Prostate abscess discovery: two cases report

Abstract

Introduction: Prostatic abscess is a rare disease. The symptomatology is not specific. Transrectal ultrasonography and pelvic CT scan confirm the diagnosis. Treatment is based on appropriate antibiotic therapy and transperineal drainage, transrectal or urological endoscopic drainage. Observation: We report two cases of prostatic abscess. Two patients, aged 47 and 61 years, presented nonspecific clinical features. In both cases, the diagnosis was incidental discovery intra-operatively. The pelvic CT scan made the diagnosis of prostate cyst in one and a benign prostatic hyperplasia in the other by a reno-vesico-prostatic ultrasound. Treatment consisted of open surgical drainage with appropriate antimicrobial therapy. Evolution was favorable in both cases. Conclusion: Prostatic abscess is a rare disease and its clinical symptomatology is not specific. In our case, the diagnosis could be confirmed only intraoperatively and the treatment performed by open surgery with a good result.