ABSTRACT
Inverted papilloma of the prostatic urethra is an especially rare finding. A 75-year-old man with urinary retention wished to proceed with a holmium laser enucleation of the prostate (HoLEP) and was found to have a mass arising from his prostate vs bladder on preoperative imaging. Cystourethroscopy revealed the mass arising from the median lobe of the prostate. After transurethral resection and frozen analysis confirmed the benign pathology of an inverted papilloma, the patient subsequently underwent a successful HoLEP during the same surgical setting. Images of this rare prostatic mass are presented to increase urologist recognition and to assist management during HoLEP.
Subject(s)
Laser Therapy , Papilloma, Inverted/diagnosis , Prostatic Hyperplasia/surgery , Transurethral Resection of Prostate , Urethral Neoplasms/diagnosis , Aged , Cystoscopy , Humans , Incidental Findings , Lasers, Solid-State , Male , Papilloma, Inverted/complications , Papilloma, Inverted/pathology , Preoperative Care , Prostatic Hyperplasia/complications , Transurethral Resection of Prostate/methods , Urethral Neoplasms/complications , Urethral Neoplasms/pathologySubject(s)
Prostheses and Implants , Urethra/surgery , Urinary Bladder/surgery , Aged , Biopsy , Carcinoma/complications , Carcinoma/surgery , Cystectomy , Humans , Laparoscopy , Male , Tomography, X-Ray Computed , Transurethral Resection of Prostate , Urethra/injuries , Urethra/pathology , Urethral Neoplasms/complications , Urethral Neoplasms/surgery , Urinary Bladder/injuries , Urinary Bladder/pathologyABSTRACT
A 65-year old male presented with obstructive voiding symptoms and recurrent hematuria following transurethral resection of malignant prostates. Following an unsuccessful attempt at catheterization, urethroscopy revealed narrowing of anterior urethra secondary to multiple nodular lesions. Biopsy of lesion showed adenocarcinoma positive for prostate specific antigen. This rare presentation has been reported only twice in past. Clinical presentation, pathophysiology and brief review of literature are discussed.