Transurethral drainage for prostatic abscess in a patient with metastatic testicular cancer undergoing systemic chemotherapy.
We report a case of prostatic abscess in a 22-year-old man with metastatic testicular cancer being treated by BEP (bleomycin, etoposide and cisplatin) chemotherapy. This abscess was successfully treated by surgical drainage with transurethral resection of the prostate (TURP) under the guidance of transrectal ultrasound, allowing the patient to continue be receiving BEP without significant interruption. Drainage TURP is suggested to be a useful strategy for prostate abscess, when prompt control of symptoms caused by prostatic abscess is required.
Terakawa
Tomoaki
T
Division of Urology, Kobe University Graduate School of Medicine.
Miyake
Hideaki
H
Nakano
Yuzo
Y
Tanaka
Kazushi
K
Takenaka
Atsushi
A
Hara
Isao
I
Fujisawa
Masato
M
D000038:Abscess / Q000209:etiology / Q000628:therapy*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D001761:Bleomycin / Q000008:administration & dosage / Q000009:adverse effects; D001932:Brain Neoplasms / Q000556:secondary; D002442:Ceftazidime / Q000008:administration & dosage; D002945:Cisplatin / Q000008:administration & dosage / Q000009:adverse effects; D004322:Drainage / Q000379:methods*; D005047:Etoposide / Q000008:administration & dosage / Q000009:adverse effects; D006801:Humans; D016867:Immunocompromised Host; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D000077731:Meropenem; D009919:Orchiectomy; D011469:Prostatic Diseases / Q000209:etiology / Q000628:therapy*; D011552:Pseudomonas Infections / Q000209:etiology / Q000628:therapy*; D013736:Testicular Neoplasms / Q000628:therapy*; D013845:Thienamycins / Q000008:administration & dosage; D020728:Transurethral Resection of Prostate
D000900:Anti-Bacterial Agents; D013845:Thienamycins; D001761:Bleomycin; D005047:Etoposide; D002442:Ceftazidime; D000077731:Meropenem; D002945:Cisplatin