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Related Experiment Videos

Prostatic abscess in the antibiotic era.

M Weinberger1, S Cytron, C Servadio

  • 1Department of Internal Medicine C, Beilinson Medical Center, Petah Tiqva, Israel.

Reviews of Infectious Diseases
|March 1, 1988
PubMed
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Prostatic abscess (PA) presentation has shifted from dramatic, gonococcal infections to subtle presentations often caused by gram-negative bacilli. Diagnosis and treatment have evolved, with imaging and aspiration showing promise.

Area of Science:

  • Urology
  • Infectious Diseases
  • Medical Microbiology

Background:

  • Prostatic abscess (PA) is a serious condition affecting the prostate gland.
  • Historically, PA presentations were dramatic and often linked to Neisseria gonorrhoeae.

Purpose of the Study:

  • To review the clinical and bacteriologic features of prostatic abscess over the last 40 years.
  • To understand the changing trends in PA presentation, causative organisms, and management.

Main Methods:

  • Retrospective review of 269 prostatic abscess cases.
  • Analysis of clinical presentations, bacteriologic findings, diagnostic methods, and therapeutic outcomes.

Main Results:

  • Current PA cases often present subtly, differing from prostatitis.

Related Experiment Videos

  • Escherichia coli and gram-negative bacilli are the most common pathogens; Staphylococcus species are noted in neonates.
  • Prostatic enlargement (75%) is common, while fever and urinary retention occur in only one-third of cases.
  • Transrectal ultrasonography and CT are valuable for diagnosis.
  • Transurethral resection is common, but ultrasound-guided transperineal aspiration shows promise.
  • Conclusions:

    • Prostatic abscess diagnosis can be challenging due to evolving clinical presentations.
    • Modern management benefits from advanced imaging and minimally invasive techniques like aspiration.