Mp11-01 a Prostate Abscess Complexity Score Proposal for Prediction of Additional Intervention in Prostate Abscess: A Multicenter Study

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Prostate & Genitalia (MP11)1 May 2024MP11-01 A PROSTATE ABSCESS COMPLEXITY SCORE PROPOSAL FOR PREDICTION OF ADDITIONAL INTERVENTION IN PROSTATE ABSCESS: A MULTICENTER STUDY Rigoberto Pallares-Mendez, Alfredo M. Bove, Francisco Armillas-Canseco, Diego E. Martinez, Daniel Eduardo Cervantes-Miranda, Katherine L. Hernandez-Aranda, Miriam K. Badillo-Gonzalez, Victor M. Molgado-Garza, Jesus Garcia-Saucedo, Ricardo A. Castillejos-Molina, Jaime Becerra-Cardenas, Giuseppe Simone, and Adrian Gutierrez-Gonzalez Rigoberto Pallares-MendezRigoberto Pallares-Mendez , Alfredo M. BoveAlfredo M. Bove , Francisco Armillas-CansecoFrancisco Armillas-Canseco , Diego E. MartinezDiego E. Martinez , Daniel Eduardo Cervantes-MirandaDaniel Eduardo Cervantes-Miranda , Katherine L. Hernandez-ArandaKatherine L. Hernandez-Aranda , Miriam K. Badillo-GonzalezMiriam K. Badillo-Gonzalez , Victor M. Molgado-GarzaVictor M. Molgado-Garza , Jesus Garcia-SaucedoJesus Garcia-Saucedo , Ricardo A. Castillejos-MolinaRicardo A. Castillejos-Molina , Jaime Becerra-CardenasJaime Becerra-Cardenas , Giuseppe SimoneGiuseppe Simone , and Adrian Gutierrez-GonzalezAdrian Gutierrez-Gonzalez View All Author Informationhttps://doi.org/10.1097/01.JU.0001008564.85995.11.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To analyze predictors of additional intervention in prostate abscess, assess a complexity score, and compare outcomes in patients undergoing additional intervention in prostate abscess. METHODS: This retrospective, multicenter, analytical study included consecutive admissions of 62 patients diagnosed with prostate abscess between 2017 and 2023. Primary treatment consisted of antibiotics alone or in combination with Transrectal Ultrasound-Guided Aspiration (TRUS-GA) or Transurethral Resection of the Prostate with Abscess Deroofing (TURP-AD). Patients were assessed based on resolution with primary treatment and compared to those undergoing additional intervention. Additional intervention was defined as escalation to TRUS-GA, repeat TRUS-GA or TURP-AD. Further analysis categorized the sample into Prostate Abscess Complexity Score (PACS) distinguishing between Complex and Non-Complex. RESULTS: The study included 62 patients, with 47 (75.8%) responding adequately to the primary selected treatment and 15 requiring additional intervention (24.2%). Risk factors for additional intervention included: the presence of multifocal abscess (p=0.005), septa (p=0.023), and bilateral involvement (p=0.008). Moreover, an abscess diameter ≥3 cm (p=0.040) and a volume≥20 cc (p=<0.001) were observed as risk factors for additional intervention. The Prostate Abscess Complexity Score which included variables as Abscess focality, Septa, Laterality, Polarity, Abscess diameter, and Volume, demonstrated 73% sensitivity and 74% specificity in predicting additional intervention (p=0.001) when≥6 pts were used to classify prostate abscess as complex. Among prostate abscesses that were classified as complex, 80% required additional intervention, in contrast with those classified as non-complex, in which 34% required additional intervention (p=0.002). CONCLUSIONS: The identified risk factors, including multifocal abscess, septa, bilateral involvement, large abscess diameter, and increased volume, were identified as predictors of additional interventions. The proposed Prosate Abscess Complexity Score is valuable for clinical decision-making when≥6 points are encountered, emphasizing the need for tailored approaches based on individual characteristics. Download PPT Source of Funding: No funding © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e149 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Rigoberto Pallares-Mendez More articles by this author Alfredo M. Bove More articles by this author Francisco Armillas-Canseco More articles by this author Diego E. Martinez More articles by this author Daniel Eduardo Cervantes-Miranda More articles by this author Katherine L. Hernandez-Aranda More articles by this author Miriam K. Badillo-Gonzalez More articles by this author Victor M. Molgado-Garza More articles by this author Jesus Garcia-Saucedo More articles by this author Ricardo A. Castillejos-Molina More articles by this author Jaime Becerra-Cardenas More articles by this author Giuseppe Simone More articles by this author Adrian Gutierrez-Gonzalez More articles by this author Expand All Advertisement PDF downloadLoading ...