Presentation, diagnosis and treatment of a prostatic abscess in an adult, male, neutered cat

A 6-year-old, male, neutered Maine Coon cat presented with a 1-week history of hyporexia, stranguria, pollakiuria and dysuria. Investigations, including abdominal ultrasound, positive contrast retrograde urethrocystogram and cytology of the prostate, were most consistent with a prostatic abscess. Surgery was performed to allow for the collection of tissue for histopathology and drainage of the abscess. Histopathology confirmed the diagnosis of a prostatic abscess. Haemolytic Escherichia coli was subsequently cultured from the prostatic fluid. Six months following surgery and antibiotic therapy, the urinary signs had completely resolved, and the cat was clinically well. Although rare in cats, prostatic abscessation should be included in the differential diagnosis of lower urinary tract disease. With prompt diagnosis and appropriate treatment, a good outcome can be achieved. © 2025 The Author(s). Veterinary Record Case Reports published by John Wiley & Sons Ltd on behalf of British Veterinary Association.