A Case of Xanthogranulomatous Prostatitis Concurrent with a Prostatic Abscess.
10.5534/kja.2011.29.2.174
- Author:
Kweon Sik MIN
1
;
Seung Yeob OH
;
Ji Youn CHUN
;
Jea Doo UM
;
Sung Hyup CHOI
;
Soo Jin JUNG
Author Information
1. Department of Urology, Paik Institute, Inje University College of Medicine, Busan, Korea. kweonsikmin@yahoo.com
- Publication Type:Case Report
- Keywords:
Prostatitis;
Granuloma;
Urinary tract infections;
Hematuria
- MeSH:
Abscess;
Aged, 80 and over;
Blood Cell Count;
Digital Rectal Examination;
Emergencies;
Granuloma;
Hematuria;
Humans;
Leukocytosis;
Prostate;
Prostate-Specific Antigen;
Prostatitis;
Pyuria;
Urinalysis;
Urinary Bladder;
Urinary Tract Infections
- From:Korean Journal of Andrology
2011;29(2):174-176
- CountryRepublic of Korea
- Language:English
-
Abstract:
Xanthogranulomatous prostatitis is a rare inflammatory condition of the prostate. We report a case of xanthogranulomatous prostatitis. An 82-year-old man presented to our emergency department complaining of gross hematuria. A hard, enlarged, non-tender prostate was palpated on digital rectal examination. Urinalysis showed hematuria and pyuria, and the complete blood count (CBC) revealed leukocytosis. The prostate-specific antigen (PSA) level was elevated at 86.8 ng/ml. Computed tomography (CT) showed an enlarged prostate (volume 100 ml) that protruded into the bladder base. In the left lobe of the prostate, a 1.2x1.1-cm abscess was seen. Transurethral resection of the prostate was done. The pathological diagnosis was xanthogranulomatous prostatitis. The natural progression of the disease is unknown because of the paucity of cases and long-term follow-up reports. To evaluate the pathogenesis and long-term features of progression of this disease, more clinical cases should be collected.
