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Prostatic Abscess

Diagnosis and drainage treatment of a serious complication forming a pus collection within the prostate.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Prostatic Abscess?

Prostatic abscess is a localized pus collection within the prostate, developing as a complication of acute bacterial prostatitis or via hematogenous spread due to bacteremia. E. coli, Klebsiella, and Pseudomonas are the main causative agents; Staphylococcus and fungal pathogens are more common in diabetic patients.

If antibiotic treatment fails to provide a response within 48-72 hours in the setting of acute prostatitis, prostatic abscess must be ruled out. Transrectal ultrasonography or contrast-enhanced CT are reliable diagnostic methods.

Untreated prostatic abscess may spontaneously drain into the rectum, perineum, scrotum, or bladder.

Symptoms

Persistent high fever unresponsive to antibiotics
Severe perineal pain and difficulty walking
Urinary retention
Fluctuant soft area on rectal examination
Poor general condition and findings of sepsis
Rare spontaneous rectal or perineal drainage

Risk Factors

Diabetes mellitus (most important risk)
Immunosuppression and HIV
Untreated acute prostatitis
Long-term urinary catheter
Transrectal prostate biopsy
Chronic kidney failure and hemodialysis

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Failure of fever to subside within 48-72 hours during prostatitis treatment
  • Worsening perineal pain and urinary retention
  • Findings of sepsis
  • Fluctuation on rectal examination
  • Spontaneous discharge in the perineum or rectal area

Treatment Methods

01
IV broad-spectrum antibiotic: fluoroquinolone + aminoglycoside combination
02
Transrectal ultrasound-guided transrectal or transperineal needle aspiration
03
Endoscopic transurethral drainage: cystoscopic puncture into the abscess
04
Suprapubic catheter: in urinary retention instead of transurethral catheter
05
Surgical perineal drainage: in large abscesses where endoscopic intervention is not possible
06
Long-term antibiotic therapy (6-8 weeks) and culture follow-up

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.