prostatic abscess

Etiology

• acute prostatitis
• benign prostatic hyperplasia
• prostate biopsy
• bacteria
  • MRSA
  • extended-spectrum beta-lactamase-producing enterobacteriaceae

* immunodeficiency is a risk factor

Laboratory

• urinalysis - pyuria
• complete blood count (CBC) - leukocytosis

Radiology

• transrectal ultrasonography
  • deterioration after initiation of antibiotic therapy for acute prostatitis
• magnetic resonance imaging is the preferred confirmatory imaging modality

Management

• empiric therapy with 3rd-generation cephalosporin, aztreonam or antibiotic combinations
• 80% of patients require early surgical drainage
  • transurethral approach frequently used

More general terms

• abscess
• prostatic disease