Transurethral Drainage of Prostatic Abscess Using 120 W Holmium Laser Technology Drainage of Prostatic Abscess With Holmium Laser
Journal of Lasers in Medical Sciences,
Vol. 12 (2021),
13 February 2021
,
Page e80
Abstract
Introduction: Prostatic abscess is an infrequent but serious pathology that could be treated by
ultrasound-guided puncture, transurethral resection, or open surgery.
Case Report: We present a case of a 72-year-old male with a 3x5 cm prostatic abscess in the right lobe shown in abdominal computed tomography (CT). In the blood test, he presented coagulopathy. Urgent transurethral drainage by holmium laser was decided to be performed. It started with incision and opening of the right prostatic lobe with an energy of 1.2 J and a frequency of 20 Hz with a total power of 24 W. A 550-micron fiber was used for this technique. Coagulation of the area was performed with a power of 20 W. The postoperative course was uneventful.
Conclusion: The holmium laser appears to be an effective alternative in the treatment of this pathology in patients with coagulation disorders by providing adequate hemostatic control.
- Prostatic abscess, Holmium laser, Urinary infections
How to Cite
References
Pierce JR Jr, Saeed Q, Davis WR. Prostatic abscess due to community-acquired methicillin- resistant Staphylococcus aureus. Am J Med Sci. 2008;335(2):154-6. doi: 10.1097/MAJ.0b013e3180caac4b.
Weinberger M, Cytron S, Servadio C, Block C, Rosenfeld JB, Pitlik SD. Prostatic abscess in the antibiotic era. Rev Infect Dis. 1988;10(2):239-49. doi: 10.1093/clinids/10.2.239.
Liu KH, Lee HC, Chuang YC, Tu CA, Chang K, Lee NY et al. Prostatic abscess in southern Taiwan: another invasive infection caused predominantly by Klebsiella pneumoniae. J Microbiol Immunol Infect. 2003;36(1):31-6.
Lee CH, Ku JY, Park YJ, Lee JZ, Shin DG. Evaluation of holmium laser for transurethral deroofing of severe and multiloculated prostatic abscesses. Korean J Urol. 2015;56(2):150-6. doi: 10.4111/kju.2015.56.2.150.
Tiwari P, Pal DK, Tripathi A, Kumar S, Vijay M, Goel A, et al. Prostatic abscess: diagnosis and management in the modern antibiotic era. Saudi J Kidney Dis Transpl. 2011;22(2):298-301.
Liao CY, Yang YS, Yeh YC, Ben RJ, Lee CC, Tsai CC et al. Invasive liver abscess syndrome predisposed by Klebsiella pneumoniae related prostate abscess in a nondiabetic patient: a case report. BMC Res Notes. 2016; 9:395. doi: 10.1186/s13104-016-2188-y.
Ackerman AL, Parameshwar PS, Anger JT. Diagnosis and treatment of patients with prostatic abscess in the post-antibiotic era. Int J Urol. 2018;25(2):103110. doi:10.1111/iju.13451.
Wen SC, Juan YS, Wang CJ, Chang K, Shih MC, Shen JT, et al. Emphysematous prostatic abscess: case series study and review. Int J Infect Dis. 2012;16(5): e344-9. doi: 10.1016/j.ijid.2012.01.002.
Goyal NK, Goel A, Sankhwar S, Dalela D. Transurethral resection of prostate abscess: is it different from conventional transurethral resection for benign prostatic hyperplasia? ISRN Urol. 2013; 2013:109505. doi: 10.1155/2013/109505.
Dajani AM, O'Flynn JD. Prostatic abscess. A report of 25 cases. Br J Urol. 1968;40(6):736-9. doi:10.1111/j.1464-410x.1968.tb11875.x
Ludwig M, Schroeder-Printzen I, Schiefer HG, Weidner W. Diagnosis and therapeutic management of 18 patients with prostatic abscess. Urology. 1999;53(2):340-5. doi: 10.1016/s0090-4295(98)00503-2.
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