Mp11-02 the Outcomes of Three Different Techniques of Prostatic Abscess Drainage: A Retrospective Single Center Experience

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Prostate & Genitalia (MP11)1 May 2024MP11-02 THE OUTCOMES OF THREE DIFFERENT TECHNIQUES OF PROSTATIC ABSCESS DRAINAGE: A RETROSPECTIVE SINGLE CENTER EXPERIENCE Ahmed Zoeir, Ahmed Eissa, Hussein Mamdoh, Tarek Gameel, and Ayman Mousa Ahmed ZoeirAhmed Zoeir , Ahmed EissaAhmed Eissa , Hussein MamdohHussein Mamdoh , Tarek GameelTarek Gameel , and Ayman MousaAyman Mousa View All Author Informationhttps://doi.org/10.1097/01.JU.0001008564.85995.11.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Despite the fact that prostate abscess (PA) is a serious condition; no standardized guidelines are available on the best methods for its drainage. The goal of our study is to compare the outcomes of the three modalities of prostate abscess (PA) drainage: Transrectal ultrasound (TRUS) guided aspiration (TRA), transperineal aspiration (TPA), and transurethral de-roofing (TUD). METHODS: The records of 66 patients diagnosed with PAs were collected between 2014 and 2022 and divided into 3 groups according to the technique of abscess drainage that was used. (Group A) included 26 patients treated by TRA; (Group B) included 28 patients treated by TUD; and (Group C) included 12 patients treated by TPA. The three groups were compared based on demographic data, drainage success, recurrence, complications, and hospital stay. RESULTS: The most common clinical presentation was lower urinary tract symptoms (LUTS) in 45 patients (68.18%), followed by fever in 40 patients (60.6%). The mean abscess size (cm) was 4.8±1, 5.7±1, and 5.4±1.3 cm in groups A, B, and C, respectively. Recurrence of the abscess occurred in three (11.5%), one (3.6%), and one (8.3%) patients in groups A, B, and C, respectively (p=0.496). The mean hospital stay was 4.8±1.7, 5±1.8, and 4.5±1.3 days in groups A, B, and C, respectively (p=0.763). When compared to the other two groups, the TUD group had a higher rate of complications (32.1%). CONCLUSIONS: A TRUS-guided transrectal and transperineal aspiration of PA were comparable to TUD technique regarding the recurrence rate and hospitalization period; however, the less frequent complications were in favour of the aspiration groups. Download PPTDownload PPT Source of Funding: None © 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 Ahmed Zoeir More articles by this author Ahmed Eissa More articles by this author Hussein Mamdoh More articles by this author Tarek Gameel More articles by this author Ayman Mousa More articles by this author Expand All Advertisement PDF downloadLoading ...