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Case Reports
. 2017;70(1):118-122.
doi: 10.5173/ceju.2016.934. Epub 2017 Jan 25.

Prostatic abscesses. A case report and review of the literature on current treatment approaches

Mariam Choudhry  1 , Gianluca Pellino  1 , Constantinos Simillis  1 , Shengyang Qiu  1 , Christos Kontovounisios  1   2
Affiliations
Case Reports

Prostatic abscesses. A case report and review of the literature on current treatment approaches

Mariam Choudhry et al. Cent European J Urol. 2017.

Abstract

Prostatic abscess (PA) is a rare clinical entity due to a variety of causative organisms including gram-negative bacilli, anaerobic and fungal agents. We report on a 55-year-old, HIV+ patient presenting with a 2-week history of urethral discharge and a large PA. He was successfully treated with a combination of radiological-guided transperineal drainage plus antibiotics. Treatment decisions in patients with PA are multifactorial and should be made with all diagnostic information available from the most current modes of medical imaging. In the case of PA several factors should be assessed, including size of the prostate, size, location and frequency of abscesses, previous pelvic surgery, relevant co-morbidities and risk factors, and patient preference.

Keywords: HIV; US-guided drainage; antibiotic treatment; prostatic abscess.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Large prostatic collection approximately 5.6 cm in greatest craniocaudal length and approximately 5.6 cm in greatest axial diameter.
Figure 2
Figure 2
Interval increase in size of the large prostatic abscess which now is extending posteriorly around the anus tracking inferiorly to the perineum.
Figure 3
Figure 3
Marked improvement in appearances. Small residual inflammatory/infective changes are seen.
Figure 4
Figure 4
Suggested management. Patient input and surgeons’ preferences are crucial because no agreed guidelines exists.
See this image and copyright information in PMC

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