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Pelvis » Prostate and Seminal Vesicles

Benign prostatic hyperplasia

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Author(s) :

Paulo Pires, MD

Presentation An 80 year-old-man presented with urinary retention and hematuria. The PSA blood level was 8 ng/ml.

Caption: Suprapubic ultrasound

Description: Suprapubic ultrasound demonstrates an enlarged prostate. The hypertrophied median lobe of the prostate projects into the bladder lumen.

Caption: Suprapubic ultrasound

Description: The bladder wall is thick-walled and shows trabeculations [as marked by arrowheads]. The median lobe of the prostate is enlarged and presents as a solid echogenic mass protruding into the urinary bladder lumen.

Differential Diagnosis Benign prostatic hyperplasia, prostatic carcinoma, urinary bladder carcinoma

Final Diagnosis Benign prostatic hyperplasia

Follow Up A biopsy confirmed the diagnosis of benign prostatic hyperplasia.