title: Prostatitis and acute urinary retention as first manifestations of Wegnener's granulomatosis.
abstract: OBJECTIVE
  We present a case of prostatitis with acute urinary retention as a rare initial manifestation of Wegener' Granulomatosis.
  
  
  METHODS
  The case was a 48-year-old male with symptoms of prostatitis over ten days. The patient presented urinary retention, with partial response to antibiotic treatment. High levels of cytoplasmic antineutrophil cytoplasmic antibody and a prostatic biopsy were compatible with Wegener' Granulomatosis.
  
  
  RESULTS
  After starting treatment with glucocorticoids and cyclophosphamide, a significant improvement to the point of disappearance of symptoms was observed. At 3 months pulmonary and upper airway symptoms began, requiring higher doses of cyclophosphamide to control symptoms.
  
  
  CONCLUSIONS
  Wegener's Granulomatosis is a multisystem entity whose presentation as prostatitis with urinary retention is rare.
authors.affiliation: Servicio de Urología, Complejo Hospitalario Universitario de Ferrol, Ferrol, A Coruña, España. Electronic address: javier.pereira.beceiro@sergas.es.
authors.forename: Javier
authors.initials: J
authors.lastname: Pereira Beceiro
authors.affiliation: Servicio de Urología, Complejo Hospitalario Universitario de Ferrol, Ferrol, A Coruña, España.
authors.forename: Andrés
authors.initials: A
authors.lastname: Rodríguez Alonso
authors.affiliation: Servicio de Urología, Complejo Hospitalario Universitario de Ferrol, Ferrol, A Coruña, España.
authors.forename: Carlos
authors.initials: C
authors.lastname: Bonelli Martín
authors.affiliation: Servicio de Anatomía Patológica, Complejo Hospitalario Universitario de Ferrol, Ferrol, A Coruña, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Pérez Valcárcel
authors.affiliation: Servicio de Urología, Complejo Hospitalario Universitario de Ferrol, Ferrol, A Coruña, España.
authors.forename: Teresa
authors.initials: T
authors.lastname: Mosquera Seoane
authors.affiliation: Servicio de Urología, Complejo Hospitalario Universitario de Ferrol, Ferrol, A Coruña, España.
authors.forename: Miguel Ángel
authors.initials: MÁ
authors.lastname: Cuerpo Pérez
mesh_terms: D000208:Acute Disease; D014890:Granulomatosis with Polyangiitis / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011472:Prostatitis / Q000209:etiology*; D016055:Urinary Retention / Q000209:etiology*
keywords: Anticuerpos citoplasmáticos contra los neutrófilos con patrón citoplasmático; Cytoplasmic antineutrophil cytoplasmic antibody; Granulomatosis de Wegener; Prostatitis; Wegener's granulomatosis