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January 12, 1929, Vol 92, No. 2 >
ARTICLE | January 12, 1929

PROSTATIC ABSCESS

ANDERS PETERSON, M.D.
JAMA. 1929;92(2):130-134. doi:10.1001/jama.1929.02700280034011.
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Abscess of the prostate may occur in two ways. The first type is due to the direct extension of a gonorrheal infection of the posterior urethra, while the second type occurs as a metastatic involvement of the gland from some distal or general infection. Tuberculosis of the prostate is not considered in this report.

The diagnosis of this lesion is usually not difficult; but some patients may lack any positive symptoms directing attention to the prostate, and in others definite softening or fluctuation of the gland does not occur.

Harlow Brooks1 tells of a young physician under observation for several weeks who was studied by many physicians before any signs or symptoms of prostatic infection directed attention to the prostate. A probable diagnosis of paratyphoid was made. Only slight rectal irritation late in the disease called attention to the prostate. Rupture took place into the urethra, followed by complete

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