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

UroToday.com Prostatitis Section

 

 

E-Newsletters

Newsletter subscription

Free Daily and Weekly newsletters offered by content of interest

The fields of GU Oncology and Urology are rapidly advancing. Sign up today for articles, videos, conference highlights and abstracts from peer-review publications by disease and condition delivered to your inbox and read on the go.

Subscribe