Intraprostatic abscess as a complication of salvage cryotherapy.
We present a case of prostatic abscess as a previously unreported complication of salvage cryoablation after initial external beam radiotherapy for prostate cancer. An 81-years-old gentleman presented with recurrent urinary tract infection, unresolved after repeated antibiotic treatments, and severe abdominal, back, and perineal pain that developed 2 weeks after undergoing cryotherapy at an outside institution. The patient required open operative drainage of 6 cm prostatic abscess-like cavity noted on computed tomography pelvis and long-term outpatient intravenous antibiotics. This is the first published instance of cryoablation therapy associated with prostatic abscess.
Wu
Ina
I
Glickman Urologic and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA. wui2@ccf.org
Jones
J Stephen
JS
D000038:Abscess / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D000230:Adenocarcinoma / Q000532:radiotherapy / Q000601:surgery; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003452:Cryosurgery; D004322:Drainage; D006801:Humans; D008297:Male; D009336:Necrosis; D010146:Pain / Q000209:etiology; D011467:Prostate / Q000473:pathology; D011471:Prostatic Neoplasms / Q000532:radiotherapy / Q000601:surgery; D011472:Prostatitis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D011832:Radiation Injuries / Q000150:complications / Q000473:pathology; D011878:Radiotherapy / Q000009:adverse effects; D016879:Salvage Therapy / Q000009:adverse effects*; D014552:Urinary Tract Infections / Q000150:complications
D000900:Anti-Bacterial Agents