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ARTICLE TYPE : CASE REPORT

Published on :   24 Sep 2026, Volume - 2
Journal Title :   WebLog Journal of Urology | WebLog J Urol | WJU
Source URL:   weblog icon https://weblogoa.com/articles/wju.2026.i2404
Permanent Identifier (DOI) :   doi icon https://doi.org/10.5281/zenodo.23284942

Prostatic Calcification: A Rare Differential Diagnosis of Inguinal Pain

Mazen A. Ghanem 1 *
Ahmed M. Ghanem 2
Hytham A. Dafalla 3
Manal A. Safan 4
1Department of Urology, Menoufia University, Shebin El-Kom, Egypt
2Intern, Kasr Al-Ainy Hospital, Cairo University, Cairo, Egypt
3Department of Radiology, Kasr Al-Ainy Faculty of Medicine, Cairo University, Cairo, Egypt
4Department of Medical Biochemistry and Molecular Biology, Menoufia University, Shebin El-Kom, Egypt

Abstract

Background: Prostatic calcification associated with chronic bacterial prostatitis is a cause of Lower Urinary Tract Symptoms (LUTS) and chronic pelvic pain.

Case Report: We describe the case of a 56-year-old man who had severe lower urinary tract irritation symptoms along with bilateral, intermittent, deep inguinal pain for over two years. Computed Tomography (CT) of the abdomen and pelvis showed prostatic calcification and ruled out other concurrent causes of inguinal pain, namely hernia, inflammation of the lymph nodes, cancer, and mesenteric panniculitis. A diagnosis of Chronic Bacterial Prostatitis (CBP) with calcification was made after clinical (NIH-CPSI and I-PSS), laboratory (Urine, CBC, EPS, and seminogram), and transabdominal ultrasonographic evaluation, particularly for the prostatic dense inclusion. Following antibiotic and anti-inflammatory treatment, inguinal pain completely subsided, and prostatic calcification was much reduced on follow-up US.

Conclusions: Our report demonstrates a rare and significant differential diagnosis of inguinal pain and the predictive value of transabdominal ultrasonography in evaluating prolonged chronic inguinal pain in addition to the effectiveness of longer medication treatment for the symptomatic manifestations of prostatic parenchymal calcifications in patients with CBP.

Keywords: Prostatic Calcification; Pain; Inguinal; Ultrasound

Citation

Ghanem MA, Ghanem AM, Dafalla HA, Safan MA. Prostatic Calcification: A Rare Differential Diagnosis of Inguinal Pain. WebLog J Urol. wju.2026.i2404. https://doi.org/10.5281/zenodo.23284942
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