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Updated: Jan 26, 2026
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[FOUR CASES OF THE PROSTATIC ABSCESS IN WHICH DRAINAGE WAS EFFECTIVE]
Akiou Okumura1, Akihiro Morii1, Hiroshi Kitamura2
1Department of Urology, Kurobe City Hospital.
Summary
Drainage effectively treated prostatic abscesses in four patients, even when antibiotics failed. Minimally invasive aspiration was used in one case to preserve sexual function.
Area of Science:
- Urology
- Infectious Diseases
Background:
- Prostatic abscesses are rare but serious infections.
- Effective treatment is crucial, especially in patients with comorbidities or post-procedural complications.
Observation:
- Four patients with prostatic abscesses were treated.
- Antimicrobial therapy was ineffective in all cases.
- Patients had varied risk factors including diabetes mellitus, post-biopsy, and spinal cord injury.
Findings:
- Surgical drainage was effective in resolving prostatic abscesses in all four patients.
- Extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli was identified in two patients.
- Transurethral resection of the prostate (TURP) was performed on three patients, with one experiencing ejaculatory incompetence.
- Ultrasound-guided transperineal needle aspiration successfully treated one patient, avoiding sexual dysfunction.
Implications:
- Drainage is a critical intervention for prostatic abscesses, often succeeding where antibiotics fail.
- Minimally invasive techniques like ultrasound-guided aspiration may be preferable to preserve ejaculatory function.
- Understanding patient comorbidities and procedural history is vital for effective management.
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