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[Emphysematous prostatitis, apropos of a case]
F Monreal García de Vicuña1, J Segarra Tomás, F Millán Rodríguez
1IUNA, Fundación Puigvert, Barcelona, España.
Archivos Espanoles De Urologia
|May 15, 1998
Summary
Emphysematous prostatitis is a rare condition. Plain X-rays can suggest the diagnosis, but transrectal ultrasound is key for confirmation and percutaneous drainage.
Area of Science:
- Urology
- Radiology
Background:
- Emphysematous prostatitis is a rare, potentially life-threatening condition.
- Characterized by gas formation within the prostate gland.
Purpose of the Study:
- To present a case of emphysematous prostatitis in a 70-year-old male.
- To review diagnostic and therapeutic strategies for this rare condition.
Main Methods:
- Diagnosis initiated with plain pelvic X-ray showing gas in the prostatic region.
- Confirmed with transrectal ultrasound (TRUS).
- Percutaneous drainage facilitated by TRUS.
Main Results:
- Plain X-ray provided initial diagnostic clues.
- Transrectal ultrasound confirmed emphysematous prostatitis.
- Percutaneous drainage was successfully performed.
Conclusions:
- Plain pelvic X-ray is a simple, cost-effective tool for initial diagnosis of suspected prostatic abscess.
- Transrectal ultrasound is the preferred diagnostic modality.
- Transrectal ultrasound enables effective percutaneous drainage and guides antibiotic therapy.