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Transurethral Resection of Prostate Abscess: Is It Different from Conventional Transurethral Resection for Benign Prostatic Hyperplasia?  [PDF]
Neeraj Kumar Goyal,Apul Goel,Satyanarayan Sankhwar,Divakar Dalela
ISRN Urology , 2013, DOI: 10.1155/2013/109505
Abstract: Purpose. To present our experience of prostate abscess management by modified transurethral resection (TUR) technique. Methods. Seventeen men with prostate abscess undergoing TUR between 2003 and 2011 were retrospectively analyzed. Details of demography, surgical procedures, complications, and followup were noted. Results. With a mean age of 61.53 ± 8.58 years, all patients had multifocal abscess cavities. Initially, 6 men underwent classical TUR similar to the technique used for benign prostatic enlargement (group 1). Next, 11 men underwent modified TUR (group 2) in which bladder neck and anterior zone were not resected. The abscess cavities resolved completely, and no patient required a second intervention. One patient in group 1 and three in group 2 had postoperative fever requiring parenteral antibiotics . Three patients in group 1 had transient urinary incontinence, whereas none of the patients in group 2 had this complication ( ). Four and five men in group 1 and 2 reported retrograde ejaculation, respectively . Conclusion. The modified technique of prostate resection edges over conventional TURP in the form of reduced morbidity but maintains its high success rate for complete abscess drainage. It alleviates the need for secondary procedures, having an apparent advantage over limited drainage techniques. Use of this technique is emphasized in cases associated with BPH and lack of proper preoperative imaging. 1. Introduction In the modern antibiotic era, prostatic abscess is a rarely encountered entity, particularly in developed countries [1, 2]. However, in developing countries it continues to be a significant health problem and can result in severe complications and even death on account of delayed diagnosis or inadequate management [3]. Therapeutically, it requires some form of surgical intervention as a medical treatment as monotherapy is usually not sufficient [3]. The management options include transrectal ultrasound- (TRUS-) guided aspiration/tube drainage, transurethral incision over abscess (TUI), transurethral deroofing of the abscess cavity (TUD), or formal transurethral resection of prostate (TURP) [3–9]. No management algorithm is currently available to guide the surgical drainage, and the decision is usually based on the preference of the treating physician. Although TUD and TURP have been described as two separate procedures for prostatic abscess, the techniques are overlapping and poorly defined in the contemporary literature. Similarly, the indications of a particular procedure (whether deroofing or resection) and complications are
Prostatic tuberculosis: case report
Sáenz-Abad, Daniel;Letona-Carbajo, Santiago;Benito-Arévalo, José Luis de;Sanioaquín-Conde, Isabel;Ruiz-Ruiz, Francisco José;
Sao Paulo Medical Journal , 2008, DOI: 10.1590/S1516-31802008000400007
Abstract: context: tuberculosis of the prostate has mainly been described in immunocompromised patients. however, it can exceptionally be found as an isolated lesion in immunocompetent patients. case report: we report a case of prostatic tuberculosis in a young, healthy and immunocompetent patient with unremarkable findings from intravenous urographic examination. computed tomography showed an abscess in the prostate and mycobacterium tuberculosis was isolated in a urine culture. treatment with isoniazid, rifampin and pyrazinamide was successful.
Prostatic melanosis
Kemal DEN?Z,Olgun KONTA?,Hac? Ali KAHYA
Türk Patoloji Dergisi , 2007,
Abstract: Prostatic melanosis is a rare lesion that is characterized by melanin-containing spindle cells mainly located in the stroma of the prostate gland. This lesion is certainly benign and not a precursor of malignant melanoma. However, differential diagnosis of melanosis with primary and metastatic malignant melanoma is extremely important because of the different biological nature and clinical behavior of these two entities. Recognition of the spectrum of pigmented lesions in the prostate gland is essential to take into consideration of the diagnosis of melanocytic lesions.In this paper, a case of melanosis
Isolated prostatic utricle  [cached]
Ramachandra Mukunda,Bendre Pradnya,Redkar Rajeev,Taide Devendra
Journal of Indian Association of Pediatric Surgeons , 2009,
Abstract: Complete excision of a prostatic utricle through posterior sagittal rectum retracting approach is reported in an infant.
Thyroid abscess.  [cached]
Rohondia O,Koti R,Majumdar P,Vijaykumar T
Journal of Postgraduate Medicine , 1995,
Abstract: Thyroid abscess arising from Acute Suppurative Thyroiditis (AST) is a rare clinical disorder. The ability of the thyroid gland to resist infection is well known and infection in the thyroid gland is rare, particularly so with the advent of widespread usage of antibiotics. An internal pharyngeal fistula (Pyriform sinus fistula) is the most common underlying abnormality in patients with AST. We report a case of an adult male who presented with a thyroid abscess. The causal organism was found to be Staphylococcus aureus. Intravenous antibiotics and, incision and drainage of the abscess led to an uncomplicated recovery.
