Mariani A J, Jacobs L D, Clapp P R, Hariharan A, Stams U K, Hodges C V
J Urol. 1983 Feb;129(2):385-6. doi: 10.1016/s0022-5347(17)52112-6.
We report an unusual case of an emphysematous prostatic abscess. Prostatic abscess is a difficult clinical diagnosis associated with lower urinary tract symptomatology and frequently diabetes mellitus. Computerized axial tomography and transrectal or transurethral ultrasonography can assist in making a specific diagnosis. Definitive treatment is complete surgical drainage, which is achieved by transurethral resection of the prostate. Wide spectrum, adjuvant antibiotic therapy should be given to assure coverage of anaerobic bacteria.
我们报告了一例罕见的气肿性前列腺脓肿病例。前列腺脓肿是一种与下尿路症状相关且常伴有糖尿病的临床诊断难题。计算机断层扫描以及经直肠或经尿道超声检查有助于做出明确诊断。确切的治疗方法是通过经尿道前列腺切除术进行彻底的手术引流。应给予广谱辅助抗生素治疗,以确保覆盖厌氧菌。