Prostatic schwannoma discovered after laparoscopic radical prostatectomy: A case report with literature review

Abstract

Background Schwannomas originating in the prostate are extremely rare. We present a case of prostatic schwannoma in a 66‐year‐old male with lower urinary tract symptoms. Preoperative evaluation revealed a prostatic mass, and the definitive diagnosis was made through laparoscopic radical prostatectomy. Case presentation A 66‐year‐old male presented with persistent lower urinary tract symptoms for 5 years and a prostate‐specific antigen level of 0.63 ng/mL. MRI showed a well‐defined solid cystic mass in the posterolateral basal right peripheral zone, causing superior displacement of the right seminal vesicle. Laparoscopic radical prostatectomy was performed, confirming a periprostatic schwannoma. Conclusion This case highlights the rarity of prostatic schwannomas and their association with lower urinary tract symptoms. MRI plays a crucial role in identifying prostatic masses, while laparoscopic radical prostatectomy can serve as a diagnostic and therapeutic approach for prostatic schwannomas. Increased awareness of this rare entity is essential for accurate diagnosis and optimal management.

Keywords

• case report
• laparoscopic radical prostatectomy
• prostate
• schwannoma