PMC6706608_01
T2-weighted MRI scan (axial view) shows enlarged prostate growing into the bladder base pre-TURP.
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A trans-abdominal ultrasound scan of the urinary tract showed a large prostate gland of size 41 ml, with indentation in the bladder base. A multiparametric MRI scan displayed an enlarged prostate (41 ml) with central gland hypertrophy protruding into the bladder base, the capsule was intact, with normal seminal vesicles, PIRADs 2 score {Fig. 1, Fig. 2}.
T2-weighted MRI scan (axial view) shows the regrowth of the prostate gland into 131 ml protruding to the bladder base after only one year of TURP.
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An MP-MRI scan was repeated which demonstrated a huge prostate (>100 ml) bulging into the bladder base, extending from the central gland, with a papillary middle lobe area measuring up to 6 x 5.4 x 3.9 cm intravesically, the capsule was intact, the seminal vesicles were atrophic with the same PIRAD score of 2 {Fig. 3, Fig. 4}.
T2-weighted MRI scan (coronal view) shows no recurrence of the prostate after 1 year of the HoLEP.
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