Glickman Urologic and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Urology. 2010 Oct;76(4):848. doi: 10.1016/j.urology.2009.09.063. Epub 2009 Dec 6.
We present a case of prostatic abscess as a previously unreported complication of salvage cryoablation after initial external beam radiotherapy for prostate cancer. An 81-years-old gentleman presented with recurrent urinary tract infection, unresolved after repeated antibiotic treatments, and severe abdominal, back, and perineal pain that developed 2 weeks after undergoing cryotherapy at an outside institution. The patient required open operative drainage of 6 cm prostatic abscess-like cavity noted on computed tomography pelvis and long-term outpatient intravenous antibiotics. This is the first published instance of cryoablation therapy associated with prostatic abscess.
我们报告了一例前列腺脓肿病例，这是前列腺癌初始外照射放疗后挽救性冷冻消融的一个以前未报道的并发症。一位 81 岁的男性因反复尿路感染就诊，在外院接受冷冻治疗后 2 周出现反复抗生素治疗后仍未解决的严重腹痛、背痛和会阴部疼痛。患者需要进行开放式手术引流，在盆腔 CT 上发现 6 厘米大小的前列腺脓肿样腔隙，并需要长期门诊静脉使用抗生素。这是首例与冷冻消融治疗相关的前列腺脓肿的发表病例。
