What is this?

This is an infection of the prostate often caused by an obstructive prostatic adenoma. Urine stagnates in the bladder. They will be colonized by germs that will infect the prostate.

Mechanism of contamination:

Due to an obstruction under the bladder, the urine is colonized by germs that go infected prostate.

The ascending infection is due to a rise of germs from the urethra during urethritis.

contamination can be through the hematogenous route during remote infection or iatrogenic contamination during prostate surgery.

Symptoms:

Usually this is a patient over 50 years old with a high fever, voiding disorders and digital rectal examination are very painful.

A bladder should be sought.

Biology:

ECBU should be done before any antibiotic therapy.

A biological inflammatory syndrome is found which shows hyperleukocytosis and High CRP.

Radiology:

Ultrasound is only of interest if a prostate abscess is suspected on rectal examination or in the event of an unfavorable development under antibiotic treatment.

Processing:

Medical treatment is based on antibiotic treatment for four to six weeks associated with analgesic treatment and an alpha-blocker.

If the patient has a bladder, drainage will be via a suprapubic catheter.

The presence of a prostatic abscess requires urgent drainage in a hospital setting.

The aetiological treatment will be carried out later after clinical improvement.