Prostatic abscess: Case report and review of the literature

Abstract

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.

Imaging Spectrum of Severe Urinary Tract Infection Complications Presenting as a Seminal Vesicle Abscess, Prostatic Abscess, and Renal Abscess in Uncontrolled Diabetes Mellitus: A Case Report

“…A seminal vesicle abscess is best imaged on contrast-enhanced CT, showing an enlarged seminal vesicle associated with hypodense areas within, fat stranding in adjacent areas, and occasionally a thickened urinary bladder wall [8,9]. On MRI, inflammation of the seminal vesicle is seen as a hypointense lesion on T1-weighted images and hyperintensity on T2-weighted images.…”

Prostate Abscess Caused by Community-Acquired Methicillin-Resistant Staphylococcus aureus

“… 1 , 2 It has a wide spectrum of clinical presentation that overlaps with other urinary tract infections, which makes the diagnosis difficult. 4 It can result in significant morbidity and even mortality, and thus requires prompt diagnosis and treatment. 9 In the pre-antibiotic era, Neisseria gonorrhea was the most common cause of prostate abscess 10 ; now E coli and other gram-negative bacteria are responsible for the majority of the cases.…”

“…3 Most cases present with nonspecific signs and symptoms, which makes an early diagnosis challenging. 4 It is most commonly caused by Escherichia coli and other gram-negative bacteria. Staphylococcus aureus has been increasingly isolated as the causative bacteria, especially methicillin-resistant strains, in patients with diabetes and urinary tract abnormalities.…”

Primary Seminal Vesicle Abscess: A Diagnostic Dilemma— A Review of Current Literature

“…Via transperineal or transrectal approach, puncture and drainage of abscess with minimum morbidity is possible under US guidance. 10,11 The first to report the role of TRUS in the diagnosis of SVA was by Lee et al 12 Realtime imaging showing the extent of the abscess cavity, the image capability into the longitudinal and axial planes, and ability to perform an ultrasound-guided puncture of the lesion for diagnostic and therapeutic purpose are advantages of TRUS over CT and MRI in the diagnosis of SVA.…”