Prostate
Prostatitis
Abscess


Topic Completed: 1 July 2016

Revised: 25 February 2019

Copyright: 2003-2019, PathologyOutlines.com, Inc.

PubMed search: prostatitis abscess
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Cite this page: Iczkowski KA. Abscess. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/prostateabscess.html. Accessed March 21st, 2019.
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
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