علاج خراج البروستاتا بتجويف >1 سم وامتداد خارج البروستاتا على التصوير

References

DOI: 10.1590/S1677-5538.IBJU.2016.0472

When managing prostatic abscess, size does matter; in one study, conservative treatment was successful if the abscess cavities were <1cm in diameter, while larger abscesses were better treated by single aspiration or continuous drainage.

Very rarely open surgical drainage might be required in patients with extraprostatic involvement.

This is in the form of transperineal incision and drainage in cases where the abscess has penetrated through the levator ani muscle.

Treatment consists of an array of measures including parenteral broad-spectrum antibiotic administration and abscess drainage.

There is a preference for minimally invasive procedures such as TRUS-guided aspiration or transperineal ultrasound guided aspiration.

These procedures are considered as the standard procedure for drainage of PA as they are easy to perform under local anaesthesia, have low morbidity and can be repeated in case of failure or incomplete drainage.

Success was defined as complete resolution of PA on subsequent US and complete resolution of PA after second TRUS guided aspiration respectively.

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