Diagnosis and therapeutic management of 18 patients with prostatic abscess

Ludwig, Martin; Schroeder‐Printzen, I.; Schiefer, Hans Gerd; Weidner, W.

doi:10.1016/s0090-4295(98)00503-2

Cited by 109 publications

(118 citation statements)

References 26 publications

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“…In phase II, 50% of patients were treated by transurethral drainage of abscess, 3 patients had TRUS guided aspiration where one required TUR drainage due to recurrent prostatic abscess. In very few cases, open surgical drainage may be indicated mainly in those patients with extraprostatic involvement (17). In this series two patients with spontaneous rupture in each phase required open surgical drainage.…”

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confidence: 79%

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Changing profile of prostatic abscess

et al. 2008

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Purpose:To compare the clinical presentation of prostatic abscess and treatment outcome in two different time frames with regards to etiologies, co-morbid factors and the impact of multidrug resistant organism. Materials and Methods: We retrospectively assessed the charts of 48 patients with the diagnosis of prostatic abscess from 1991 to 2005. The period was divided arbitrarily into two different time frames; phase I (1991)(1992)(1993)(1994)(1995)(1996)(1997) and phase II (1998II ( -2005. Factors analyzed included presenting features, predisposing factors, imaging, bacteriological and antibiotic Results:The mean patient age in phase I (n = 18) and phase II (n = 30) were 59.22 ± 11.02 yrs and 49.14 ± 15.67 respec-± 11.02 yrs and 49.14 ± 15.67 respec-11.02 yrs and 49.14 ± 15.67 respec-± 15.67 respec-15.67 respectively (p = 0.013). Diabetes mellitus was most common predisposing factor in both phases. Eleven patients in phase II had with pyrexia of unknown origin and had no lower urinary tract symptoms LUTS Two patients with HIV had tuberculous prostatic abscess along with cryptococcal abscess in one in phase II. Two patients had melioidotic prostatic abscess in third line in phase II. Conclusion:The incidence of prostatic abscess is increasing in younger patients without co-morbid factors. The bacterioof HIV infection with tuberculous prostatic abscess and other rare organism is also emerging.

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confidence: 79%

“…However, the prevalence of immunocompromised individuals has increased in the modern era (phase II), and the potential for uncommon fastidious pathogens, particularly mycobacterial, fungal and anaerobic pathogens, melioidosis, in addition to typical gram-negative bacilli, will make the diagnosis of prostatic abscess more complicated (14,16,17).…”

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confidence: 99%

Changing profile of prostatic abscess

et al. 2008

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“…It is already mentioned that E. coli and Enterobacteriacae are the most prevalent bacteria in prostatic abscess. Nevertheless, as the number of immunocompromised patients increase, atypical pathogens may be found, like mycobacteria, fungi, anaerobes and in case of haematogenous spread from distant foci, Staphylococcus aureus (7). Clinical manifestation of the disease includes dysuria, urgency and frequency in 96% of the cases, fever in 30% to 72% of the cases, perineal pain in 20% of the cases and urinary retention in 1/3 of the cases (1, 2, 4).…”

Section: Discussionmentioning

confidence: 99%

“…nephrostomy tubes) in the abscess cavity for achieving better drainage (10,12). When the abscess recurs or cannot be completely evacuated, transurethral unroofing is a more appropriate approach, leading to better drainage of the abscess cavity with early recovery of the patient (7,9). Although there is a theoretical danger of haematogenous spread of the pathogen during transurethral resection, the use of preoperative broad-spectrum antibiotics prevents the occurrence of septicemia.…”

Section: Figurementioning

confidence: 99%

Prostatic abscess: Case report and review of the literature

Porfyris

Kalomoiris

2013

Arch Ital Urol Androl

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We report a case of prostatic abscess in a 52 year old male with a history of diabetes mellitus. The abscess was treated successfully with surgical drainage by transurethral unroofing of the cavity of the abscess. The use of transrectal ultrasound is valuable in the diagnosis, treatment and follow up of the abscess, while drainage is usually necessary for the treatment, which can be done by transrectal, transperineal and transurethral route.

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“…There are increasing numbers of reports of MRSA associated prostatic abscesses (Flannery and Humphrey, 2012;Chao et al, 2009;Javeed et al, 2012;Krishna, 2009;Venyo, 2011). Predisposing factors include indwelling catheters, instrumentation of the lower urinary tract or an immunosuppressive state associated with diabetes mellitus, chronic renal failure, cirrhosis, malignancy, or acquired immunodeficiency syndrome (AIDS) (Ludwig et al, 1999). Here we present a case of prostatic abscess community acquired MRSA of unknown origin.…”

Section: Introductionmentioning

confidence: 97%

Methicillin resistant Staphylococcus aureus prostatic abscess in an American soldier

MacLennan¹,

Berry-CabÃ¡n²,

Goorley³

et al. 2014

Med. Case Stud.

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Prostatic abscess caused by methicillin resistant Staphylococcus aureus (MRSA) is rare with few previously reported cases. This appears to be the first identifiable report of a healthy, immunocompetent individual developing a community acquired prostatic abscess. A 35 year old male soldier presented to the emergency room complaining of chills, malaise, pelvic pain, tenesmus, dysuria and bloody urine. On admission, he was found to have a high grade fever, abdominal pain, and leukocytosis. He was started on vancomycin. Computed tomography (CT) scan of the abdomen and pelvis revealed fluid-filled sacs inside his prostate, consistent with abscesses. Subsequently, a transurethral prostatic resection was performed with an incision and drainage revealing a MRSA prostatic abscess. Repeat CT of the abdomen/pelvis after six weeks of treatment showed a decrease in the size and number of prostatic abscesses. MRSA prostatic abscesses have been documented in the medical literature primarily of immunocompromised individuals with diabetes mellitus, human immunodeficiency virus (HIV), or acquired immunodeficiency syndrome (AIDS), or preceded by MRSA pneumonia, and not of healthy people. The treatment strategy of a prostatic MRSA abscess is similar to that of skin MRSA abscess with incision and drainage of the abscess and three to six weeks of antibiotics, depending on patient tolerance.

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Diagnosis and therapeutic management of 18 patients with prostatic abscess

Cited by 109 publications

References 26 publications

Changing profile of prostatic abscess

Changing profile of prostatic abscess

Prostatic abscess: Case report and review of the literature

Methicillin resistant Staphylococcus aureus prostatic abscess in an American soldier

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