Transurethral drainage of prostatic abcess

Transurethral drainage of prostatic abcess is performed when a prostate abscess is a localized collection of purulent fluid inside the prostate, often forming as a complication of acute bacterial prostatitis. It is difficult to distinguish acute bacterial prostatitis from a prostate abscess based solely on current symptoms, history and a physical examination. Prostate abscess can cause severe urolithiasis and shock that leads to death if proper measures are not taken at the right time.  operazi can perform the Transurethral drainage of prostatic abcess in installments. For our services, click here.

What is the transurethral drainage of prostatic abcess?

A non-surgical opening to drain an abscess located in the prostate, very similar to transurethral resection of the prostate except to preserve the bladder neck.

• This procedure is performed when you are diagnosed with a prostate abscess, usually after an MRI scan.

• You have a history of low to high temperature swings, a history of catheters or urethral devices, and possibly a prostate biopsy.

• Antibiotics do not improve.

• You are likely to be very ill when entering a high dependency unit with intravenous antibiotics.

• This procedure is performed when the abscess or fluid accumulation in the prostate parenchyma is in the transitional zone of the prostate and is easily accessible by endoscopic technique.

• It is performed under general anesthesia with prophylactic antibiotics, or appropriate antibiotics according to the serum cultures.

See also: drainage of renal abcess

What are the symptoms of a prostate abscess and how does it happen?

Usually an abscess forms after a severe inflammatory reaction to an infectious process. It's a collection of purulent material, including cellular debris, and fluid tissue from infectious agents, bacteria, leukocytes, and enzymes.

Prostate abscess is a very common urinary condition among aging men caused by a noncancerous enlargement of the prostate gland. Because of the prostate's anatomical location surrounding the urethra and just below the bladder, men often present with urinary symptoms such as the need to empty the bladder frequently, especially at night (nocturia).

Other symptoms may include difficulty starting the urine stream or drip after urination. Urethral strength may also be decreased. For patients with symptoms to the point of inconvenience, medical treatment with medication may be prescribed. If medical treatment fails, the next step may be surgery.

Acute bacterial prostatitis affects men 20 to 40 years old and over 60 years old. Symptoms are generally severe and include frequent urination, perineal pain and dysuria. Urine becomes infected, and there are usually systemic symptoms such as fever, malaise, chills, and muscle aches. Patients who have intermittent catheterization are at increased risk with a lifetime probability of up to 33%. Any patient with a urinary tract infection and a fever should be considered at risk of developing acute bacterial prostatitis.

transurethral drainage of prostatic abcess

• Patients will receive general anesthesia unless otherwise noted.

• Cystoscopy is performed by placing a camera in the urethra with the help of a gel.

• Looks at the inside of the urethra and bladder to detect diseases, especially signs of abscess. If any suspicious lesions appear, a biopsy will be taken.

• The area of ​​the prostatic urethra above the abscess is excised until the abscess is opened and drained.

• The bladder neck and urethral sphincter are preserved.

• A laser can also be used and may be preferred due to less bleeding.

• Prophylactic antibiotics will be given to prevent any infection.

What can go wrong with endoscopic drainage of a prostate abscess?

• Any anesthesia has its risks and the anesthesiologist will explain this to you.

• You will wake up with a catheter in the urethra and bladder. This will remain in the bladder for 1-3 days depending on the technique used and the incidence of postoperative bleeding.

• You may have continuous bladder fluid running into and out of the bladder to prevent a clot from forming.

•NB! Everyone is unique and that's why symptoms are different!

What after transurethral drainage of prostatic abcess?

• You will be admitted to the hospital until all signs of pus are gone.

• You will do an experiment without a catheter once your urine is clear.

• You will be discharged from the hospital once your bladder is completely emptied.

• You may initially have urge incontinence and it will improve within the next six weeks.

• Wait 6 weeks for symptoms to settle.

• You may have a change in semen volume and may experience retrograde ejaculation.

• You can treat this by drinking plenty of fluids until it is gone.

• A prescription will be issued upon discharge from the hospital to be collected by yourself at any pharmacy.

What is transurethral resection for prostate surgery?

Transurethral resection of the prostate (TURP) is an effective minimally invasive surgical procedure used in the treatment of noncancerous enlargement of the prostate, which is referred to as benign prostatic hyperplasia (BPH). In this procedure, the part of the prostate that is blocking the urethra is removed with the help of an instrument passed through the urethra.

Not everyone with an enlarged prostate gland will need TURP; However, a urologist may recommend this procedure based on your symptoms and the results of the special tests they perform. By allowing urine to flow more freely, TURP often relieves or reduces symptoms.

See also: surgical prostatectomy

Transurethral resection of the prostate (TURP)

Transurethral resection of the prostate (TURP) is the most common surgery for BPH, or is used in transurethral drainage of prostatic abcess and is considered the "gold standard" in the effective treatment of symptoms associated with BPH. Transurethral resection of the prostate can be done using electric current or laser light.

 Transurethral resection of the prostate (TURP) is often an outpatient surgery that can be done in a hospital or an ambulatory surgery center. Your general health or associated risk factors often determine where the surgery will take place.

After the patient receives anesthesia, the surgeon inserts an instrument called a resectoscope through the tip of the penis into the urethra. The resectoscope contains a light, valves to control the irrigation fluid, and an electric loop that cuts through prostate tissue and closes blood vessels.

 The prostate tissue removed by the irrigation fluid is then transferred to the bladder and discarded. This tissue is sent to the pathology department to confirm that it is benign or does not contain prostate cancer.

At the end of the surgery, a catheter is placed in the bladder through the penis. The bladder is constantly irrigated with fluid through the catheter in order to monitor bleeding and prevent blood from clotting that could block the catheter. Patients usually return home with a catheter in place for about a week to give the prostate time to heal.