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prostatic abscess
Etiology:
- acute prostatitis
- benign prostatic hyperplasia
- prostate biopsy [1]
- bacteria
- MRSA
- extended-spectrum beta-lactamase-producing enterobacteriaceae [1]
* immunodeficiency is a risk factor
Laboratory:
- urinalysis - pyuria
- complete blood count (CBC) - leukocytosis
Radiology:
- transrectal ultrasonography
- deterioration after initiation of antibiotic therapy for acute prostatitis [1]
- magnetic resonance imaging is the preferred confirmatory imaging modality
Management:
- empiric therapy with 3rd-generation cephalosporin, aztreonam or antibiotic combinations
- 80% of patients require early surgical drainage
- transurethral approach frequently used
General
abscess
prostatic disease
References
- Ackerman AL, Parameshwar PS, Anger JT.
Diagnosis and treatment of patients with prostatic abscess in the
post-antibiotic era.
Int J Urol. 2018 Feb;25(2):103-110.
PMID: 28944509 Review