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Vessel-sparing Excision and Primary Anastomosis

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Simultaneous prostatic and right seminal vesicle abscesses: a case report.

Nader Gharbia¹, Yassine Ouanes², Kays Chaker²

¹Department of Urology, La Rabta Hospital, University of Tunis El Manar, Tunis, Tunisia. nadergharbia@hotmail.fr.

Journal of Medical Case Reports

|November 8, 2024

Summary

Synchronous prostatic and seminal vesicle abscesses are rare but serious. Percutaneous drainage of the prostate abscess effectively treats both, alongside antibiotic therapy.

Keywords:

Abscess Case report Prostate Seminal vesicle Sepsis

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Area of Science:

Urology
Infectious Diseases

Background:

Synchronous abscesses of the prostate and seminal vesicles are uncommon but significant purulent retentions.
These conditions present diagnostic and therapeutic challenges, carrying high risks of morbidity and sepsis.

Observation:

A 60-year-old male with diabetes mellitus presented with sepsis due to a large prostatic abscess and a right seminal vesicle abscess.
Computed tomography and magnetic resonance imaging confirmed the abscesses, with the seminal vesicle abscess attributed to ejaculatory duct compression.

Findings:

Percutaneous drainage of the prostatic abscess led to the resolution of the seminal vesicle abscess.
Prolonged antibiotic therapy was also administered, resulting in a favorable clinical outcome.

Implications:

Prostatic abscesses can cause synchronous seminal vesicle abscesses via ejaculatory duct compression.
Transrectal ultrasound-guided percutaneous drainage of the prostatic abscess, combined with extended antibiotic treatment, is an effective therapeutic strategy for both conditions.