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Transurethral resection of prostatic abscess under sonographic guidance
T J Kinahan1, S L Goldenberg, S A Ajzen
1Department of Surgery (Urology), St. Paul's Hospital, University of British Columbia, Vancouver, Canada.
Urology
|May 1, 1991
Summary
Transrectal ultrasound aids prostatic abscess diagnosis. Pathological examination confirmed successful treatment after endoscopic resection guided by ultrasound.
Area of Science:
- Urology
- Medical Imaging
- Surgical Procedures
Background:
- Prostatic abscess diagnosis can be challenging in ambiguous clinical situations.
- Transrectal ultrasound (TRUS) is a valuable tool for diagnosing prostatic abscess.
- Transurethral resection (deroofing) is a common treatment, but confirming complete abscess obliteration intraoperatively can be difficult.
Observation:
- A patient with a complex prostatic abscess underwent endoscopic resection.
- The procedure was guided by transrectal ultrasound (TRUS).
Findings:
- Transrectal ultrasound (TRUS) effectively guided the endoscopic resection of a complex prostatic abscess.
- Pathological examination confirmed the complete obliteration of the abscess, validating the treatment's adequacy.
Implications:
- This case highlights the utility of TRUS guidance in managing complex prostatic abscesses.
- Combining TRUS guidance with pathological confirmation offers a reliable approach to ensure treatment success.
- This method may improve outcomes for patients with prostatic abscesses.