黄色肉芽肿性前列腺炎合并良性前列腺增生1例报告并文献复习

摘要

目的 提高对黄色肉芽肿性前列腺炎(xanthogranulomatous prostatitis,XGP)诊断及治疗的水平.方法 回顾分析1例XGP的临床资料,并复习相关文献.结果 患者,男,56岁,进行性排尿困难半年余,加重10天入院.行经尿道等离子前列腺电切术,术后病理示"黄色肉芽肿性前列腺炎伴慢性化脓性炎及脓肿形成",术后1周排尿通畅并出院.随访6个月无排尿不适.结论 XGP属临床罕见疾病,治疗前应排除前列腺癌可能,确诊需依赖术后病理.可根据下尿路梗阻症状(low urinary tract symptom,LUTS)程度选择药物或手术治疗,并定期复查前列腺特异抗原(postate secific antigen,PSA)和长期随访.%Objective To improve the diagnosis and treatment of Xanthogranulomatous prostatitis.Methods The clinical data of a Xanthogranulomatous prostatitis patient were collected and analyzed retrospectively.The relative literature were then reviewed.Results A 56-year-old man with low urinary tract symptom (LUTS) for 1 month and exacerbated for 10 days, underwent trans urethral plasmakinetic resection of the prostate (TUPKRP) and was pathologic diagnosed as xanthogranulomatous prostatitis with chronic suppurative inflammation.The patient achieved smooth voiding and was discharged one week post-operatively.Conclusions Xanthogranulomatous prostatitis is rare disease, which should be excluded from prostate cancer and can be confirmed by pathological exams.According to the degree of lower urinary tract obstruction, it is treated by medicine or surgical operation.Examination of prostate specific antigen (PSA) regularly and long-term follow-up would be recommended.