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  • Title: [Prostatic abscess: diagnosis and treatment].
    Author: Franco A, Menéndez V, Luque MP, Ribal MJ, Mallafre JM, Alcover J, Vilana R, Carretero P.
    Journal: Actas Urol Esp; 1996 Feb; 20(2):189-92. PubMed ID: 8677820.
    Abstract:
    Prostatic abscesses are an infrequent pathology, probably due to a better and early management of prostatic infections. Predisposing factors in this pathology are diabetes mellitus, urethral catheterism or manipulation, and immunodepressed states like AIDS. Nowadays, ultrasonography is an excellent diagnostic method of this pathology, and serves as a guidance of directed drainage. We present five cases in which the size of the abscess was determining in relation to the therapeutic attitude. Abscesses of less than 2 cm, measured by transrectal ultrasonography, can be evacuated by directed puncture, followed by antibiotic treatment. When the diameter of the abscess is greater than 2 cm, we realize a perineal drainage with a catheter placed with transrectal ultrasonography. Currently, TUR and other methods seems to be overcome.
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