Septic Prostatic Abscess Mimicking Acute Prostatitis: Successful Endoscopic Management

Ahmed H*

Department of Urology, St. Anna University Hospital, Varna, Bulgaria

^*Correspondance to: Hasan Ozkan Ahmed 

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Abstract:

Prostatic abscess is an uncommon but potentially life-threatening urological condition that may closely mimic acute prostatitis, resulting in delayed diagnosis and treatment. Early recognition is essential, particularly in patients with persistent sepsis despite appropriate antimicrobial therapy. We present the case of a 69-year-old male admitted with fever, dysuria, constipation and perineal pain who was initially diagnosed with acute bacterial prostatitis. Despite broad-spectrum per oral antibiotics, the patient remained febrile with worsening inflammatory markers. CT scan revealed a multiloculated prostatic abscess measuring 3 cm × 3 cm. The patient underwent transurethral resection and deroofing of the abscess cavity with successful drainage of purulent material. Microbiological culture identified Escherichia coli. Postoperatively, the patient demonstrated rapid clinical improvement with normalization of inflammatory markers and complete symptom resolution. This case highlights the importance of considering prostatic abscess in patients with refractory acute prostatitis and supports transurethral drainage as an effective treatment modality for large multiloculated abscesses.

Keywords:

Prostatic abscess; Acute prostatitis; Transurethral resection; Sepsis; Endoscopic drainage

Cite the Article:

Ahmed H. Septic Prostatic Abscess Mimicking Acute Prostatitis: Successful Endoscopic Management. Clin Case ep Int. 2026; 10: 1776..