Objective: To investigate the clinical manifestations, imaging features, pathological characteristics and treatment strategies of prostate solitary fibrous tumors. Methods: A retrospective analysis of the clinical data of a male patient with prostate solitary fibrous tumor in our hospital and review of literature. Results: The patient was treated with transurethral resection, followed by confirmation of the disease with immunohistochemistry and pathology. After 3 months, the patient had tumor recurrence and subjected to radical prostatectomy 9 months later. Follow-up for 8 months found that the patient had normal urination with no tumor recurrence. Conclusion: Prostate solitary fibrous tumor is a very rare benign tumor with typical clinical manifestations. Prostate biopsy is the gold standard for diagnosis of the disease. Due to the currently very few clinical case reports, its etiology, pathogenesis, diagnosis and treatment warrant more clinical and basic investigation.