Prostatic abscess : diagnosis and management in the modern antibiotic era
Joint Authors
Kundu, Anup Kumar
Tiwari, Punit
Pal, Dilip K.
Tripathi, Astha
Kumar, Suresh
Goel, Amit
Sharma, Pramod
Dutta, Arindam
Vijay, Mukesh
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 22, Issue 2 (30 Apr. 2011), pp.298-301, 4 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2011-04-30
Country of Publication
Saudi Arabia
No. of Pages
4
Main Subjects
Topics
Abstract EN
This retrospective study was aimed at analyzing the clinical findings and therapeutic strategies in 24 patients who were admitted with prostatic abscess, during the period from 1999 to 2008.
The diagnosis of prostatic abscesses was made clinically by digital rectal palpation based on the presence of positive fluctuation with tenderness.
All cases were confirmed by trans rectal ultrasound (TRUS), and only positive cases were included in this study.
The diagnostic workup included analysis of midstream urine and abscess fluid culture for pathogens.
Therapeutic options included endoscopic trans-urethral incision or trans-perennial aspiration under ultrasound guidance, or conservative therapy.
Of the 24 patients studied, 45.83 % of the cases had a pre-diposing factor, and diabetes mellitus (37.50 %) was the most common.
Digital rectal palpation revealed fluctuation in 70.83 % of the cases.
Trans-abdominal ultrasonography missed the condition in 29.16 % of the cases.
On TRUS, all the study patients showed hypo-echoic zones, while nine others showed internal stations.
In most of the cases, the lesion was peripheral.
A causative pathogen could be identified in 70.83% of the cases.
Surgical drainage of the abscess by transurethral deroofing was performed in 17 cases (including one with failed aspiration), trans-perineal aspiration under TRUS guidance was performed in three cases and conservative therapy was followed in five cases.
Our data confirms the importance of predisposing factors in the pathogenesis of prostatic abscess.
In most of the cases, the clue to diagnosis is obtained by digital rectal palpation.
TRUS gives the definite diagnosis and also helps in follow-up of patients.
Transurethral deroofing is the ideal therapy where the abscess cavity is more than 1 cm, although in some selected cases, TRUS-guided aspiration or conservative therapy does have a role in treatment.
American Psychological Association (APA)
Tiwari, Punit& Pal, Dilip K.& Tripathi, Astha& Kumar, Suresh& Vijay, Mukesh& Sharma, Pramod…[et al.]. 2011. Prostatic abscess : diagnosis and management in the modern antibiotic era. Saudi Journal of Kidney Diseases and Transplantation،Vol. 22, no. 2, pp.298-301.
https://search.emarefa.net/detail/BIM-291451
Modern Language Association (MLA)
Tiwari, Punit…[et al.]. Prostatic abscess : diagnosis and management in the modern antibiotic era. Saudi Journal of Kidney Diseases and Transplantation Vol. 22, no. 2 (Apr. 2011), pp.298-301.
https://search.emarefa.net/detail/BIM-291451
American Medical Association (AMA)
Tiwari, Punit& Pal, Dilip K.& Tripathi, Astha& Kumar, Suresh& Vijay, Mukesh& Sharma, Pramod…[et al.]. Prostatic abscess : diagnosis and management in the modern antibiotic era. Saudi Journal of Kidney Diseases and Transplantation. 2011. Vol. 22, no. 2, pp.298-301.
https://search.emarefa.net/detail/BIM-291451
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 301
Record ID
BIM-291451