Title |
A giant prostatic hyperplasia treated by open surgery
|
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Published in |
International Journal of General Medicine, December 2012
|
DOI | 10.2147/ijgm.s38238 |
Pubmed ID | |
Authors |
Soichiro Ogawa, Masahiko Manome, Michihiro Yabe, Yoshinobu Kuma, Masaaki Yamaoka, Yuichi Sato, Hidenori Akaihata, Toshiki Oguro, Masao Kataoka, Shin Kumagai, Yoshiyuki Kojima |
Abstract |
We report a rare case of giant prostatic hyperplasia treated by open surgery. A 70-year-old man was suffering from macrohematuria. Computed tomography revealed a markedly enlarged prostate measuring 580 mL. The serum prostate-specific antigen level was 9.430 ng/mL. Prostatic biopsy showed benign prostatic hyperplasia. We perfomed retropubic open prostatectomy, since macrohematuria continued and he was also suffering from lower urinary tract symptoms. The adenoma was completely enucleated in one piece. The removed specimen was 13 × 11 × 6 cm in size and weighed 475 g. Histological examination also demonstrated prostatic fibromuscular hyperplasia. This is the 15th-heaviest adenoma ever reported in English-language journals. Transurethral surgical techniques or other minimally invasive approaches are performed for patients with small to medium-sized prostates. However, open surgery is recommended for markedly enlarged prostatic hyperplasia. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Japan | 12 | 41% |
Dominican Republic | 1 | 3% |
United States | 1 | 3% |
Unknown | 15 | 52% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 29 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 14 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 3 | 21% |
Researcher | 3 | 21% |
Librarian | 1 | 7% |
Student > Doctoral Student | 1 | 7% |
Student > Ph. D. Student | 1 | 7% |
Other | 3 | 21% |
Unknown | 2 | 14% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 7 | 50% |
Agricultural and Biological Sciences | 1 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 7% |
Psychology | 1 | 7% |
Computer Science | 1 | 7% |
Other | 0 | 0% |
Unknown | 3 | 21% |