A case of tuberculous prostatic abscess(TPA) was reported, relevant literatures at home and abroad were searched, clinical characteristics of the disease were evaluated in combination with literature review, so as to provide help for the diagnosis and treatment of the disease. Among 26 cases of TPA, 18 cases (69.23%) were middle-aged and elderly patients, 7 cases (26.92%) were patients with low immunity, 11 cases (42.31%) received Bacillus Calmette-Guérin(BCG) perfusion therapy. There was no obvious specific manifestations in patients with TPA, the main manifestations were lower urinary tract symptoms (n=16, 61.54%), fever (n=6, 23.08%), elevation of prostate-specific antigen (n=5, 19.23%) and other non-specific symptoms. Transrectal prostate ultrasound and ultrasound-guided puncture are the most important diagnostic methods (n=17, 63.58%). TPA often occurrs in person with low immunity, without specific clinical manifestations, transrectal ultrasound and ultrasound-guided puncture are the most common diagnostic methods.