Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years’ experience from a tertiary care hospital

Objective: To compare the effectiveness and safety of two minimally invasive methods (transrectal aspiration vs transurethral resection (TUR)/deroofing) of treating prostatic abscess. Patients and methods: A retrospective study was conducted, from 2007 to 2016, of patients with prostatic abscesses n...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Bimalesh Purkait, Manoj Kumar, Ashok Kumar Sokhal, Ankur Bansal, Satya Narayan Sankhwar, Ved Bhaskar
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2017
Materias:	Prostatic abscess Transrectal aspiration Transurethral resection Transurethral deroofing Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/bbced2b3b8a1492ea76e95111c70dd78
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bbced2b3b8a1492ea76e95111c70dd78
record_format	dspace
spelling	oai:doaj.org-article:bbced2b3b8a1492ea76e95111c70dd782021-12-02T10:50:51ZOutcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years’ experience from a tertiary care hospital2090-598X10.1016/j.aju.2017.05.001https://doaj.org/article/bbced2b3b8a1492ea76e95111c70dd782017-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X17300657https://doaj.org/toc/2090-598XObjective: To compare the effectiveness and safety of two minimally invasive methods (transrectal aspiration vs transurethral resection (TUR)/deroofing) of treating prostatic abscess. Patients and methods: A retrospective study was conducted, from 2007 to 2016, of patients with prostatic abscesses not responding to antibiotics and/or with large (>2 cm) or multiple abscesses. Patients were divided into two groups depending on treatment received: Group A, transrectal aspiration; and Group B, TUR/deroofing of abscess. Results: The most common clinical presentation was dysuria (81.8%), followed by urinary frequency (68.2%), and fever (36.4%). Acute urinary retention occurred in seven patients. The most common infective organism in both groups was Escherichia coli (43.9%). The mean (SD, range) prostate volume was 36 (6.4, 17–68) mL and 37 (7.3, 21–72) mL in Groups A and B, respectively. The mean (SD, range) volume of the abscess was 51.24 (12.6, 21–215) mL and 48.34 (15.4, 15–240) mL in Groups A and B, respectively. Overall, 37 (84.1%) patients responded to treatment (68.4% in Group A and 96.0% in Group B, P < 0.23) after the first treatment session. Six patients in Group A and one patient in Group B had recurrence of abscess (P < 0.03). Of the six patients in Group A with recurrence, four patients had complete resolution after repeat aspiration (average 1–3 times). The mean (SD) follow-up duration was 17.25 (6.3) months. Conclusion: TUR of prostatic abscess is more effective (96%) than transrectal aspiration with a lesser hospital stay. However, transrectal aspiration was successful in 89% of cases, is less invasive and can be performed under local anaesthesia and or sedation.Bimalesh PurkaitManoj KumarAshok Kumar SokhalAnkur BansalSatya Narayan SankhwarVed BhaskarTaylor & Francis GrouparticleProstatic abscessTransrectal aspirationTransurethral resectionTransurethral deroofingDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 15, Iss 3, Pp 254-259 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Prostatic abscess Transrectal aspiration Transurethral resection Transurethral deroofing Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Prostatic abscess Transrectal aspiration Transurethral resection Transurethral deroofing Diseases of the genitourinary system. Urology RC870-923 Bimalesh Purkait Manoj Kumar Ashok Kumar Sokhal Ankur Bansal Satya Narayan Sankhwar Ved Bhaskar Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years’ experience from a tertiary care hospital
description	Objective: To compare the effectiveness and safety of two minimally invasive methods (transrectal aspiration vs transurethral resection (TUR)/deroofing) of treating prostatic abscess. Patients and methods: A retrospective study was conducted, from 2007 to 2016, of patients with prostatic abscesses not responding to antibiotics and/or with large (>2 cm) or multiple abscesses. Patients were divided into two groups depending on treatment received: Group A, transrectal aspiration; and Group B, TUR/deroofing of abscess. Results: The most common clinical presentation was dysuria (81.8%), followed by urinary frequency (68.2%), and fever (36.4%). Acute urinary retention occurred in seven patients. The most common infective organism in both groups was Escherichia coli (43.9%). The mean (SD, range) prostate volume was 36 (6.4, 17–68) mL and 37 (7.3, 21–72) mL in Groups A and B, respectively. The mean (SD, range) volume of the abscess was 51.24 (12.6, 21–215) mL and 48.34 (15.4, 15–240) mL in Groups A and B, respectively. Overall, 37 (84.1%) patients responded to treatment (68.4% in Group A and 96.0% in Group B, P < 0.23) after the first treatment session. Six patients in Group A and one patient in Group B had recurrence of abscess (P < 0.03). Of the six patients in Group A with recurrence, four patients had complete resolution after repeat aspiration (average 1–3 times). The mean (SD) follow-up duration was 17.25 (6.3) months. Conclusion: TUR of prostatic abscess is more effective (96%) than transrectal aspiration with a lesser hospital stay. However, transrectal aspiration was successful in 89% of cases, is less invasive and can be performed under local anaesthesia and or sedation.
format	article
author	Bimalesh Purkait Manoj Kumar Ashok Kumar Sokhal Ankur Bansal Satya Narayan Sankhwar Ved Bhaskar
author_facet	Bimalesh Purkait Manoj Kumar Ashok Kumar Sokhal Ankur Bansal Satya Narayan Sankhwar Ved Bhaskar
author_sort	Bimalesh Purkait
title	Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years’ experience from a tertiary care hospital
title_short	Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years’ experience from a tertiary care hospital
title_full	Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years’ experience from a tertiary care hospital
title_fullStr	Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years’ experience from a tertiary care hospital
title_full_unstemmed	Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years’ experience from a tertiary care hospital
title_sort	outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years’ experience from a tertiary care hospital
publisher	Taylor & Francis Group
publishDate	2017
url	https://doaj.org/article/bbced2b3b8a1492ea76e95111c70dd78
work_keys_str_mv	AT bimaleshpurkait outcomeanalysisoftransrectalultrasonographyguidedaspirationversustransurethralresectionofprostaticabscess10yearsexperiencefromatertiarycarehospital AT manojkumar outcomeanalysisoftransrectalultrasonographyguidedaspirationversustransurethralresectionofprostaticabscess10yearsexperiencefromatertiarycarehospital AT ashokkumarsokhal outcomeanalysisoftransrectalultrasonographyguidedaspirationversustransurethralresectionofprostaticabscess10yearsexperiencefromatertiarycarehospital AT ankurbansal outcomeanalysisoftransrectalultrasonographyguidedaspirationversustransurethralresectionofprostaticabscess10yearsexperiencefromatertiarycarehospital AT satyanarayansankhwar outcomeanalysisoftransrectalultrasonographyguidedaspirationversustransurethralresectionofprostaticabscess10yearsexperiencefromatertiarycarehospital AT vedbhaskar outcomeanalysisoftransrectalultrasonographyguidedaspirationversustransurethralresectionofprostaticabscess10yearsexperiencefromatertiarycarehospital
_version_	1718396553593356288

Outcome analysis of transrectal ultrasonography guided aspiration versus transurethral resection of prostatic abscess: 10 years’ experience from a tertiary care hospital

Ejemplares similares