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Related Experiment Videos

Prostatic abscess: diagnosis and treatment

L Barozzi1, P Pavlica, I Menchi

  • 1Department of Radiology, Hospital M. Malpighi, Bologna, Italy.

AJR. American Journal of Roentgenology
|March 10, 1998
PubMed
Summary
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Transrectal sonography effectively diagnoses prostatic abscesses, a rare condition often seen in diabetic or immunosuppressed individuals. Percutaneous drainage offers a low-risk, effective treatment, leading to complete resolution in patients.

Area of Science:

  • Urology
  • Infectious Diseases

Background:

  • Prostatic abscesses are uncommon due to early antibiotic use for prostatitis.
  • Diabetic and immunosuppressed patients are primarily affected.
  • Escherichia coli and Staphylococcus are common pathogens; gonococcus is rare.

Purpose of the Study:

  • To report outcomes of eight men with prostatic abscess.
  • To evaluate the diagnostic accuracy of transrectal sonography.
  • To assess the efficacy of sonographically guided percutaneous drainage.

Main Methods:

  • Diagnosis confirmed by transrectal sonography.
  • Five patients underwent sonographically guided percutaneous drainage.
  • Clinical suspicion was low in most cases.

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Main Results:

  • Transrectal sonography confirmed the diagnosis in all cases.
  • All eight patients achieved complete abscess resolution.
  • Percutaneous drainage was successfully employed in five patients.

Conclusions:

  • Transrectal sonography is the most reliable diagnostic imaging modality for prostatic abscess.
  • Percutaneous drainage (transperineal or transrectal) is the preferred initial therapy due to lower complication risks compared to surgery.