Laser enucleation of the prostate represents the endoscopic response to open simple prostatectomy for the treatment of large benign prostatic hyperplasia (BPH) and an advanced technique for prostate surgery. To date, no more than 20 cases of giant prostatic hyperplasia (GPH) have been reported in the literature. We report a successful holmium laser enucleation of a 696 cc prostate in a 78 year-old patient on anticoagulation that was embolized prior to the intervention, urinary catheter was removed on the first day post-operatively and the patient was discharged home on the second day. This is considered the largest prostate treated endoscopically.
Urology case reports. 2022 Aug 24*** epublish ***
Shahed Borojeni, Fares Kosseifi, Axel Dallongeville, Xavier Durand
Department of Urology, Groupe Hospitalier Paris Saint-Joseph, Paris, France., Department of Radiology, Groupe Hospitalier Paris Saint-Joseph, Paris, France.