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[Prostatic abscesses: percutaneous treatment].

J Vesa Llanes1, C Lladó Carbonell, O Arango Toro

  • 1Servicio de Urología, Hospital Universitario del Mar, Universidad Autónoma de Barcelona, España.

Archivos Espanoles De Urologia
|January 1, 1991
PubMed
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This study reports three prostatic abscess cases treated with percutaneous transperineal debridement and povidone-iodine lavage, achieving complete resolution. Pathogen analysis revealed E. coli in diabetic patients and Staph. aureus in an HIV-positive individual.

Area of Science:

  • Urology
  • Infectious Diseases
  • Medical Imaging

Background:

  • Prostatic abscess is a serious condition requiring effective treatment.
  • Understanding the evolving microbial flora in at-risk populations is crucial.

Purpose of the Study:

  • To report three cases of prostatic abscess.
  • To discuss current treatment modalities and observed pathogenic flora.
  • To evaluate a minimally invasive treatment approach.

Main Methods:

  • Percutaneous transperineal debridement of purulent collections.
  • Indwelling silicone catheter placement for povidone-iodine lavage.
  • Ultrasound for post-operative monitoring and resolution assessment.

Main Results:

Related Experiment Videos

  • Complete abscess resolution within one week in all three cases.
  • E. coli identified in two diabetic patients.
  • Staphylococcus aureus isolated in an HIV-positive intravenous drug user with coexisting renal abscess.

Conclusions:

  • Percutaneous transperineal debridement with catheter lavage is an effective treatment for prostatic abscess.
  • Treatment led to rapid resolution, confirmed by ultrasound.
  • Pathogenic flora varies in at-risk groups, including E. coli and Staph. aureus.