title: Retropubic prostatectomy for giant benign prostatic hyperplasia.
abstract: Giant benign prostatic hyperplasia is a rare pathology of the prostate gland. Here we report the successful removal of the ninth largest prostate ever reported. This 65-year-old patient presented with acute urinary retention secondary to a bulky left prostatic mass identified on pelvic magnetic resonance imaging (MRI). His preoperative prostate-specific antigen (PSA) value was 44 ng/mL; preoperative biopsies were negative for malignancy. Open radical retropubic prostatectomy was performed and the resulting prostatic mass was measured at 13.5 cm x 11.5 cm x 5.2 cm, weighing 708 g including the prostate. The patient tolerated the procedure well. Surgical pathology showed no evidence of malignancy.
authors.affiliation: Urology Residency Program, University of Kentucky, Lexington, Kentucky, USA.
authors.forename: John M
authors.initials: JM
authors.lastname: Lacy
authors.forename: Raevti
authors.initials: R
authors.lastname: Bole
authors.forename: Lauren
authors.initials: L
authors.lastname: Hendrix
authors.forename: Stephen
authors.initials: S
authors.lastname: Strup
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D009929:Organ Size; D011467:Prostate / Q000473:pathology*; D011468:Prostatectomy / Q000379:methods*; D011470:Prostatic Hyperplasia / Q000473:pathology* / Q000601:surgery*