Un énorme adénome de la prostate

Abdelilah El Alaoui, Hicham El Boté

PAMJ. 2018; 30:256. Published 06 Aug 2018 | doi:10.11604/pamj.2018.30.256.12142

Il s'agit d'un patient âgé de 75 ans, qui présente un syndrome obstructif du bas appareil urinaire fait de dysurie, pollakiurie nocturne et miction goutte à goutte. L'examen clinique trouve un patient en bon état général; au toucher rectal, la prostate est souple, indolore et augmenté de volume avec effacement du sillon médian. Le PSA est à 2,1ng/ml, le poids de la prostate a l'échographie est estimé à 240g. Le patient est opéré: adénomectomie par taille vésicale avec extraction d'un énorme adénome qui pèse 246g. L'histologie est en faveur d'un adénomyofibrome.
Corresponding author
Abdelilah El Alaoui, Service dÂ’Urologie A, HĂ´pital Ibn Sina, CHU Rabat, Maroc (abdo_elalaoui@hotmail.com)
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