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Prostatic abscess after transrectal ultrasound guided biopsy
O E Sohlberg1, M Chetner, N Ploch
1Department of Urology, University of Washington, Seattle.
The Journal of Urology
|August 1, 1991
Summary
Diabetic men undergoing prostate biopsy face risks of bilateral prostatic abscesses. Early diagnosis via transrectal ultrasound and standard treatment are crucial for managing this complication.
Area of Science:
- Urology
- Infectious Diseases
- Medical Imaging
Background:
- Transrectal ultrasound-guided prostate biopsy is a common procedure for diagnosing prostate cancer.
- Prostatic abscesses are rare but serious complications that can arise post-biopsy.
- Diabetes mellitus is a known risk factor for infections and may increase susceptibility.
Observation:
- A case of bilateral prostatic abscesses is presented in a diabetic patient following ultrasound-guided prostate biopsy.
- Initial presentation of prostatic abscesses can be non-specific, delaying diagnosis.
- Transrectal ultrasound proved valuable in identifying the abscesses.
Findings:
- The patient developed bilateral prostatic abscesses after the procedure.
- Standard treatment involving drainage and parenteral antimicrobial therapy was effective.
- Consistent antimicrobial prophylaxis is recommended to mitigate biopsy-related infections.
Implications:
- The incidence of prostatic abscesses is expected to rise with increased utilization of transrectal ultrasound-guided biopsies.
- Healthcare providers should maintain a high index of suspicion for prostatic abscesses in patients with relevant risk factors and recent procedures.
- Adherence to antimicrobial prophylaxis protocols and prompt diagnostic imaging are essential for optimal patient outcomes.