A rare case of successful treatmeat of xanthogranulomatous prostatitis and literature reviews.

Xanthogranulomatous prostatitis (XGP) is extremely rare, and its clinical symptoms or imaging findings are difficult to distinguish from those of prostate cancer. This patient presented clinically with severe urinary tract infection and urinary tract obstruction, firstly he was initially treated with antibiotics. Through conservative treatments such as anti-inflammatory and symptomatic therapies, the patient's symptoms and indicators were controlled, and the PSA value decreased to 3.4ng/ml. For patients with significant clinical inflammatory indicators, elevated PSA levels, and high MRI PI-RADS scores, the possibility of XGP should be first excluded to avoid misdiagnosis and overtreatment.