Ultrasound-Guided Transrectal Placement of a Drainage Tube as Therapeutic Management of Patients with Prostatic Abscess

Aravantinos, Evangelos; Kalogeras, Nikolaos; Zygoulakis, Nikolaos; Kakkas, Gregory; Anagnostou, Τ.; Melekos, Michael D.

doi:10.1089/end.2008.0265

Cited by 31 publications

(43 citation statements)

References 9 publications

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“…[16] TRUS-guided transrectal placement of a drainage tube is a feasible and safe treatment alternative for prostatic abscess; it is also easy to perform and well tolerated by the patients. [17] CT guided percutaneous drainage, along with appropriate antibiotics, is an effective approach to treat deep prostatic abscess as has been recently reported. [18] Gramnegative bacilli (chiefly E. coli) have caused about 60 to 80% of cases in recent studies.…”

Section: Discussionmentioning

confidence: 91%

Minimally-invasive management of prostatic abscess: The role of transrectal ultrasound

et al. 2009

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Context and Aim:Prostatic abscess is an unusual condition. The prevalence of prostatic abscess is about 0.5% of all prostatic diseases. The purpose of the study is to present and discuss the role of transrectal ultrasound (TRUS) in the management of prostatic abscess. Settings and Design: Retrospective study. Materials and Methods:We retrospectively reviewed the medical records of all eight patients diagnosed and treated for prostatic abscess in the last threeyears. TRUS was used for diagnosis in all cases. Four patients had TRUS guided aspiration for management of prostatic abscess. Data collected regarding etiology, clinical features, investigations and treatment was compared with the available literature. Results: The age of patients ranged from 18-65 yrs (mean 47.12 yrs). Out of the eight patients, six were diabetics. TRUS revealed one or more hypoechoic areas within the prostate in all the patients. Successful treatment of prostatic abscess with TRUS guided needle aspiration was done in all fourpatients in whom it was used. Mean hospitalization time was 9.4 days, and most frequent bacterial agent was S. aureus. Conclusions: TRUS is useful in diagnosis as well as in guidance for aspiration of such abscesses. TRUS guided needle aspiration is an effective method for treating prostatic abscess. Most of the patients are diabetics and usually grow Staphaureus. So an antibiotic with staphylococcal coverage should be used empirically. Abstract Minimally-invasive management of prostatic abscess:The role of transrectal ultrasound

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Section: Discussionmentioning

confidence: 91%

Minimally-invasive management of prostatic abscess: The role of transrectal ultrasound

et al. 2009

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“…Prostate abscesses present in patients with risk factors like prostate biopsy, other urinary track instrumentation or surgery, bladder voiding disturbances, intravenous drug abuse, diabetes, chronic renal failure, cirrhosis or other immunocompromised states 1–3. Prostate infections are most commonly caused by Gram-negative organisms associated with UTIs 4.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis requires a high index of suspicion. Even though fluctuation on digital rectal examination is considered the diagnostic sign, it has low sensitivity 2 3. In fact, rectal examination for fluctuation should be avoided to prevent bacteraemia 5 8.…”

Section: Discussionmentioning

confidence: 99%

Prostate abscess: MRSA spreading its influence into Gram-negative territory: case report and literature review

2013

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Prostate abscess is a rare complication of an ascending urinary tract infection (UTI). Its incidence has reduced secondary to routine and early use of antibiotics for treatment of UTIs. Prostate abscess has been reported in patients with uncontrolled diabetes, prolonged indwelling urinary catheters, prostate biopsy or other instrumentation of lower urinary tract. Prostate abscess is most commonly associated with Gram-negative bacteria.Staphylococcus aureusis rarely implicated and has been reported in patients with underlying risk factors like long-term or uncontrolled diabetes, intravenous drug abuse or bacteraemia. We present a rare case of prostate abscess due to methicillin resistantS aureuswithout obvious risk factors.

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“…Several authors recommend the insertion of drainage tubes (e.g. 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).…”

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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Ultrasound-Guided Transrectal Placement of a Drainage Tube as Therapeutic Management of Patients with Prostatic Abscess

Cited by 31 publications

References 9 publications

Minimally-invasive management of prostatic abscess: The role of transrectal ultrasound

Minimally-invasive management of prostatic abscess: The role of transrectal ultrasound

Prostate abscess: MRSA spreading its influence into Gram-negative territory: case report and literature review

Prostatic abscess: Case report and review of the literature

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