AB133. Xanthogranulomatous prostatitis with benign prostatic hyperplasia: a case report and review of the literature

OBJECTIVE: To improve the level of diagnosis and treatment of xanthogranulomatous prostatitis. METHODS: The clinical data of a case of xanthogranulomatous prostatitis were analyzed retrospectively and discussed with relative literature review. RESULTS: A 56-year-old man presented with a 1 month history of difficult urination, which was exacerbated for 10 days. The patient was confirmed with xanthogranulomatous prostatitis with chronic suppurative inflammation and abscess by pathologic diagnosis after plasmakinetic resection of the prostate (PKRP). The patient achieved smooth voiding and was discharged after operation for one week. Urination was normal during two months follow up. CONCLUSIONS: Xanthogranulomatous prostatitis is rare clinical disease, which should be excluded from prostate cancer and can be confirmed by pathobiology. According to the degree of lower urinary tract obstruction, it is treated by medicine or surgical operation. Examination of PSA regularly and long-term follow-up must be performed.