Prostate preserving resection of a rare giant peri-prostatic solitary fibrous tumor

Solitary fibrous tumors (SFTs) are rare mesenchymal neoplasms that have been infrequently documented in the prostate. In this case, a 78 year old man experiencing constipation and lower abdominal pain presented with a SFT arising from the prostatic fascia encompassing the dorsal vein complex and left neurovascular bundle. To our knowledge this is the first documented case of an SFT limited to the prostatic fascia and neurovascular tissues of the prostate. Using a prostate sparring approach we have been able to achieve favourable oncological and functional outcome.