User:Mr. Ibrahem/Prostate abscess

Mr. Ibrahem/Prostate abscess
CT scan showing an abscess of the prostate (red arrow) resulting in urinary retention (blue arrow)
Specialty	Urology
Complications	Sepsis
Causes	Acute prostatitis, chronic bacterial prostatitis
Risk factors	Diabetes, foley catheter, prostate biopsy, kidney failure, cirrhosis, poor immune function
Differential diagnosis	Acute prostatitis, urethritis,
Treatment	Incision and drainage, antibiotics, benign prostatic hyperplasia
Prognosis	Risk of death 1% to 16%
Frequency	Rare (developed world), relatively common (developing world)

A prostate abscess is a collection of pus within the prostate gland. Symptoms may include pelvic pain, fever, blood in the urine, and pain with urination. Low back pain may also be present. Complications may include urinary retention and sepsis.

They generally occurs as a complication of acute prostatitis and less commonly chronic bacterial prostatitis. Risk factors include foley catheter, prostate biopsy, diabetes, kidney failure, cirrhosis, and poor immune function. While various types of bacteria may be involved, E. coli is most common. The diagnosis should be suspected in someone who has acute prostatitis that is not improving and can be confirmed by medical imaging.

Treatment of a prostate abscess often involves incision and drainage and antibiotics. The risk of death is between 1% and 16%. Well relatively uncommon in the developed world due to the appropriate treatment of acute prostatitis, prostate abscesses are more common in the developed world. They make up about 0.5% of urologic disease. Older people are more commonly affected.