Minimally invasive simple prostatectomy for a case of giant benign prostatic hyperplasia

{Figure 1} The "gold standard" for surgical treatment of BPH is transurethral resection of the prostate. The main complaint of the patient was difficult bowel evacuation, which is different from most reported studies saying that LUTS (dysuria, straining, nocturia, hesitancy, and macrohematuria) were the main symptoms in such patients. [...]only in this rare anatomically lucky accident where the large adenoma did not tightly wrap the posterior urethra could we remove the mass through the natural interval of the two in one piece with the urethral continuity well preserved. [...]AR protein was positively expressed in the glandular epithelium and almost negatively expressed in stromal cells. EAU guidelines on the treatment and follow-up of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction.