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Minimally invasive treatment of prostatic abscess - percutaneous transvesical drainage.

Zarzycki G, Bar K, Długosz M, Starownik R - Cent European J Urol (2012)

Bottom Line: We present an example of prostatic abscess drainage by percutaneous and transvesical means under the control of ultrasonography (USG).With a 9F single-stage drainage kit, the prostatic abscess was punctured through the abdominal skin and bladder in one step.We found this method to be straightforward for urology and safe for the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology Hospital in Ostrowiec Świętokrzyski, Poland.

ABSTRACT
We currently treat prostatic abscess with minimally invasive methods, most frequently with transurethral (TURP) or transrectal drainage under visual control with TRUS. We present an example of prostatic abscess drainage by percutaneous and transvesical means under the control of ultrasonography (USG). With a 9F single-stage drainage kit, the prostatic abscess was punctured through the abdominal skin and bladder in one step. We found this method to be straightforward for urology and safe for the patient.

No MeSH data available.


Related in: MedlinePlus

Sagital-section of prostatic abscess (TAUS).
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Figure 0002: Sagital-section of prostatic abscess (TAUS).

Mentions: The patient, aged 74 years, was admitted to the urology department with irritative symptoms of the lower urinary tract (LUTS), accompanying low-grade fever, and the suspicion of prostatic cysts. The suspicion of prostatic cysts was based on an ambulatory USG examination. The physical examination included a digital rectal examination (DRE), which revealed a large, firm, and painful prostate. Results of biochemical tests: urinalysis revealed pyuria, urine culture was sterile, and PSA level was at 3.63 ng/ml. The remaining biochemical parameters were normal. Transrectal ultrasound (TRUS) revealed a prostate volume of 72 ml and in the left lobe of the prostate, near its base and invaginated into the bladder, a cystic change was observed with a distinct cyst boasting a diameter of 47 mm and an echogenic core (Fig. 1). Transabdominal ultrasound (TAUS) revealed kidneys without neither stagnant urine, calculi, nor focal lesions in the pelvicalyceal system. However, the urinary bladder contained a hypo-echogenic focal lesion with a diameter of 49 x 49 mm invaginating to the bladder from the base of the prostate (Fig. 2).


Minimally invasive treatment of prostatic abscess - percutaneous transvesical drainage.

Zarzycki G, Bar K, Długosz M, Starownik R - Cent European J Urol (2012)

Sagital-section of prostatic abscess (TAUS).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921809&req=5

Figure 0002: Sagital-section of prostatic abscess (TAUS).
Mentions: The patient, aged 74 years, was admitted to the urology department with irritative symptoms of the lower urinary tract (LUTS), accompanying low-grade fever, and the suspicion of prostatic cysts. The suspicion of prostatic cysts was based on an ambulatory USG examination. The physical examination included a digital rectal examination (DRE), which revealed a large, firm, and painful prostate. Results of biochemical tests: urinalysis revealed pyuria, urine culture was sterile, and PSA level was at 3.63 ng/ml. The remaining biochemical parameters were normal. Transrectal ultrasound (TRUS) revealed a prostate volume of 72 ml and in the left lobe of the prostate, near its base and invaginated into the bladder, a cystic change was observed with a distinct cyst boasting a diameter of 47 mm and an echogenic core (Fig. 1). Transabdominal ultrasound (TAUS) revealed kidneys without neither stagnant urine, calculi, nor focal lesions in the pelvicalyceal system. However, the urinary bladder contained a hypo-echogenic focal lesion with a diameter of 49 x 49 mm invaginating to the bladder from the base of the prostate (Fig. 2).

Bottom Line: We present an example of prostatic abscess drainage by percutaneous and transvesical means under the control of ultrasonography (USG).With a 9F single-stage drainage kit, the prostatic abscess was punctured through the abdominal skin and bladder in one step.We found this method to be straightforward for urology and safe for the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology Hospital in Ostrowiec Świętokrzyski, Poland.

ABSTRACT
We currently treat prostatic abscess with minimally invasive methods, most frequently with transurethral (TURP) or transrectal drainage under visual control with TRUS. We present an example of prostatic abscess drainage by percutaneous and transvesical means under the control of ultrasonography (USG). With a 9F single-stage drainage kit, the prostatic abscess was punctured through the abdominal skin and bladder in one step. We found this method to be straightforward for urology and safe for the patient.

No MeSH data available.


Related in: MedlinePlus