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Prostatic abscess after transrectal ultrasound-guided prostate biopsy. Case report

L Dell'atti

    Il Giornale Di Chirurgia
    |March 18, 2014
    PubMed

    Insights

    Prostatic abscess (PA) is a rare complication following transrectal ultrasonography-guided prostate biopsy. Early diagnosis via digital rectal exam and TRUS, followed by aspiration, led to complete resolution and symptom relief.

    Area of Science:

    • Urology
    • Radiology

    Background:

    • Prostatic abscess (PA) is an uncommon but potentially severe complication after transrectal ultrasonography-guided prostate biopsy.
    • This case report details a 68-year-old male patient presenting with non-specific urinary symptoms and fever.

    Observation:

    • Physical examination and transrectal ultrasonography (TRUS) were crucial for diagnosis.
    • TRUS revealed a hypoechoic area with heterogeneous material, characterized by hypovascularity and surrounding parenchymal flow on Doppler imaging.

    Findings:

    • The identified pathogen was Escherichia coli.
    • TRUS-guided aspiration successfully drained the abscess.
    • Follow-up TRUS demonstrated complete resolution of the prostatic abscess within one month.

    Implications:

    • Transrectal ultrasonography-guided aspiration is an effective treatment for prostatic abscess.
    • Prompt diagnosis and intervention can lead to complete recovery and resolution of lower urinary tract symptoms.

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