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Prostatic abscess: imaging with transrectal ultrasound. Case report
Scandinavian Journal of Urology and Nephrology
|January 1, 1989
Summary
A 50-year-old man recovered after treatment for a prostatic abscess. Transrectal ultrasonography rapidly diagnosed the abscess, guiding effective treatment with aspiration and antibiotics.
Area of Science:
- Urology
- Medical Imaging
Background:
- Prostatic abscesses can present with acute urinary retention and urosepsis.
- Accurate and timely diagnosis is crucial for effective management.
Observation:
- A 50-year-old male presented with symptoms of acute urinary retention and urosepsis.
- Transrectal ultrasonography revealed a hypoechoic area within the prostate, indicative of an abscess.
Findings:
- Transperineal ultrasound-guided aspiration of the prostatic abscess successfully drained the pus.
- Combined treatment with urinary catheterization and systemic antibiotics resulted in an uneventful recovery.
Implications:
- Transrectal ultrasonography is a valuable tool for differentiating prostatic abscess from prostatitis.
- This case highlights the efficacy of minimally invasive ultrasound-guided aspiration in managing prostatic abscesses.