Prostatic abscesses are an increasingly rare clinical entity. They are commonly caused by spread of a gram-negative urinary tract infection. Most cases reported in urologic studies have occurred in older men and are the result of bladder outlet obstruction. To date, very few cases of pediatric prostatic abscesses have been reported in published studies, and most of these occurred in neonates. We present a case of methicillin-resistant Staphylococcus aureus prostatic abscess in an adolescent and review the related data for this unusual process.