Prostatic Blastomycosis: An Infrequent Cause of Granulomatous Prostatitis

This chapter covers cystitis (an infection of the bladder, characterized by dysuria), acute pyelonephritis (an infection of the kidney), chronic pyelonephritis (which is a chronic diffuse interstitial inflammation), renal abscesses (such as perinephric abscess, renal corticomedullary abscess, and renal cortical abscess), catheter-associated urinary tract infections, prostatitis (including granulomatous prostatitis and prostatic abscess), epididymitis, and orchitis.

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Granulomatous prostatitis. Association with isolation of Mycobacterium kansasii and Mycobacterium fortuitum

JAMA ◽

10.1001/jama.237.22.2408 ◽

1977 ◽

Vol 237 (22) ◽

pp. 2408-2409 ◽

Cited By ~ 1

Author(s):

L. W. Lee

Keyword(s):

Mycobacterium Fortuitum ◽

Mycobacterium Kansasii ◽

Granulomatous Prostatitis

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Granulomatous prostatitis: A clinico-pathological series of 27 cases

Journal of Clinical Urology ◽

10.1177/2051415820970429 ◽

2020 ◽

pp. 205141582097042

Author(s):

Pooja Suteri ◽

Arvind Ahuja ◽

Achin K Sen ◽

Hemant Goel ◽

Minakshi Bhardwaj ◽

...

Keyword(s):

Benign Prostatic Hyperplasia ◽

Histopathological Examination ◽

Specific Antigen ◽

Transrectal Ultrasound ◽

Digital Rectal Examination ◽

Prostatic Hyperplasia ◽

Definitive Diagnosis ◽

Patient Records ◽

Age Range ◽

Granulomatous Prostatitis

Objectives: This study aimed to assess the incidence and discern the histomorphological spectrum of granulomatous prostatitis. Methods: A retrospective analysis of histopathological records of 1773 prostatic specimens received in the pathology department was done over a period of seven years. All histologically proven cases of granulomatous prostatitis were retrieved, the relevant clinical data were collected from patient records and the lesions were categorized accordingly. Results: Out of 1773 cases, 27 cases of granulomatous prostatitis were identified. The age range of these patients was between 50 and 89 years. Among the patients, non-specific granulomatous prostatitis (NSGP) was the most common followed by tubercular prostatitis, post-surgical prostatitis and xanthogranulomatous prostatitis. Three cases of post-surgical prostatitis were associated with malignancy. Serum prostate-specific antigen (PSA) levels ranged between 0.8 and 20.94 ng/mL (median 10.78 ng/mL). The diagnosis was made by histopathological examination of transrectal ultrasound (TRUS)-guided core biopsies, Trucut biopsies, transuretheral resection of prostate chips, prostatectomy and cystoprostatectomy specimens. Conclusion: In the present study, the incidence of granulomatous prostatitis was 1.5%. The patients usually present as hard nodules on digital rectal examination along with raised serum PSA levels. Carcinoma or benign prostatic hyperplasia was kept as a clinical diagnosis in these cases. Since the diagnosis of granulomatous prostatitis is made on histopathological examination only, meticulous histomorphological assessment is therefore required to reach a definitive diagnosis of granulomatous prostatitis.

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