title: Rectoprostatic fistula: unusual presentation of a prostatic abscess.
abstract: OBJECTIVE
  To present the case and iconography of a rectoprostatic fistula as a form of presentation of a prostatic abscess and to review the literature on the diagnosis and treatment of this pathology.
  
  
  METHODS
  69-year-old male with multiple pathologic conditions who presents an orifice in the prostatic fossa on digital rectal examination in the scenario of a urinary tract infection with fever. CT scan and colonoscopy showed a prostatic abscess fistulizing to rectum.
  
  
  RESULTS
  Due to spontaneous drainage of the abscess, conservative treatment with intravenous fluid therapy and antibiotics was chosen.
  
  
  CONCLUSIONS
  Prostatic abscess is often difficult to diagnose because of its low prevalence and unspecific symptomatology. Since the introduction of antibiotics, cases in which abscess fistulas or opens spontaneously to neighboring structures like urethra or rectum have decreased.
authors.affiliation: Urology Department, Hospital Universitario Son Dureta, Palma de Mallorca, Spain. xarupl@gmail.com
authors.forename: Xavier
authors.initials: X
authors.lastname: Ruíz Plazas
authors.forename: Diego
authors.initials: D
authors.lastname: Alonso Rodríguez
authors.forename: Lorena
authors.initials: L
authors.lastname: Fernández Barranco
authors.forename: Daniel
authors.initials: D
authors.lastname: Muñoz Vélez
mesh_terms: D000038:Abscess / Q000473:pathology*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003113:Colonoscopy; D005440:Fluid Therapy; D006801:Humans; D008297:Male; D011469:Prostatic Diseases / Q000473:pathology*; D012003:Rectal Fistula / Q000473:pathology*; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents