MSD Manual

Please confirm that you are not located inside the Russian Federation

honeypot link

Prostate Abscess

By

Gerald L. Andriole

, MD, Johns Hopkins Medicine

Medically Reviewed Sep 2022
VIEW PROFESSIONAL VERSION
Topic Resources
The Prostate
VIDEO

The prostate is a gland in men that lies just under the bladder and surrounds the urethra. The gland, along with the nearby seminal vesicles, produces much of the fluid that makes up a man's ejaculate (semen).

Male Reproductive Organs

Male Reproductive Organs

Symptoms of Prostate Abscess

Common symptoms include

  • More frequent urination

  • Painful or difficult urination

  • Difficulty emptying the bladder (urinary retention)

  • Pain in the area between the scrotum and anus

Other, less common symptoms include scrotal pain due to epididymitis (inflammation of the coiled tube that contains and carries sperm), blood in the urine, and a pus-containing discharge from the urethra. Fever is sometimes present.

Rectal examination done by a physician may be painful. The prostate is usually enlarged.

Diagnosis of Prostate Abscess

  • Prostate ultrasonography

  • Possibly cystoscopy

Many abscesses, however, are discovered unexpectedly during prostate surgery or endoscopy of the urinary tract (cystoscopy). Although it is common to find pus and bacteria in the urine in men with a prostate abscess, some men may not have any pus or bacteria.

Treatment of Prostate Abscess

  • Antibiotics

  • Drainage of pus

Treatment involves antibiotics (for example, ciprofloxacin or trimethoprim/sulfamethoxazole) and drainage of pus from the abscess. To drain pus, the doctor may use one of two methods. In one, the doctor threads an instrument up the urethra and then punctures and drains the abscess. In the other, the doctor uses a hollow needle inserted in the area between the scrotum and anus (perineal area) to aspirate (suck up) the pus through the needle.

NOTE: This is the Consumer Version. DOCTORS: VIEW PROFESSIONAL VERSION
VIEW PROFESSIONAL VERSION
quiz link

Test your knowledge

Take a Quiz! 
iOS ANDROID
iOS ANDROID
iOS ANDROID
TOP