Giant intravesical prostatic protrusion mimicking bladder carcinoma: Navigating diagnostic and management challenges.

Int J Surg Case Rep

Faculty of medicine, Kilimanjaro Christian medical university college, P. O. Box 2240, Moshi, Tanzania; Department of urology, Kilimanjaro Christian Medical Centre, P. O. Box 3010, Moshi, Tanzania.

Published: May 2024

Introduction And Importance: Benign prostate hyperplasia is common condition among elderly men, but giant intravesical prostatic protrusion is rare and may be confused with bladder carcinoma.

Case Presentation: We report an unusual case of giant intravesical prostatic protrusion mimicking bladder carcinoma. A diagnosis of giant intravesical prostatic protrusion was confirmed with the assistance of cystoscopy and patient was managed by transvesical simple open prostatectomy where he had uneventfully recovery.

Clinical Discussion: Both bladder carcinoma and benign prostate hyperplasia are more prevalent in elderly men and they all present with lower urinary tract symptoms. Ultrasound and computer tomography may all suggest bladder carcinoma. The two conditions are treated differently, and therefore having correct diagnosis is mandatory. Cystoscopy is an important investigation that can act as a tiebreaker in differentiating giant intravesical prostatic protrusion from bladder carcinoma. Transvesical simple open prostatectomy is the preferred surgical approach with good postoperative outcome.

Conclusion: This case report reminds urology surgeons on the possibility of having giant intravesical prostate mimicking bladder carcinoma and the importance of cystoscopy in differentiating the two. Transvesical simple open prostatectomy has promising result.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11004631PMC
http://dx.doi.org/10.1016/j.ijscr.2024.109590DOI Listing

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