Work

Primary prostatic urothelial carcinoma presenting as persistent perirectal abscess

Year: 2026

Type: article

Abstract: Primary prostatic urothelial carcinoma is a rare, often asymptomatic, disease. A 62-year-old male presented with chronic, clear fluid leakage from a perirectal abscess and recurrent pelvic fluid collections involving the prostate, penis, scrotum, and perirectal space. No fistulas were identified on surgical exploration and cystogram, and no masses or lesions were seen on CT or cystourethroscopy. Delayed presentation of pelvic lymph node metastatic disease led to the diagnosis of primary prostatic urothelial carcinoma. This is a compelling and educational case that emphasizes the need for oncologic vigilance in patients with persistent, unexplained pelvic or perineal fluid collections and fistula.

Source: Urology Case Reports

DOI: 10.1016/j.eucr.2026.103459

Authors: Emily F. Yamashita, Ming-Yeah Y. Hu, John Yablonski, Andrew C. Peterson

Institution: Duke University

Language: English

Topic: Urinary and Genital Oncology Studies

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,160