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BENIGN PROSTATIC HYPERPLASIA: A 17-YEAR-OLD CASE REPORT
Ismail YAGMUR
1
, Burak TURNA
2
, Ali TEKIN
1
, Emir AKINCIOGLU
2
, Banu SARSIK KUMBARACI
3
and Ibrahim ULMAN
1
1) Ege University Faculty of Medicine, Division of Pediatric Urology, Department of Pediatric Surgery, Izmir, TURKEY - 2)
Ege University Faculty of Medicine, Urology, Izmir, TURKEY - 3) Ege University Faculty of Medicine, Medical Pathology,
Izmir, TURKEY
INRODUCTION
Benign prostatic hyperplasia (BPH) is very rare in childhood. Only three cases younger than 18-year-old have been
reported. We present an adolescent who had undergone endoscopic treatment with transurethral resection of the
prostate (TUR-P).
CASE
17-year-old male patient with a history of intermittent hematuria was first admitted to another hospital after acute
urinary retention. As increase in prostate size was detected, prostate biopsy was performed with a suspicion of
malignancy. Histopathological analysis revealed benign prostate tissue and the patient was referred to our after three
months with a suprapubic catheter. He didn’t have any history of hormonal therapy. Rectal examination revealed a
grossly enlarged prostatic mass. Prostate–specific antigen (PSA) level was 3.38 ng/mL, free PSA (fPSA) level was 0.761
ng/mL, and fPSA/tPSA ratio was 0.23. Imaging studies revealed a mass arising from the median lobe of prostate and
filling the bladder lumen. Prostate volume was approximately 111 ml. Due to the young age of the patient preliminary
diagnosis was a non-ductal tumor; however, no enlarged lymph node or metastasis was detected. In endoscopy; the
mass was observed to originate from the median prostate lobe and TUR-P was performed. Histopathology confirmed
BPH. The patient was symptom free at 10 months’ follow-up.
CONCLUSIONS
BPH should be considered in the differential diagnosis of malignant prostate disease in childhood. As endoscopic method
is the treatment of choice in BPH, preoperative histological evaluation should be considered.