Giant Prostatic Hypertrophy

Abstract

A 79-year-old man underwent prostatectomy by the suprapubic route for a benign prostatic gland that weighed 695 gm (1 lb 8 oz). At operation it was at first difficult to identify the bladder and then to control the bleeding from the prostatic bed. Reoperation for bleeding was necessary, and the bleeding in the prostatic bed was controlled with a pack devised from an overdistended Foley bag, shredded oxidized cellulose, and three vaginal radium packs. A total of 5,000 ml of blood was transfused over a ten-day period. By 16 weeks after operation, the patient was continent and well. To our knowledge, only three larger prostates have been removed, the largest reported being 820 gm (1 lb 13 oz).