Prostate Cancer in a Patient with Giant Prostatic Hyperplasia: The Robotic Approach to a Difficult Problem

The robotic approach toward radical prostatectomy for prostate cancer has only recently become widespread. Two of the advantages of the robotic approach have been described to be the optical magnification afforded by camera and the ability to reach deep into the pelvis. These advantages are particularly salient in cases where the pelvis is particularly narrow or the prostate is particularly large. In this report, we describe the management of a patient with two simultaneous prostatic diseases: prostate cancer and a massive prostate weighing 560 g causing urinary retention and hematuria, who underwent robot-assisted radical prostatectomy for prostate removal. To the best of our knowledge, this is the largest prostate to be removed through the means of robot-assisted surgery.