Prostatic mycosis: nonsurgical diagnosis and management

Area of Science:

• Urology
• Mycology
• Pathology

Background:

• Mycotic prostatitis is infrequently diagnosed, often discovered incidentally during autopsy or prostate surgery.
• Fungal infections of the prostate are rare but can manifest with lower urinary tract symptoms.

Observation:

• A 79-year-old male presented with symptoms of prostatism.
• Mycotic prostatitis was diagnosed in this patient.
• Diagnosis was achieved non-operatively via prostate needle biopsy.

Findings:

• The patient's prostatism symptoms significantly improved with medical management.
• Needle biopsy proved effective for diagnosing fungal prostatitis.
• Review of prostatic mycosis literature is presented.

Implications:

• Non-operative diagnosis of mycotic prostatitis is feasible.
• Medical management can effectively treat symptoms of fungal prostatitis.
• Highlights the importance of considering fungal infections in prostatitis cases.