巨大攝護腺(大於250克)病例報告及文獻回顧：經尿道攝護腺剜除並保留前側纖維肌肉實質部之經驗
鍾卓興、高偉棠、陳冠州
行政院衛生福利部雙和醫院泌尿科
Huge benign prostate (>250gm) a rare case and literature review: experience of Transurethral resection of the prostate enucleatioin with anterior fibromuscular stroma preservation
Chung Cho-Hsing, Kao Wei-Tang, Kuan-Chou Chen
Departmentof Urology, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan
Purpose:
To report a rare case of Huge benign prostate (>250gm) in a 64-year-old male and received transurethral resection of the prostate enucleation with anterior fibromuscular stroma preservation.
Case presentation:
This is a 64-year-old man with the history of benign prostatic hyperplasia. He complained of urinary frequency and voiding difficulty since 8 year ago. Transabdominal ultrasound showed prostate volume was 150gm and Post-void residual volume was 138ml. Then alpha blocker was given for months but he was lost follow up for years. For the symptoms was gradually worsen, he went to our clinic and transrectal ultrasound showed 261gm. Then CT was done for confirmation and showed huge prostate 8x7.8x8.4cm in size. Transurethral resection of the prostate enucleatioin with anterior fibromuscular stroma preservation was then performed. During the surgery, the estimate blood loss was 400ml and operation time was 220mins. After the surgery, we tapered down irrigation and remove the Foley step by step smoothly. There was mild urgency incontienence but was then improved after two weeks.
Conclusion:
Transurethral resection of the prostate enucleatioin with anterior fibromuscular stroma preservation is a feasible method for huge benign prostate hyperplasia.