Giant Benign Prostate Hyperplasia: A Case Report from Northern Nigeria

Abstract

Benign Prostatic Hyperplasia (BPH) is a common problem that affects the quality of life in approximately one third of men older than 50 years. BPH is histologically evident in up to 90% of men by age 85 years. Giant BPH is a very rare entity, which is defined as a prostate gland weight of over 500g. To the best of our knowledge, only three cases of a giant prostate has been reported in Nigeria.

We report a case of a giant benign prostatic enlargement from an open simple transvesical prostatectomy in a 70-year-old man. He presented with a history of lower urinary tract symptoms, intractable haematuria and generalized body swelling. Transabdominal ultrasound scan revealed a markedly enlarged prostate measuring 540 ml. Prostate-specific antigen level was 147ng/ml. Had a successful transvesical simple prostatectomy for complete enucleation of the adenoma. Haematuria resolved post-operatively. Specimen weighed 527.8g. Histological examination showed prostatic fibromuscular hyperplasia.