Giant prostatic hyperplasia: case presentation of the second largest prostate adenoma

Abstract Background Benign prostate hyperplasia is one of the most common diseases in middle-aged or older men. Approximately 50% men over 60 years old suffer from benign prostatic hyperplasia. Giant defined as a exceeding 500 g. In all literature, ten case reports were published with giant Case presentation this report, we present 72-year-old man edema lower extremities. physical examination, bilateral pitting extremities was detected. Serum prostate-specific antigen level > 100.00 ng/ml. He did not have urinary tract symptoms. International Prostate Symptom Score (IPSS) and uroflowmetry results proved that patient Radiologic imaging revealed huge pelvic mass behind bladder. Grade 1 hydronephrosis right kidney detected, but serum creatinine value normal. This excised open surgery. measured 1090 g, histopathologic examination showed The had no complication at 12-month follow-up. After 5 years, volume calculated approximately 108 cc by computer tomography still any Conclusion It important to approach retroperitoneal mass. Clinicians usually think about malignity, sometimes can be relevant process. Intra-operative biopsy help clinicians for both diagnosis surgical approach. presentation, report largest sizes gland