Nodular Hyperplasia of Prostate

Clinical History

A 69 year old man died several days after admission for a cerebrovascular accident. A distended bladder had been noted on initial examination and there was difficulty in passing a urinary catheter.


The specimen includes part of the bladder including the trigone, the prostate and prostatic urethra. The bladder has been opened and part of the fundus has been excised. The prostate has been sliced horizontally and the halves have been sutured together. The prostatic urethra has been opened to display the cut surface of the prostate, which has a nodular appearance. A markedly enlarged median lobe projects into the base of the bladder below the trigone, partly occluding the internal urethral orifice. This is an example of benign nodular hyperplasia of the prostate.