Abstract
Purpose. To present our experience of prostate abscess management by modified transurethral resection (TUR) technique. Methods. Seventeen men with prostate abscess undergoing TUR between 2003 and 2011 were retrospectively analyzed. Details of demography, surgical procedures, complications, and followup were noted. Results. With a mean age of 61.53 ± 8.58 years, all patients had multifocal abscess cavities. Initially, 6 men underwent classical TUR similar to the technique used for benign prostatic enlargement (group 1). Next, 11 men underwent modified TUR (group 2) in which bladder neck and anterior zone were not resected. The abscess cavities resolved completely, and no patient required a second intervention. One patient in group 1 and three in group 2 had postoperative fever requiring parenteral antibiotics (P = 0.916). Three patients in group 1 had transient urinary incontinence, whereas none of the patients in group 2 had this complication (P = 0.055). Four and five men in group 1 and 2 reported retrograde ejaculation, respectively (P = 0.740). Conclusion. The modified technique of prostate resection edges over conventional TURP in the form of reduced morbidity but maintains its high success rate for complete abscess drainage. It alleviates the need for secondary procedures, having an apparent advantage over limited drainage techniques. Use of this technique is emphasized in cases associated with BPH and lack of proper preoperative imaging.
Highlights
In the modern antibiotic era, prostatic abscess is a rarely encountered entity, in developed countries [1, 2]
transurethral resection of prostate (TURP) was done as a secondary procedure after failed transrectal ultrasound- (TRUS-)guided aspiration
The initial six men had undergone the classical transurethral resection of prostate similar to the technique performed for benign prostatic enlargement
Summary
In the modern antibiotic era, prostatic abscess is a rarely encountered entity, in developed countries [1, 2]. In developing countries it continues to be a significant health problem and can result in severe complications and even death on account of delayed diagnosis or inadequate management [3]. It requires some form of surgical intervention as a medical treatment as monotherapy is usually not sufficient [3]. A retrospective analysis of data of men with prostate abscess treated by transurethral resection was done to document the technique of the procedure and its complications
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