Emphysematous Prostatic Abscess: Diagnosis and Treatment

Mariani, Albert J.
Jacobs, Lee D.
Clapp, Peter R.
Hariharan, Anandom
Stams, Ulrich K.
Hodges, Clarence V.

From the Departments of Urology, Infectious Disease and Radiology, Kaiser Permanente Medical Center and University of Hawaii John A. Burns School of Medicine, Honolulu, Hawaii

Accepted May 28, 1982.

Read at annual meeting of Western Section, American Urological Association, Coronado, California, February 21–25, 1982.

Journal of Urology 129(2):p 385-386, February 1983. | DOI: 10.1016/S0022-5347(17)52112-6

ABSTRACT

We report an unusual case of an emphysematous prostatic abscess. Prostatic abscess is a difficult clinical diagnosis associated with lower urinary tract symptomatology and frequently diabetes mellitus. Computerized axial tomography and transrectal or transurethral ultrasonography can assist in making a specific diagnosis. Definitive treatment is complete surgical drainage, which is achieved by transurethral resection of the prostate. Wide spectrum, adjuvant antibiotic therapy should be given to assure coverage of anaerobic bacteria.