[Tuberculous prostatic abscess in acquired immunodeficiency syndrome]

To review the diagnostic and therapeutic aspects of prostatic abscess in the acquired immunodeficiency syndrome.

Herein we report on a patient with AIDS and prostatic abscess due to tuberculosis. The clinical features and a less invasive therapeutic approach are described.

Appropriate treatment must be based on cultures, as patients with AIDS are increasingly frequently affected by uncommon organisms originating prostatic abscess. Treatment is by drainage, although spontaneous urethral drainage has been described, as in the present case. Percutaneous ultrasound-guided drainage appears to be a less invasive and effective procedure.