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Purkait B, Kumar M, Sokhal AK, et al. Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years' experience from a tertiary care hospital. Arab J Urol. 2017;15(3):254-259doi: 10.1016/j.aju.2017.05.001.
Purkait, B., Kumar, M., Sokhal, A. K., Bansal, A., Sankhwar, S. N., & Bhaskar, V. (2017). Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years' experience from a tertiary care hospital. Arab journal of urology, 15(3), 254-259. https://doi.org/10.1016/j.aju.2017.05.001
Purkait, Bimalesh, et al. "Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years' experience from a tertiary care hospital." Arab journal of urology vol. 15,3 (2017): 254-259. doi: https://doi.org/10.1016/j.aju.2017.05.001
Purkait B, Kumar M, Sokhal AK, Bansal A, Sankhwar SN, Bhaskar V. Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years' experience from a tertiary care hospital. Arab J Urol. 2017 Jun 16;15(3):254-259. doi: 10.1016/j.aju.2017.05.001. eCollection 2017 Sep. PMID: 29071161; PMCID: PMC5651940.
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Arab J Urol. 2017 Jun 16;15(3):254-259. doi: 10.1016/j.aju.2017.05.001. eCollection 2017 Sep.

Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years' experience from a tertiary care hospital.

Arab journal of urology

Bimalesh Purkait, Manoj Kumar, Ashok Kumar Sokhal, Ankur Bansal, Satya Narayan Sankhwar, Ved Bhaskar

Affiliations

  1. Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

PMID: 29071161 PMCID: PMC5651940 DOI: 10.1016/j.aju.2017.05.001

Abstract

OBJECTIVE: To compare the effectiveness and safety of two minimally invasive methods (transrectal aspiration vs transurethral resection (TUR)/deroofing) of treating prostatic abscess.

PATIENTS AND METHODS: A retrospective study was conducted, from 2007 to 2016, of patients with prostatic abscesses not responding to antibiotics and/or with large (>2 cm) or multiple abscesses. Patients were divided into two groups depending on treatment received: Group A, transrectal aspiration; and Group B, TUR/deroofing of abscess.

RESULTS: The most common clinical presentation was dysuria (81.8%), followed by urinary frequency (68.2%), and fever (36.4%). Acute urinary retention occurred in seven patients. The most common infective organism in both groups was

CONCLUSION: TUR of prostatic abscess is more effective (96%) than transrectal aspiration with a lesser hospital stay. However, transrectal aspiration was successful in 89% of cases, is less invasive and can be performed under local anaesthesia and or sedation.

Keywords: CKD, chronic kidney disease; Prostatic abscess; TUR, transurethral resection; Transrectal aspiration; Transurethral deroofing; Transurethral resection

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