Prostate
Prostatitis
Abscess

Authors: Kenneth Iczkowski, M.D. (see Authors page)

Revised: 29 July 2016, last major update July 2016

Copyright: (c) 2003-2016, PathologyOutlines.com, Inc.

PubMed search: prostatitis abscess
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
Etiology
  • 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
Diagnosis
  • Transrectal ultrasound
Laboratory
  • Can raise the serum prostate specific antigen PSA above normal
Treatment
  • Incision, drainage and antibiotics