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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
PubMed
Summary

Emphysematous prostatitis is a rare condition. Plain X-rays can suggest the diagnosis, but transrectal ultrasound is key for confirmation and percutaneous drainage.

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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.

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  • 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.