Work

A rare case of successful treatmeat of xanthogranulomatous prostatitis and literature reviews

Year: 2025

Type: article

Abstract: Xanthogranulomatous prostatitis (XGP) is extremely rare, and its clinical symptoms or imaging findings are difficult to distinguish from those of prostate cancer. This patient presented clinically with severe urinary tract infection and urinary tract obstruction, firstly he was initially treated with antibiotics. Through conservative treatments such as anti-inflammatory and symptomatic therapies, the patient's symptoms and indicators were controlled, and the PSA value decreased to 3.4ng/ml. For patients with significant clinical inflammatory indicators, elevated PSA levels, and high MRI PI-RADS scores, the possibility of XGP should be first excluded to avoid misdiagnosis and overtreatment. • Xanthogranulomatous prostatitis (XGP) is a rare disease with limited clinical reports. • This case showed significant inflammatory markers with transrectal prostate biopsy, and both anti-inflammatory therapy and conservative treatment alone were significantly effective. • This report summarizes the diagnosis treatment methods of XGP, effectively preventing misdiagnosis and overtreatment.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2025.103295

Authors: Yuli Zheng, Xiaoxuan Wang, Shanfang Tang

Institutions: Weifang People's Hospital, Sheng Jing Hospital, China Medical University

Language: English

Topic: Prostate Cancer Diagnosis and Treatment

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160