Acute prostatitis, prostatic abscess is a complication of urethritis and epididymitis. Common pathogens were gram-negative aerobic bacteria, followed by Staphylococcus aureus. The patient is usually 40 to 60 years old, frequent urination, voiding dysfunction or urinary retention. perineal pain, evidence of acute epididymitis, hematuria, and purulent urethral discharge less common. some patients may have fever. rectal examination can be found to have prostate tenderness and volatility, but the prostate enlargement is often seen in the only One exception, and sometimes feel normal prostate palpation.
leukocytosis common. Though common with pyuria and bacteriuria, but the urine can be normal. a small number of patients with positive blood culture.
despite resistance to treatment, but there are still persistent or recurrent urinary system infection and a persistent pain in the perineum, suggesting that prostatic abscess. But many prostate surgery or prostate abscess was accidentally discovered when endoscopy; prostate lateral lobe convex bulge into the device in the urethra or prostate check abscess rupture was found. prostatic ultrasound may help diagnose.
therapy including transurethral or perineal abscess incision and drainage with appropriate antibiotics.
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