BRAIN ABSCESS
Zafar Iqbal
The Professional Medical Journal , 1999,
Abstract: A study of 50 cases of brain abscess is presented, emphasis being on clinical presentation and earlydiagnosis. A comparison is made with other studies and recommendations are made for early diagnosis.
Metastatic amoebic abscess of the brain  [cached]
Deodhar S,Trivedi Vatsala,Desai A,Murthy Anuradha
Journal of Postgraduate Medicine , 1979,
Abstract: A case-of Amoebic abscess of brain is presented and relevant Literature reviewed.
Morphological parameters of prostatic adenocarcinoma
Trivuni? Sandra,Budakov Pavle,Vu?kovi? Nada,?ivojinov Mirjana
Medicinski Pregled , 2007, DOI: 10.2298/mpns0712549t
Abstract: Introduction. Prostatic carcinoma is one of the most common malignancies in men and the second most common cause of cancer-related deaths, after lung cancer. However, many of these tumors are latent, of no biologic significance, and are recognized only as an incidental finding at autopsy. Prostatic carcinoma: histologic features. Prostatic carcinomas have multiple histologic patterns, which can easily be confused with benign lesions. The following histologic changes are associated with prostatic carcinomas: prostatic acini are close to one another and present with linear infiltrates in the fibromuscular tissue; cells lining the acini often consist of a single layer, and the basal cell layer is absent; prominent large eosinophilic nucleoli are usually present in malignant cells; nuclear hyperchromatism is rare and it depends on the quality of the tissue fixation; perineural invasion is often observed. Today, the Gleason grading system is the most commonly used (Gleason score). Immunohistochemistry is widely used in pathology and clinical diagnosis of prostatic carcinoma, metastases of prostatic origin in staging malignant tumors and in the prognosis.
Abscess of the spleen
Grubor Nikica,?olovi? Radoje,?olovi? Nata?a,Radak Vladimir
Srpski Arhiv za Celokupno Lekarstvo , 2005, DOI: 10.2298/sarh0502046g
Abstract: Splenic abscess is a rare disease but with increasing frequency. The authors present 9 patients with splenic abscess treated at the Institute of Digestive System Diseases, Clinical Centre of Serbia, in a period from January 1, 1986 to May 15, 2004. Splenic abscess was the complication of septic endocarditis in 4, trauma in 2, dental infection in 1, while in 2 cases it was the complication of chemotherapy in myeloproliferative disorders. All 9 patients had fever, 7 - abdominal pain, 4 - left shoulder pain, and 1 patient had nausea and vomiting. Higher white blood count was found in 6 patients, pleural effusion in 4, elevated left hemidiaphragm in 1 and basal pneumonia in 1 patient as well. Ultrasonography and CT were the most reliable diagnostic procedures. CT was superior in diagnosis of multiple small abscesses. Culture of the pus recovered the Enterococcus in 3 cases, Streptococcus a hemolyticus in 1, Staphylococcus epidermidis and Candida albicans in 1, Staphylococcus aureus, E. Coli and Candida albicans in 1, Staphylococcus aureus and Salmonella enteritidis in 1 case. Eight patients underwent splenectomy and 1 was cured by combined antibiotics in high doses. One patient died postoperatively due to septic endocarditis that had been present before surgery. The authors believe that splenectomy and antibiotics administered according to drug susceptibility test as well as management of underlying disease are the method of choice for splenic abscess treatment. Conservative antibiotic treatment is indicated in selected cases only.
BENIGN PROSTATIC HYPERPLASIA
Muhammad Aslam
The Professional Medical Journal , 1998,
Abstract: OBJECTIVE: This study was conducted to demonstrate the efficacy of transurethral resection of prostate(TURP) in patients of benign prostatic hyperplasia (BPH) who presented with severe prostatic symptomsor retention of urine. SETTING: Urology departments of Lahore General Hospital Lahore and MayoHospital Lahore. STUDY DESIGN: Prospective. PERIOD OF STUDY: June 1993 to April 1995.MATERIALS AND METHODS: Thirty patients of BPH who presented with severe prostatic symptomsor retention of urine were included in this study. Symptoms scoring was done according to the InternationalProstate Symptoms Score (IPSS). RESULTS: Pre-operative mean symptoms score was 34.20. The meansymptoms score reduced to 10.779, 8.03, 5.50, 4.33, 3,73 and 3.37 respectively during six months of followup after TURP. CONCLUSION: TURP is still the gold standard as a treatment modality of benign prostatichyperplasia in those patients presenting with retention of urine or severe prostatic symptoms.
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