Giant Benign Prostatic Hyperplasia in a 46‑Year‑Old Man

Abstract

Giant benign prostatic hyperplasia has been defined as a prostate specimen weighing 500 g and above . This pathology is not common, and only a
few have been reported in the medical literature to date. It is a disease of the aging men and occurs less commonly before the age of 50 years. Our
aim is to report the management of a 46-year-old African man with benign prostatic hyperplasia that weighed 610 g after enucleation. This is the
largest benign prostatic hyperplasia ever reported in Nigerian literature. The patient presented with voiding and storage lower urinary tract symptoms
and had open transvesical prostatectomy on account of refractory acute urinary retention and failed medical therapy. The outcome established that
open simple prostatectomy remains an effective intervention for symptomatic giant benign prostatic hyperplasia in our immediate community