Abstract
Clinical History:
A 62-year-old man presented with history of lower urinary tract symptoms of 2 years duration. His international prostate symptom score (IPSS) was 21/35, 4/6 (both irritative and obstructive). He had failed to respond to medical management.
Physical Examination:
His serum prostate specific antigen levels were 12 ng/mL and digital rectal examination was not suspicious of malignancy. The uroflowmetry suggested flow rate of 8 mL/min and total voided volume of 340 mL. There was significant postvoid residual urine of 120 mL. Ultrasonography suggested 170 g prostate with thickened bladder wall and normal upper tracts.
Diagnosis:
With the diagnosis of benign prostatic hyperplasia, the patient underwent laparoscopic simple prostatectomy (LSP).
Intervention:
The patient underwent LSP. The operative time was 90 minutes. There was no significant bleeding intraoperatively. The postoperative course was uneventful. On the second postoperative day, bladder irrigation was stopped and drain was removed. He was discharged on the third postoperative day. Histopathology analysis suggested benign glandular stromal hyperplasia.
Follow-Up:
At follow-up, his uroflowmetry parameters were Qmax 22 mL/sec, total voided volume 400 mL, and postvoid residual urine 30 mL. IPSS also had decreased to 9.
Runtime of video: 7 mins 28 secs
Get full access to this article
View all access options for this article.