Diagnosis and treatment of prostatic abscess
| Autor: | Juarez A. Andrade, Helder C. Porto, Paulo Roberto Rios de Oliveira, Antônio F. J. Vinhaes, José E. Pereira Filho |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
prostate diagnosis medicine.drug_class business.industry Urology Medical record Antibiotics abscess Context (language use) lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 medicine.disease infection Surgery medicine.anatomical_structure Prostate Diabetes mellitus Concomitant therapeutics medicine Abscess Microabscess business |
| Zdroj: | International braz j urol v.29 n.1 2003 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International braz j urol, Volume: 29, Issue: 1, Pages: 30-34, Published: FEB 2003 International Brazilian Journal of Urology, Vol 29, Iss 1, Pp 30-34 (2003) |
| ISSN: | 1677-5538 |
| DOI: | 10.1590/s1677-55382003000100006 |
| Popis: | Objectives: Present and discuss the pathogenesis, diagnostic methods and treatment of theprostatic abscess.Materials and methods: We have retrospectively studied the medical records of 9 patientsdiagnosed and treated for prostatic abscess, between March 1998 and December 2000, assessing age,context, associated diseases, and diagnostic and therapeutic methods. We have compared the datafound with those described in literature, based on Medline data.Results: Mean age was 52.6 years. Three patients had previous diabetes mellitus diagnosis,and one was infected by HIV virus. Transrectal ultrasound of the prostate confirmed the diagnosis ofprostatic abscess in all 7 cases in which it was performed. All cases received antibiotic treatment, and77.8% needed concomitant surgical treatment. Two cases of microabscess were treated only withantibiotics. Four patients were submitted to perineal catheter drainage, 2 were submitted to transure-thral resection of the prostate (TURP), and one patient required both procedures. Mean hospitaliza-tion time was 11.2 days, and most frequent bacterial agent was S. aureus . All patients were dischargedfrom the hospital, and there was no death in this series.Conclusions: Prostatic abscess should be treated with broad-spectrum antibiotics and surgi-cal drainage (perineal puncture or TURP). Microabscess may heal without surgery.Key words: prostate; infection; abscess; diagnosis; therapeuticsInt Braz J Urol. 2003; 29: 30-4 |
| Databáze: | OpenAIRE |
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