Prostatic abscess: diagnosis and treatment of an infrequent urological entity
Arch Esp Urol. 2011 Jan-Feb;64(1):62-6.
[Article in
English,
Spanish]
Affiliation
- 1 Urology Department, Hospital Fundación Jiménez Díaz, Madrid, Spain. fernandosn@yahoo.com
Abstract
Objective:
To report two cases of prostatic abscess of difficult management and review the literature on diagnosis and management of this entity. METHODS /RESULTS: We describe two patients with prostatic abscess. The first one, a 73-year-old diabetic male, was treated using a more passive approach with percutaneous transrectal drainage; after a slow response, the patient passed away due to sepsis. The second case was a 59-year-old male who experienced a negative clinical response to antibiotic treatment. While under antibiotic ambulatory care the patient was treated with a transurethral resection of the prostate, which yielded a successful outcome.
Conclusion:
Prostatic abscess is a rare entity that affects individuals experiencing weakness and can be a serious condition. Measures taken to arrive at a resolution must be rapid and appropriate.
MeSH terms
-
Abscess / diagnosis*
-
Abscess / drug therapy
-
Abscess / therapy*
-
Aged
-
Anti-Bacterial Agents / adverse effects
-
Anti-Bacterial Agents / therapeutic use
-
Diabetes Mellitus, Type 2 / complications
-
Drainage
-
Fatal Outcome
-
Gentamicins / adverse effects
-
Gentamicins / therapeutic use
-
Hepatitis B, Chronic / complications
-
Humans
-
Male
-
Metronidazole / adverse effects
-
Metronidazole / therapeutic use
-
Middle Aged
-
Ofloxacin / adverse effects
-
Ofloxacin / therapeutic use
-
Prostatic Diseases / diagnosis*
-
Prostatic Diseases / drug therapy
-
Prostatic Diseases / therapy*
-
Renal Insufficiency, Chronic / complications
-
Sepsis / etiology
-
Tomography, X-Ray Computed
-
Transurethral Resection of Prostate
Substances
-
Anti-Bacterial Agents
-
Gentamicins
-
Metronidazole
-
Ofloxacin