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Urol Ann. 2010 May-Aug; 2(2): 89–90.
PMCID: PMC2943691

Prostatic abscess

Sir,

We read the interesting article "Minimally-invasive management of prostatic abscess: The role of transrectal ultrasound"[1]. Authors have emphasized that TRUS (transrectal ultrasound) guided needle aspiration is an effective method for treating prostatic abscess. We strongly believe this point. However, we have few queries in mind. First, we would like to know what machine and which frequency probe was used for the transrectal ultrasound? Secondly, was tuberculosis looked for in the pus obtained from TRUS aspiration? The tuberculous lesions are typically located in the peripheral part of the posterior and lateral lobes of the prostate[2]. TRUS allows excellent visualization of the prostatic anatomy and the relationship of the abscess to the prostatic lobes[3]. Thirdly, was HIV (Human Immunodeficiency Virus) ruled out in those patients? Prostatic abscess is common in HIV-infected patients. Lastly, do the authors have any experience of putting antibiotic solution in the abscess cavity? We instill 2 ml of Gentamicin solution after aspiration of abscess cavity as a protocol.

REFERENCES

1. Bansal P, Gupta A, Mongha R, Bera M, Ranjit K, Kundu AK. Minimally-invasive management of prostatic abscess: The role of transrectal ultrasound. Urol Ann. 2009;1:56–60.
2. Moore RA. Tuberculosis of the prostate gland. J Urol. 1937;37:372–84.
3. Trauzzi SJ, Kay CJ, Kaufman DG, Lowe FC. Management of prostatic abscess in patients with human immunodeficiency syndrome. Urology. 1994;43:629–33. [PubMed]

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