Spontaneous prostatic hematoma: an unusual presentation of prostatic cancer

Prostatic fluid collection is not uncommon in urological practice. Prostatic abscess is the most frequent finding in this clinical setting. Spontaneous prostatic hematoma is rare, and may be related to prostatic cancer. Every case of prostatic collection must be considered with attention, and further evaluation is needed when the diagnosis is not clear. Here we report the case of a spontaneous prostatic hematoma, which was eventually found to be due to prostatic cancer, describing in detail the clinical features, differential diagnosis and treatment options.