Chronic bacterial prostatitis leading to intrascrotal abscess after transperineal prostate biopsy

Abstract

Transperineal biopsy is becoming more commonly used, driven by improved detection rates, better complication profile and increasing application of prostate MRI leading to guided biopsy. However, it can still lead to complications such as urinary retention, postoperative pain and erectile dysfunction. There is also a potential for adverse events such as severe infection, abscess and fistula. This article describes a case of an intrascrotal abscess post-transperineal biopsy, which required an orchidectomy.

Prostatic Abscess Combined With Spleen Abscess Due to Multi-Drug-Resistant Gram-Negative Bacilli: A Case Report and Literature Review

“…Overall, the annual incidence of prostatic abscess can be 0.5% of all urological disorders, and the mortality rate is between 1% and 16% ( Ha et al, 2008 ). The severe infection of the prostate is frequently caused by the reflux of infected urinary contents into prostatic ducts, especially in patients with diabetes, immunosuppressive state, chronic prostatitis, epididymitis, gonorrhea, or undertaking prostate biopsy, and so on ( Caulier et al., 2009 ; Dell’atti, 2013 ; Nomura et al, 2021 ; Tay et al, 2021 ). Gram-negative Enterobacteriaceae causing urinary tract infections is the dominant pathogenic bacteria, while Gram-positive bacteria had also been reported as the cause of prostate abscesses in uncontrolled diabetes patients ( McCormick et al, 2021 ; Merchant et al, 2016 ).…”