Giant intravesical prostatic protrusion mimicking bladder carcinoma: Navigating diagnostic and management challenges

Abstract

Introduction and importance

Benign prostate hyperplasia is common condition among elderly men, but giant intravesical prostatic protrusion is rare and may be confused with bladder carcinoma.

Case presentation

We report an unusual case of giant intravesical prostatic protrusion mimicking bladder carcinoma. A diagnosis of giant intravesical prostatic protrusion was confirmed with the assistance of cystoscopy and patient was managed by transvesical simple open prostatectomy where he had uneventfully recovery.

Clinical discussion

Both bladder carcinoma and benign prostate hyperplasia are more prevalent in elderly men and they all present with lower urinary tract symptoms. Ultrasound and computer tomography may all suggest bladder carcinoma. The two conditions are treated differently, and therefore having correct diagnosis is mandatory. Cystoscopy is an important investigation that can act as a tiebreaker in differentiating giant intravesical prostatic protrusion from bladder carcinoma. Transvesical simple open prostatectomy is the preferred surgical approach with good postoperative outcome.

Conclusion

This case report reminds urology surgeons on the possibility of having giant intravesical prostate mimicking bladder carcinoma and the importance of cystoscopy in differentiating the two. Transvesical simple open prostatectomy has promising result.

Highlights

• •

  Benign prostate enlargement is a common cause of lower urinary tract symptoms among elderly men.

• •

  Large intravesical prostatic protrusion is a rare condition, mimicking bladder tumour.

• •

  Cystoscopy plays an important role in differentiating IPP from bladder tumour.

• •

  Transvesical simple open prostatectomy for large intravesical prostatic protrusion and has good post operative results.