Prostatic abscess: imaging with transrectal sonography and MR

Papanicolaou, Nicholas; Pfister, Richard C.; Stafford, S A; Parkhurst, Edward C.

doi:10.2214/ajr.149.5.981

Cited by 46 publications

(34 citation statements)

References 7 publications

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“…In all patients, except the 1 on hemodialysis without urine Discussion Clinical symptoms of prostatic abscess, such as fever, dysuria, urinary retention and perineal pain, are variable and hence diagnosis can be difficult [1,2,6]. Lower uri nary tract obstructive symptoms with unexplained fever prostatitis and differentiation between the two entities is difficult [12][13][14]. Before CT, which was introduced for prostatic abscess in 1985, diagnosis was usually made by invasive means [6].…”

Section: Resultsmentioning

confidence: 99%

“…Another advantage of TRUS is that the procedure de scribed can be performed and controlled in real-time monitoring [12,16] (table 2). Magnetic resonance imag ing (MRI) was also used for diagnosis of prostatic abscess [14]. It has advantages over CT such as no ionizing radia tion, better contrast resolution and multiplanar imaging capabilities [14].…”

Section: Resultsmentioning

confidence: 99%

“…Magnetic resonance imag ing (MRI) was also used for diagnosis of prostatic abscess [14]. It has advantages over CT such as no ionizing radia tion, better contrast resolution and multiplanar imaging capabilities [14]. However, TRUS also provides detailed images of the prostate at much lower expense [14], Anoth er advantage of TRUS over CT and MRI is the possibility of real-time investigation and therapy.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Minimal Invasive Therapy of Prostatic Abscess by Transrectal Ultrasound-Guided Perineal Drainage

Bachor

Gottfried

Hautmann³

1995

Eur Urol

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Minimal Invasive Therapy of Prostatic Abscess by Transrectal Ultrasound-Guided Perineal Drainage

Bachor

Gottfried

Hautmann³

1995

Eur Urol

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“…MR imaging demonstrates the lesion as an abscess that occurred elsewhere in the body: hypo-intensity on short TE images and hyperintensity on long TE images. 8 The increasing activity of Ga-citrate in the prostate was described in two cases of prostatitis 1° but not in prostatic abscesses. US and CT examinations are able to prove the existence of a lesion but not to exclude malignancy.…”

Section: Discussionmentioning

confidence: 97%

Using Ga-67 scintigraphy in prostatic abscess

et al. 1995

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The use of Ga-67 scintigraphy (Ga) in prostate inflammatory diseases may be restricted by the difficulty in distinguishing between the accumulation of Ga-67-citrate (Ga-citrate) in the lesion and feces. The diagnosis of prostatic abscess has been mainly made by other radiologic methods without scintigraphic studies and no finding of Ga has been reported. This patient demonstrated that coordinating the findings of Ga-citrate accumulation can be helpful in making a prompt diagnosis of a possibly fatal prostatic abscess, especially in those patients with poorly defined clinical symptoms and high risk factors.

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“…6 MR imaging shows low signal intensity on images employing short echo time and increased intensity on images using long echo times. 7 CT and MR imaging are both especially useful for defi ning the extent of disease. 6,7 Whereas abscess of the seminal vesicle mostly results from concurrent prostatic abscess, only a few dozen cases have been reported since the fi rst publication of a case in 1978.…”

Section: Discussionmentioning

confidence: 99%

Spermatic cord abscess with concurrent prostatic abscess involving the seminal vesicle

et al. 2008

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Prostatic abscess involving the seminal vesicle has become rare following the development of effective antibiotic treatments. To our knowledge, we report the first case in the English-language literature of a patient with a spermatic cord abscess and a concurrent prostatic abscess. We examined an 81-year-old man for swelling and pain in the left inguinal region and performed computed tomography (CT) that later confirmed the suspected diagnosis of left inguinal hernial strangulation. We performed urgent surgical drainage of a left spermatic cord abscess; and under the correct diagnosis by CT, he was successfully treated further with antibiotics and transperineal drainage of a prostatic abscess extending to the seminal vesicle. We highlight that familiarity with such a rare condition is overwhelmingly essential for patient management and that CT is the most valuable imaging procedure for diagnosing such cases.

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Prostatic abscess: imaging with transrectal sonography and MR

Cited by 46 publications

References 7 publications

Minimal Invasive Therapy of Prostatic Abscess by Transrectal Ultrasound-Guided Perineal Drainage

Minimal Invasive Therapy of Prostatic Abscess by Transrectal Ultrasound-Guided Perineal Drainage

Using Ga-67 scintigraphy in prostatic abscess

Spermatic cord abscess with concurrent prostatic abscess involving the seminal vesicle

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