Daha Önce Holmiyum Lazer Prostat Enükleasyonu Ameliyatı Olan Bir Hastada Mesane Tümörünü Taklit Eden Rastlantısal Prostat Adenomu

Abstract

Holmium laser enucleation of the prostate (HoLEP) surgery has been increasingly used in urology because of its advantages for benign prostatic hyperplasia (BPH) surgical treatment in recent years. But, there are insufficient data in literature about the true frequency of the incidental presence of prostatic adenoma within the bladder following HoLEP surgery. The case is here presented of a patient who underwent HoLEP surgery 5 years previously, then presented at our clinic with lower urinary tract symptoms. On ultrasonography, a suspicious 3×3 cm tumoral formation was determined within the bladder trigone. Cystoscopy was performed, and the freeform mass floating in the bladder was seen. The mass was excised with bipolar transurethral resection of the prostate. The pathology examination was reported as BPH. The current case demonstrates the need for surgeons to bear in mind that there could be incidental adenoma in patients with BPH who have not fully healed following HoLEP surgery.