Hematospermia and xanthogranulomatous prostatitis: An unusual onset of a rare diagnosis - Abstract

Xanthogranulomatous prostatitis is a rare type of granulomatous prostatitis, with very few cases described.

We report the clinical, radiological and pathological findings of 5 cases of xanthogranulomatous prostatitis. All patients came for recurrent episodes of hematospermia (associated with fever in 3 patients). All patients suffered from lower urinary tract symptoms and an increased prostate-specific antigen (PSA) level associated with a suspicious digital rectal examination (DRE); however, at biopsy, the results were negative for xanthogranulomatous prostatitis. Due to persistent severe bladder outlet obstruction, after unsuccessful medical treatments, all patients underwent transurethral resection of prostate (TURP). Final histological examination revealed a xanthogranulomatous prostatitis. The xanthogranulomatous prostatitis can be an incidental finding after TURP and it can simulate prostatic malignancy with PSA elevation.

Written by:
Pastore AL, Palleschi G, Fuschi A, Porta N, Cerbelli B, Di Cristofano C, Petrozza V, Carbone A.   Are you the author?
Sapienza University of Rome, Faculty of Pharmacy and Medicine; Department of Medico-Surgical Sciences and Biotechnologies, Urology Unit - I.C.O.T, Latina, Italy.

Reference: Can Urol Assoc J. 2013 Nov;7(11-12):E820-2.
doi: 10.5489/cuaj.1525


PubMed Abstract
PMID: 24475004

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