# Management of complicated giant prostate hyperplasia

## TL;DR

This paper discusses the successful surgical management of a rare case of giant prostate hyperplasia weighing over 500 grams.

## Contribution

The paper presents a rare case and emphasizes strategies for managing haemorrhage during surgery.

## Key findings

- A 541-gram prostate was successfully treated with open transvesical prostatectomy.
- CT scans were crucial for differentiating the condition from a bladder tumor.
- The surgery resulted in minimal blood loss and a favorable outcome.

## Abstract

Giant prostate hyperplasia is defined as prostate hyperplasia with a weight greater than 500 grams. This condition is rare. We present the management of a case of giant prostate hyperplasia (541 grams on CT scan) with a surgical enucleated volume of 800 grams in a patient who presented with haematuria. An abdominal-pelvic CT scan was required to differentiate it from a suspected bladder tumour. This case was successfully managed with a favourable outcome following open transvesical prostatectomy, ensuring minimal blood loss. This case report and review provide an update on the management of giant prostate hyperplasia, with emphasis on the prevention and management of haemorrhage.

None declared