Prostatic abscess: on TRUS

Case contributed by Dr Mohamed Hossam el Deen

Presentation

Main complaint: haematuria and fever. Physical examination : tender prostate and testicles. Seminal analysis: pyospermia and hematospermia.

Patient Data

Age: 32
Gender: Male
Ultrasound

A well defined cystic lesion is seen in the medial aspect of the left prostatic lobe close to the course of the prostatic urethra measuring1.28 x 1.41 x 0.88 cm. Volume = 0.83 cc. It shows well defined mildly thickened walls with multiple internal echoes and fluid content.

Case Discussion

This case likely represensts a prostatic abscess versus infected prostatic retention cyst.

Prostatic abscess is an uncommon condition, often difficult to discern clinically from acute prostatitis. It results from focal accumulation of pus within the prostate gland. Transrectal or percutaneous transperineal aspiration and drainage is required in most cases.

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Case information

rID: 47121
Published: 1st Aug 2016
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included

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