A case presentation of a middle age man who copmplains of pain in the perineum, fever, dysuria and episodes of haematuria. Previously took peroral antibiotics without any significant effect. We did a CT scan and found an abscess zone in the right lobe and performend transuretral drainage. When we enter tha urinar bladder we saw chronic cystitis materials and not significantly big prostate gland. After operation we placed 18fr foley catheter and include metronidazole, gentamycin and medaxone and patient immediately start feeling better. Foley was removed after several days and patient didn't have any complains. No episodes of fever and dysuria.
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