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CASE REPORT
Prostatic abscess: a rare complication of staghorn calculi
  1. Mohammed Kamil Quraishi,
  2. Yih Chyn Phan,
  3. Wael Asaad,
  4. Naing Lynn
  1. Department of Urology, Royal Shrewsbury Hospital, Shrewsbury, UK
  1. Correspondence to Mr Mohammed Kamil Quraishi, mkquraishi{at}doctors.org.uk

Summary

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.

  • urinary tract infections
  • prostate
  • urological surgery
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Footnotes

  • Contributors MKQ: identified case, manuscript drafting and literature review. YCP: literature review and consenting patient. WA: data collection and manuscript review. NL: senior author and manuscript review.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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