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.

• Authors: Antonio Luigi Pastore, Giovanni Palleschi, Andrea Fuschi, Natale Porta, Bruna Cerbelli, Claudio Di Cristofano, Vincenzo Petrozza, Antonio Carbone
• Journal: Canadian Urological Association journal = Journal de l'Association des urologues du Canada (Can Urol Assoc J) 2013 Nov-Dec Vol. 7 Issue 11-12 Pg. E820-2 ISSN: 1911-6470 [Print] Canada
• PMID: 24475004 (Publication Type: Journal Article)