Intractable haematuria secondary to pedunculated median lobe of the prostate-a diagnostic dilemma. pdf

EA Obiesie, AME Nwofor, SO Obiesie, C Odo, AO Odili… - Afrimedic Journal, 2021 - ajol.info
Afrimedic Journal, 2021ajol.info
… We report a 54 year old man, who presented with a 3 year history of worsening severe
lower urinary tract symptoms (LUTS) that culminated in intractable haematuria of 7 days
duration and acute urinary retention. Digital rectal examination revealed a flat prostatic
fossa with no nodules. PSA was 11.7ng/ml. … Conclusion: Huge Isolated and pedunculated
median lobe can present with intractable haematuria and clot retention. Huge median lobes
can mimic bladder wall tumor. Severe IPP predicts failure to trial void despite medical …
Abstract
Benign prostatic hyperplasia is a common disease in the ageing male. Obstructive solitary and pedunculated
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