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.
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.