Abstract

We admitted an 89-year-old male patient diagnosed with benign prostatic hyperplasia and a prostate volume of approximately 522 ml measured by magnetic resonance imaging. He had previous hypertension, diabetes, and coronary artery disease. Giant prostatic hyperplasia. We opted for bipolar transurethral resection of the prostate (BTURP). The urinary flow rate was detected 1 week after surgery, with a peak flow rate of 17 mL/s and a voided volume of 156 mL. The follow-up was 11 months, with an international prostate symptom score of 7 and a quality of life (QOL) of 1. Complete removal of the prostate is not our goal; reducing the risk of surgery and improving the quality of life of the patient is the theme.

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