Year: 2025
Type: article
Study design: Case Report
Abstract: Prostatic abscess is a rare urological condition in adolescents. We report the case of a 16-year-old male with no significant past medical history who presented with bilateral flank pain, dysuria, and systemic signs of infection. Imaging revealed bilateral pyelonephritis and a prostatic abscess. Initial conservative treatment with intravenous antibiotics alone showed no improvement, prompting ultrasound-guided transperineal aspiration of the abscess under general anesthesia along with antibiotics. The patient showed marked clinical improvement and was discharged. This case highlights the importance of including prostatic abscess in the differential diagnosis for adolescent males with persistent urinary symptoms and sepsis. It demonstrates the efficacy of transperineal drainage as a relatively safe and minimally invasive intervention in this population.
Source: Cureus
DOI: 10.7759/cureus.87345
Authors: Hasan A Al-Ibraheem, George Hill
Institution: Aneurin Bevan University Health Board
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4412050764