Giant Prostate

The patient presented in emergency with urinary retention and mental confusion state. It was impossible to differentiate the anechoic cystic masses and the prostate using abdominal so the head and abdominal computed tomography were performed. Contrast media was not administered cause of high level of serum creatinine (9 mg / dl) The surprising computed tomography (CT) finding in abdomen was the prostate size. It resulted with 106.8 x 101.9 x 120.1 cm in its three dimensions with a total volume of 684 cc or an equivalent weight of 718.2 grams. In the meantime the residual urine volume resulted in nearly 1.71 liters. Unfortunately the patient died four days after cause of cerebral coma. The dimensions often increase with age, mainly after the fourties and the normal weight of 2025 g may be surpassed several times. Benign prostatic hypertrophy (BPH) is a benign nodular enlargement of the prostate gland. On CT, as a general rule, the prostate is not considered to be enlarged if a section obtained 1 cm above the symphysis does not include the prostate. Unequivocal enlargement of the prostate is diagnosed if the prostate is seen on sections 23 cm or more above the symphysis. On these sections, the prostate, if enlarged, is usually surrounded by the bladder. As in ultrasound the prostate volume is measured with this formula /6 x high x width x length and to calculate the weight this must be multiple by 1.05 Prostate more than 500 grams was found in very few cases all around the world and this is a very rare new one.