Our experience in the management of prostatic abscess

ABSTRACT

To analyse risk factors for prostatic abscess, determine who can be treated conservatively, and what criteria will prompt surgical intervention Prospective study Department of Urology, Al-Sabah Hospital, Kuwait Nine patients with prostatic abscess managed during the eight-year period between 15[th] of December, 1998 and 15[th] of December, 2006 were included in the study. Conservative or surgical management Evaluation of success by ultrasound and CT scan Small abscesses were successfully treated conservatively by appropriate antimicrobial drugs. Large abscesses required transurethral de-roofing in addition to the drug therapy. Patients with chronic prostatitis and with already existing risk factors are more prone to develop prostatic abscess. Digital rectal examination in immune compromised patients should be done with caution and restricted to one time only as they have the possibility of developing septicemia. Generally, the bigger the size of an abscess, the higher is the probability of surgical drainage