hospital, Ogbomoso, Oyo State, Nigeria ² Department of Surgery, Division of Urology, Federal Medical Center Kefi, Nasarawa State, Nigeria ³ Department of Surgery, General Surgery Unit, Lautech Teaching Hospital and College of Medicines LAUTECH, Ibadan, Nigeria ⁴ Department of Surgery, Jericho Specialist Hospital, Ibadan, Nigeria ⁵ Surgery Unit, State General Hospital, Ogbomoso, Nigeria ⁶ Department of Morbid Anatomy and Histopathology, Lautech Teaching Hospital, Ogbomosho, Nigeria Correspondence Address: Najeem Adedamola Idowu Department of Surgery, Urology Division, Lautech Teaching Hospital Ogbomoso, Ibadan - Ilorin Road Pmb 4007 Nigeria Source of Support: None, Conflict of Interest: None DOI: 10.4103/NJM.NJM_175_21

Giant benign prostatic hyperplasia has been defined as a prostate specimen weighing 500 g and above. This pathology is not common, and only a few have been reported in the medical literature to date. It is a disease of the aging men and occurs less commonly before the age of 50 years. Our aim is to report the management of a 46-year-old African man with benign prostatic hyperplasia that weighed 610 g after enucleation. This is the largest benign prostatic hyperplasia ever reported in Nigerian literature. The patient presented with voiding and storage lower urinary tract symptoms and had open transvesical prostatectomy on account of refractory acute urinary retention and failed medical therapy. The outcome established that open simple prostatectomy remains an effective intervention for symptomatic giant benign prostatic hyperplasia in our immediate community.



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