Prostatic Abscess: Management in a non-urological centre a series of 5 cases

Abstract

Aim and Objective-Prostatic abscess is a rare clinicalentity. It results from focal accumulation of pus within
theprostate gland. The widespread use of antibiotics hasmarkedly reduced the incidence of this disease. Early
diagnosis is challenging due to wide range of signs andsymptoms. Diagnosis depends on high index of clinical
suspicion with laboratory evidence of sepsis followed byradiological confirmation with Trans rectal USG
andComputed tomography. Due to lack of available guidelinesin the management of this potentially lifethreateningcondition and rarity of this condition, main aim of thisseries is to present our clinical experience.
Material and Method- This study was conducted in thedepartment of surgery at a tertiary care centre from
May2019 to May 2021. A total of 5 cases diagnosed as a case ofprostatic abscess were reviewed retrospectively.
InMaharishi Markandeshwar Medical college and
hospital.The symptomatology of the patients was painlower abdomen, high grade fever with chills & rigors
anddysuria.
Conclusion- The first step in the management of PA is toassess the patients for conditions that can lead to
increasedrisk of infection. Control of comorbidities is of paramountimportance. High index of suspicion is
needed in patients with fever and symptoms of lower urinary tract despite onantimicrobials, specifically in
diabetics. Once PA is diagnosed, TRUS is useful in both treatment and follow up.