Related Experiment Videos
Ultrasound-guided needle aspiration in prostatic abscess
A Collado1, J Palou, J García-Penit
1Department of Urology, Fundació Puigvert, Uiniversidad Autonoma de Barcelona, Spain.
Urology
|March 30, 1999
Summary
Ultrasound-guided needle aspiration is an effective treatment for prostatic abscess, with a high success rate. This minimally invasive procedure offers a safe and efficient option for managing this condition.
Area of Science:
- Urology
- Medical Imaging
Background:
- Prostatic abscess is a serious condition requiring accurate diagnosis and effective treatment.
- Clinical presentation can be subtle, necessitating a high index of suspicion.
Purpose of the Study:
- To review the clinical presentation of prostatic abscess.
- To assess ultrasound-guided needle aspiration as a treatment option.
Main Methods:
- Retrospective review of 31 patients diagnosed with prostatic abscess between 1984 and 1997.
- Utilized prostate ultrasound (hypogastric or transrectal) for diagnosis.
- Initial treatments included ultrasound-guided needle aspiration, transurethral resection of the prostate (TURP), or conservative management.
Main Results:
- Ultrasound-guided needle aspiration successfully resolved 83.3% of cases, with some requiring a second procedure.
- Transurethral resection of the prostate (TURP) was used for drainage in three patients and for obstruction in two.
- Common pre-existing conditions included urinary infection and bladder outlet obstruction.
Conclusions:
- Transrectal ultrasound is crucial for diagnosing prostatic abscess.
- Ultrasound-guided needle aspiration is a simple, effective, and low-morbidity therapeutic procedure.
- Repeat aspiration or TURP can be considered for treatment failures.