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Deep pelvic abscesses: transperineal US-guided drainage
D C Sperling1, L Needleman, D J Eschelman
1Department of Radiology, Thomas Jefferson University Hospital, Jefferson Medical College, Philadelphia, PA 19107, USA.
Radiology
|July 1, 1998
Summary
Transperineal ultrasound-guided drainage effectively treats deep pelvic abscesses, offering a safe alternative for patients unsuitable for other methods. This minimally invasive approach achieved high success rates with no major complications.
Area of Science:
- Medical Imaging
- Interventional Radiology
- Surgical Procedures
Background:
- Deep pelvic abscesses pose treatment challenges, particularly in patients with prior abdominoperineal resection or radiation therapy.
- Conventional drainage routes (transabdominal, transvaginal, transrectal) may be difficult or contraindicated in certain patient populations.
Purpose of the Study:
- To evaluate the efficacy and safety of transperineal sonographically guided drainage for deep pelvic abscesses.
- To assess the feasibility of this approach in patients with complex pelvic anatomy or previous pelvic surgeries.
Main Methods:
- Twelve drainage procedures were performed in 11 adult patients using ultrasound (US) guidance for initial access.
- Catheters were placed for drainage in 11 procedures, with one patient treated by aspiration alone.
- Patient follow-up included clinical assessment and imaging to monitor treatment success.
Main Results:
- Transperineal needle placement was successful in all 12 patients (100%).
- Catheter placement via the transperineal route was successful in 91% of cases.
- Clinical success was achieved in 90% of patients undergoing transperineal drainage, with no reported complications.
Conclusions:
- Ultrasound-guided transperineal abscess drainage is a safe and effective minimally invasive option.
- This technique provides a viable alternative for patients with deep pelvic abscesses who cannot undergo conventional drainage methods.