Granulomatous Prostatitis: Confusion Clinically with Carcinoma of the Prostate

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Abstract
Nonspecific granulomatous prostatitis is an inflammatory response of a foreign body type to extravasated prostatic fluid. Its significance is incident to its frequent confusion with carcinoma of the prostate. Noteworthy is the rapidity of onset of irritative and obstructive symptoms in a relatively younger age group than one generally sees in carcinoma of the prostate. Tissue diagnosis in those suspected of carcinoma of the prostate should be established by needle biopsy and conservative measures should be used for at least 4 wk in the treatment of obstructive symptoms to allow the inflammatory response to subside before intervening surgically. Most patients frequently have associated benign prostatic hyperplasia with persistent obstructive symptoms and significant residual urine. Transurethral resection of the prostate was performed in this study without postoperative complications.