Wu Ye, Wang Chen, He Xianya, Li Yuanwei, Yang Yongjun, Lu Qiang
Department of Urology, The First Affiliated Hospital of Hunan Normal University/Hunan Provincial People's Hospital, Changsha, Hunan, China.
SAGE Open Med Case Rep. 2024 Nov 20;12:2050313X241301860. doi: 10.1177/2050313X241301860. eCollection 2024.
A prostate abscess is a rare complication of prostatitis, typically observed in patients with conditions such as immunodeficiency, diabetes, urinary tract abnormalities, and chronic indwelling catheters. We present a 60-year-old patient, admitted to the hospital presenting progressively with dysuria for more than 1 year, accompanied by frequent urination, urgent pain, and urinary retention, intermittent fever for 20 days. A multi-parametric magnetic resonance imaging (mpMRI) scan of the abdomen/pelvis showed a prostatic abscess. Initially, meropenem treatment was not effective. Subsequently, the patient underwent an artificial intelligence-assisted mpMRI-TRUS (transrectal ultrasonography) real-time-guided puncture drainage. The results of purulent drainage cultures were positive for , sensitive to bacillosporin. Thus, the combination treatment of sensitive antibiotics and transperineal drainage was conducted. The patient was followed up for 6 months, the outcome was satisfactory. Timely and appropriate treatments (such as the combination of sensitive antibiotics and artificial intelligence-assisted mpMRI-TRUS real-time-guided transperineal puncture drainage) are crucial for both patient survival and the prevention of complications.
前列腺脓肿是前列腺炎的一种罕见并发症，通常见于免疫缺陷、糖尿病、尿路异常和长期留置导尿管等情况的患者。我们报告一名60岁患者，因进行性排尿困难1年多入院，伴有尿频、尿急、尿痛及尿潴留，间歇性发热20天。腹部/盆腔多参数磁共振成像（mpMRI）扫描显示前列腺脓肿。最初，美罗培南治疗无效。随后，患者接受了人工智能辅助的mpMRI-经直肠超声检查（TRUS）实时引导穿刺引流。脓性引流培养结果显示 阳性，对杆菌肽敏感。因此，采用敏感抗生素联合经会阴引流进行治疗。对患者进行了6个月的随访，结果令人满意。及时且恰当的治疗（如敏感抗生素联合人工智能辅助的mpMRI-TRUS实时引导经会阴穿刺引流）对于患者的生存及并发症的预防至关重要。
