Introduction: In the elderly (over the age of 50), the risk of urinary tract infections is estimated at 8% per year in men. Anatomic abnormalities such as prostatic hypertrophy, leading to urinary retention is considered as the main reason. Pyomyositis is an uncommon condition of optical urethrotomy, especially in patients who have received local radiation therapy in the past. Till date no cases of pectineus muscle abscess and only two cases of obturator externus muscle abscess have been reported in the literature, with only one developing as a result of genitourinary intervention such as urethrotomy.
Case presentation: Here we are presenting a case of a very unusual and serious complication in an elderly man presenting with urosepsis several months after undergoing urethrotomy.
Conclusion: Elderly men have an increased risk of sepsis, higher than that in women with UTI.
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