Prostate gland & seminal vesicles

Topic Completed: 1 July 2016

Minor changes: 25 February 2019

Copyright: 2003-2019,, Inc.

PubMed search: prostatitis abscess

Kenneth A. Iczkowski, M.D.
Page views in 2019: 405
Page views in 2020 to date: 232
Cite this page: Iczkowski KA. Abscess. website. Accessed August 15th, 2020.
Definition / general
  • Usually due to obstruction and E. coli
Essential features
  • Prostate is swollen, warm and fluctuant on rectal exam
  • Due to intraprostate reflux of urine from the posterior urethra or urinary bladder
  • Bacterial rods: E. coli (80%), P. aeruginosa, K. pneumoniae
  • Historically was often due to gonorrhea
Clinical features
  • Sudden onset of fever, chills, irritative voiding (dysuria, hematuria), myalgia, and back and perineal pain
  • Acute urinary retention, perineal pain
  • Transrectal ultrasound
  • Can raise the serum prostate specific antigen PSA above normal
  • Incision, drainage and antibiotics
Back to top