Abstract
Emphysematous prostatic abscess (EPA) is a very rare but fatal urinary tract infection. We retrospectively analyzed the clinical data of a patient with EPA admitted to the First Affiliated Hospital of Nanjing Medical University in January 2022. He experienced EPA progression and deteriorated rapidly after admission, while he recovered immediately after surgical intervention through transurethral internal resection of the prostatic abscess. This case report underscores the importance of early diagnosis and effective treatment for EPA, which can reduce the mortality rate, thereby improving prognosis.