Sohlberg O E, Chetner M, Ploch N, Brawer M K
Department of Urology, University of Washington, Seattle.
J Urol. 1991 Aug;146(2):420-2. doi: 10.1016/s0022-5347(17)37812-6.
We report a case of a diabetic man who had bilateral prostatic abscesses after ultrasound guided biopsy of the prostate. As is typical of prostatic abscesses, the diagnosis was not evident at presentation. We discuss the morbidity of transrectal biopsy and recommend consistent antimicrobial prophylaxis. We also recommend transrectal ultrasound in the diagnosis of such abscesses, and support the standard treatment of drainage and parenteral antimicrobial therapy. We anticipate that the incidence of prostatic abscess will increase due to the increasing number of men undergoing transrectal biopsy in the current age of transrectal ultrasound guided biopsy.
我们报告一例糖尿病男性患者，其在前列腺超声引导下活检后发生双侧前列腺脓肿。正如前列腺脓肿的典型情况一样，在就诊时诊断并不明确。我们讨论了经直肠活检的发病率，并建议持续进行抗菌预防。我们还建议在诊断此类脓肿时采用经直肠超声检查，并支持引流和胃肠外抗菌治疗的标准治疗方法。我们预计，在当前经直肠超声引导活检的时代，由于接受经直肠活检的男性数量不断增加，前列腺脓肿的发病率将会上升。
