The first case of bipolar transurethral resection of the prostate for giant prostatic hyperplasia: A case report

Abstract

Rationale: 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. Patient concerns: He had previous hypertension, diabetes, and coronary artery disease. Diagnoses: Giant prostatic hyperplasia. Interventions: We opted for bipolar transurethral resection of the prostate (BTURP). Outcomes: 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. Conclusion: 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.