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KMID : 1234520090040010067
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Korean Journal of Urogenital Tract Infection Inflammation
2009 Volume.4 No. 1 p.67 ~ p.71
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Clinical Characteristics of Prostatic Abscess Treated with Transurethral Resection or Incision and Drainage
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Jung Yun-Seok
Cho Yong-Hyun
Kang Sung-Hak
Han Chang-Hee
Lee Yong-Seok
Woo Jang-Chun
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Abstract
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Purpose: To evaluate the clinical presentations of prostatic abscess treated with transurethral resection or
incision and drainage.
Materials and Methods: We retrospectively assessed the charts of 5 patients with the diagnosis of prostatic
abscess and treated with transurethral resection or incision and drainage from January 2008 to March 2009. Factors analyzed included presenting features, predisposing factors, radiologic imaging, bacteriological profile, and treatment.
Results: The mean patients’ age was 58.8 years. Diabetes mellitus was the most common predisposing factor
(40%). Four patients presented lower urinary tract symptoms and fever, and three patients had chill. The mean size of prostatic abscess was 3.82cm and four patients had leukocytosis and pyuria. Abscess was drained by transurethral resection of prostate in three cases, and by transurethral incision and drainage in two cases. There were no postoperative complications with complete abscess resolution in all patients.
Conclusions: Transurethral resection or incision and drainage should be considered in a patient with large
prostatic abscess, which is not responsive to the appropriate antibiotic therapy.
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KEYWORD
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Prostatic abscess, Transurethral incision, Drainage
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