Prostatic abscess: a rare complication of staghorn calculi.
- Resource Type
- Academic Journal
- Authors
- Quraishi MK; Department of Urology, Royal Shrewsbury Hospital, Shrewsbury, UK.; Phan YC; Department of Urology, Royal Shrewsbury Hospital, Shrewsbury, UK.; Asaad W; Department of Urology, Royal Shrewsbury Hospital, Shrewsbury, UK.; Lynn N; Department of Urology, Royal Shrewsbury Hospital, Shrewsbury, UK.
- Source
- Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101526291 Publication Model: Electronic Cited Medium: Internet ISSN: 1757-790X (Electronic) Linking ISSN: 1757790X NLM ISO Abbreviation: BMJ Case Rep Subsets: MEDLINE
- Subject
- Language
- English
A staghorn calculus is a calculus accommodating the majority of a renal calyx extending into the renal pelvis. A conservative approach to its treatment may lead to high morbidity and mortality rates. Such morbidity usually manifests with renal failure, obstructed upper urinary tractand/or life-threatening sepsis. Prostatic abscesses have never been associated with staghorn calculi in the literature. We report a case of a 70-year-old man who presented with sepsis, which was found to originate from a complex prostatic abscess. The patient had no history of urinary tract infections or risk factors. The authors believe that the incidentally identified staghorn calculi promoted the growth of Proteus mirabilis which led to the development of the prostatic abscess. The patient underwent a transurethral resection and drainage of the abscess following a failed course of antibiotic therapy. This case also highlights the paucity of guidelines available in treating prostatic abscesses.
Competing Interests: Competing interests: None declared.
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