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Alcoholization as an Alternative Treatment for Prostatic Cyst and Abscess in Dogs.

Giulia Ballotta1, Giuseppe Spinella1, Marco Cunto1

  • 1Department of Veterinary Medical Sciences, University of Bologna, 40064 Bologna, Italy.

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|June 26, 2025
PubMed
Summary
This summary is machine-generated.

Ultrasound-guided percutaneous drainage with alcoholization offers an effective, minimally invasive treatment for canine prostatic abscesses and cysts. This approach demonstrates high resolution rates and fewer complications compared to traditional surgical methods.

Keywords:
alcohol sclerotherapyalcoholizationdogethanolpercutaneous ethanol injection (PEI)prostateprostatic abscessprostatic cyst

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Area of Science:

  • Veterinary Medicine
  • Minimally Invasive Procedures
  • Canine Urology

Background:

  • Traditional surgical interventions for canine prostatic cysts and abscesses include reduction and omentalization.
  • These surgical methods can be invasive and associated with potential complications.

Purpose of the Study:

  • To evaluate the efficacy and safety of ultrasound-guided percutaneous drainage combined with alcoholization for treating prostatic cysts and abscesses in dogs.
  • To compare this minimally invasive technique with traditional surgical approaches.

Main Methods:

  • A retrospective study involving 43 male dogs with prostatic cavities (1-6 cm).
  • Dogs were divided into groups for prostatic abscesses (alcoholization) and benign prostatic hyperplasia-associated cysts (finasteride, alcoholization, or combined therapy).
  • Alcoholization involved sedation, drainage, and two ethanol instillations; ultrasound monitoring was conducted up to 150 days.

Main Results:

  • Prostatic abscesses treated with alcoholization showed 76.19% resolution within 30 days and complete resolution in all dogs by 150 days.
  • For cysts, the combined finasteride and alcoholization treatment resulted in significant diameter reduction within 30 days and 62.5% complete resolution by 150 days.
  • The ultrasound-guided percutaneous drainage with alcoholization technique exhibited a low complication rate.

Conclusions:

  • Ultrasound-guided percutaneous drainage combined with alcoholization is an effective and safe minimally invasive treatment for selected canine prostatic lesions.
  • This technique presents a viable alternative to surgery for prostatic abscesses and cysts in dogs, offering reduced invasiveness and complications.