Spontaneous Rupture of the Bladder Complicating a Massive Benign Prostatic Hyperplasia

Abstract

A 76-year-old man presented with acute urinary retention due to a huge benign prostatic hyperplasia. Although 1.5 litres of turbid urine was initially drained through a urethral catheter, the suprapubic mass persisted and subsequently increased in size. He developed acute retention due to blood clot. Even after the catheter was changed, he remained in retention necessitating emergency prostatectomy. Rupture of the bladder with extravasation of urine and necrotising fasciitis was found at surgery. The prostate gland was very large. It was also located so low and posteriorly that the index finger was unable to enucleate the adenoma. The recti had to be divided transversely to improve access. A metal urethral dilator was used to complete the enucleation. The specimen weighed 246 gm and on histology showed BPH. He recovered to void urine satisfactorily

(Nig J Surg Res 2000; 2:152-154)



KEY WORDS:

Spontaneous bladder rupture, massive benign prostatic hyperplasia