title: Giant prostatic hyperplasia: report of a previously asymptomatic man presenting with gross hematuria and hypovolemic shock.
abstract: Giant prostatic hyperplasia is a rare condition characterized by very high volume benign prostatic enlargement (>500g). Few cases have been reported so far and most of them are associated with severe lower urinary symptoms. We report the first case of asymptomatic giant prostatic hyperplasia in an elderly man who had a 720g prostate adenoma, sudden gross hematuria and hypovolemic shock. The patient was successfully treated with open transvesical prostatectomy and had an uneventful postoperative recovery.
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Marcelo Langer
authors.initials: ML
authors.lastname: Wroclawski
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
authors.forename: Ariê
authors.initials: A
authors.lastname: Carneiro
authors.affiliation: Faculdade de Medicina do ABC, Santo André, SP, Brazil.
authors.forename: Rodrigo Alves
authors.initials: RA
authors.lastname: Tristão
authors.affiliation: Faculdade de Medicina do ABC, Santo André, SP, Brazil.
authors.forename: Paulo Kouiti
authors.initials: PK
authors.lastname: Sakuramoto
authors.affiliation: Faculdade de Medicina do ABC, Santo André, SP, Brazil.
authors.forename: Jorg Daoud Merched
authors.initials: JD
authors.lastname: Youssef
authors.affiliation: Faculdade de Medicina do ABC, Santo André, SP, Brazil.
authors.forename: Antonio Correa
authors.initials: AC
authors.lastname: Lopes Neto
authors.affiliation: Faculdade de Medicina do ABC, Santo André, SP, Brazil.
authors.forename: Lucila Heloísa Simardi
authors.initials: LH
authors.lastname: Santiago
authors.affiliation: Faculdade de Medicina do ABC, Santo André, SP, Brazil.
authors.forename: Antonio Carlos Lima
authors.initials: AC
authors.lastname: Pompeo
mesh_terms: D000369:Aged, 80 and over; D006417:Hematuria / Q000201:enzymology / Q000209:etiology*; D006801:Humans; D008297:Male; D011468:Prostatectomy; D011470:Prostatic Hyperplasia / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D012769:Shock / Q000209:etiology*