The journal einstein (São Paulo) – e-ISSN 2317-6385 is dedicated to dissemination of high-quality scientific content that advances our understanding of human disease with the goal of improving prevention, care, diagnostics and treatment of patients globally.
Giant prostatic hyperplasia is a rare condition characterized by very high volume benign prostatic enlargement (>500g). Few cases have been reported so far and most of them are associated with severe lower urinary symptoms. We report the first case of asymptomatic giant prostatic hyperplasia in an elderly man who had a 720g prostate adenoma, sudden gross hematuria and hypovolemic shock. The patient was successfully treated with open transvesical prostatectomy and had an uneventful postoperative recovery.
Giant prostatic hyperplasia: report of a previously asymptomatic man presenting with gross hematuria and hypovolemic shock
WroclawskiML, CarneiroA, TristãoRA, SakuramotoPK, YoussefJDM, Lopes NetoAC, SantiagoLHS, et al. Giant prostatic hyperplasia: report of a previously asymptomatic man presenting with gross hematuria and hypovolemic shock. Einstein (Sao Paulo). 2015;13(3):420-2. https://doi.org/10.1590/S1679-45082015RC2905
Wroclawski,Marcelo Langer; Carneiro,Ariê; Tristão,Rodrigo Alves; Sakuramoto,Paulo Kouiti; Youssef,Jorg Daoud Merched; Lopes Neto,Antonio Correa; Santiago,Lucila Heloísa Simardi; Pompeo,Antonio Carlos Lima. Giant prostatic hyperplasia: report of a previously asymptomatic man presenting with gross hematuria and hypovolemic shock. Einstein (Sao Paulo)., v. 13, n. 3, p. 420-422, Jun. 2015. https://doi.org/10.1590/S1679-45082015RC2905
Wroclawski,M.L., Carneiro,A., Tristão,R.A., Sakuramoto,P.K., Youssef,J.D.M., Lopes Neto,A.C., Santiago,L.H.S., & Pompeo,A.C.L. (2015). Giant prostatic hyperplasia: report of a previously asymptomatic man presenting with gross hematuria and hypovolemic shock. Einstein (Sao Paulo).,13(3), 420-422. https://doi.org/10.1590/S1679-45082015RC2905
Wroclawski,Marcelo Langer and Carneiro,Ariê and Tristão,Rodrigo Alves and Sakuramoto,Paulo Kouiti and Youssef,Jorg Daoud Merched and Lopes Neto,Antonio Correa and Santiago,Lucila Heloísa Simardi and Pompeo,Antonio Carlos Lima. Giant prostatic hyperplasia: report of a previously asymptomatic man presenting with gross hematuria and hypovolemic shock. Einstein (Sao Paulo). [online]. 2015, vol. 13, n. 3, [cited 2025-09-27], pp.420-422. Available from: <https://journal.einstein.br/article/giant-prostatic-hyperplasia-report-of-a-previously-asymptomatic-man-presenting-with-gross-hematuria-and-hypovolemic-shock/>. ISSN 1679-4508. https://doi.org/10.1590/S1679-45082015RC2905
Figure 2
The prostatic adenoma, extirpated as a single piece, measuring 17.0x16.0x13.5cm and weighing 720g
