[Excision of large masses in urologic surgery].
OBJECTIVE
To analyze a series of big masses excised in urologic surgery detailing the reasons after which the indications for surgery were set up, evaluating technical difficulties appeared during the procedures and balancing them with the aimed benefits.


RESULTS
10.581 Operative reports from 1980 were retrospectively reviewed and 8 cases were selected as fit with the concept of giant mass, being of more or less weight depending on the organ they arose from. They vary in weight from a 350 gr. prostate with benign prostatic hyperplasia to a 5.150 gr. renal carcinoma. All masses diagnosed but not excised are excluded from the analysis.


CONCLUSIONS
Various difficulties appearing during excision were recorded depending on size, location, and etiology of each mass which resulted in operative time, transfusions, complications and outcomes. Only specific clinical cases seem to justify an, almost always, very aggressive approach.
Ballesteros Sampol
Juan José
JJ
Servicio de Urología, Hospital Ntra. Sra. de la Esperanza, Barcelona, España. 18190@imas.imim.es
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014570:Urologic Diseases / Q000473:pathology / Q000601:surgery*; D014571:Urologic Neoplasms / Q000473:pathology / Q000601:surgery*