[Prostatic abscess: report of a case].
OBJECTIVE
To report one case of prostatic abscess which required emergency surgical treatment because of its aggressive evolution.


METHODS
We describe the case of a 61-year-old male patient who was diagnosed of prostatic abscess in the emergency room, and initially underwent conservative treatment with antibiotics and urinary diversion. Due to clinical impairment to septicemia and upper urinary tract involvement we decided to perform a surgical perineal drainage.


RESULTS
The septic clinical picture resolved immediately, but he presented a prostatic-perineal fistula in the intermediate postoperative period which resolved with prolonged urinary diversion by cystotomy catheter. HIV serologies were performed considering the aggressiveness of picture; they were positive.


CONCLUSIONS
We emphasize this case because of the great aggressiveness that presented, possibly due to factors such as diabetes and immunosuppression (HIV). Provided the great variety of presentations of this disease, a high degree of suspicion must be exercised for its diagnosis, and once the diagnosis is got immediate treatment is recommended. We review etiopathogenic factors, clinical findings, diagnosis and therapeutic options.
Servicio de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona, Barcelona, España.
Esteban
E
González de Chaves
Cristina
C
Gómez de Segura
José
J
Segarra
Humberto
H
Villavicencio Mavrich
D000038:Abscess / Q000601:surgery*; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D008297:Male; D011469:Prostatic Diseases / Q000601:surgery*; D011552:Pseudomonas Infections / Q000601:surgery*