Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.
A patient with years of chronic prostatitis had prostate removal. Surgery revealed adherent seminal vesicles, around which the pathologist found scar with hemosiderin-laden macrophages (photo), a finding associated with old hemorrhage. There was no such finding inside the seminal vesicles. There was also no such microscopic finding in the case previously described in which old, grossly apparent blood was found at the seminal vesicles at the time of surgery. One wonders if in some cases events that cause bleeding are the triggers for chronic prostatitis.
Not at all. Macrophages are a type of white blood cell (WBC).