A technique of transrectal ultrasound guided transperineal percutaneous drainage of pelvic abscess after radical cystectomy.
OBJECTIVE
Pelvic abscess after pelvic surgery may be a serious complication. We describe a technique of accurate transrectal ultrasound guided transperineal percutaneous drainage.


METHODS
Drainage of a pelvic abscess was required in a patient 30 days after radical cystectomy and ileal neobladder construction were performed for bladder cancer. Drainage was performed via perineal access under transrectal ultrasound guidance.


RESULTS
The procedure was painless and easily performed. About 100 ml. of pus were removed. The next day the patient was afebrile and 5 days later he was discharged from the hospital.


CONCLUSIONS
Pelvic abscess after pelvic surgery is a serious complication. Percutaneous perineal ultrasound guided drainage is a safe and effective therapeutic option.
Piazza
R
R
Chair of Urology, University of Modena and Reggio Emilia, Modena, Italy.
Celia
A
A
Ghidini
N
N
Paterlini
M
M
D000038:Abscess / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D015653:Cystectomy; D004322:Drainage / Q000379:methods*; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D010388:Pelvis; D011183:Postoperative Complications / Q000601:surgery*; D014463:Ultrasonography; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014547:Urinary Diversion