Transurethral Drainage Of Prostatic Abscess/Case Study

Abstract

Background:The incidence of prostatic abscesses is approximately 0.5% in comparison to all prostate disorders, and this condition typically affects those with immunosuppression or diabetes.Case Report: Here, we present the case of a 51-year-old, non-diabetic, nonalcoholic male patient who developed a large prostate abscess. Initially, the patient presented to the emergency department with major complaints of constant urine, fever, and right loin pain over the past three days. Urine culture and abscess culture testing revealed no presence of microbes. Ultrasound findings revealed a very large prostate of 55mL with a poorly defined left paramedian collection, like an inhomogeneous hypoechoic area.The ultrasound examination findings of the kidney, ureter, and bladder were all found to be normal. Later, a urethrocystoscopy revealed a normal urethra but an enlarged prostate with several abscesses in both the left and right lobes. During this procedure, a resection, abscess drainage, and cavity cleaning were performed.The majority of the left lobe and parts of the right lobe were excised. Additionally, there was evidence of severe active granulomatous prostatitis with foci of suppurative necrosis, although no malignancy was detected. For this purpose, the patient underwent TURP (transurethral resection of the prostate) surgery. After surgery, an ultrasound examination was performed. The findings revealed normal results, and the prostate's volume was decreased to 8.8 mL. This case was a unique presentation as no evidence of microbe was found in it. Conclusion:This case report suggests that transurethral drainage is the most effective treatment approach to prostate abscesses. This method should be taken into account for large and multiloculated abscesses.