Prostate abscess

Prostate abscess is a complication of acute prostatitis, urethritis, and epididymitis. The common pathogenic bacteria are aerobic Gram-negative bacteria, followed by Staphylococcus aureus. Patients are usually 40 to 60 years of age, have frequent urination, dysuria or urinary retention, perineal pain, evidence of acute epididymitis, and hematuria and purulent urethral discharge are rare. Some patients may have fever, and rectal examination may reveal tenderness and fluctuations in the prostate, but prostate enlargement is often the only abnormality seen, and sometimes the prostate feels normal on palpation. Leukocytosis is common. Although pyuria and bacteriuria are common, urine can be normal, and a few patients have positive blood cultures.

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