title: Transurethral drainage of prostatic abscess: points of technique.
abstract: BACKGROUND
  The incidence of prostatic abscess (PA) has markedly declined with the widespread use of antibiotics and the decreasing incidence of urethral gonococcal infections.
  
  
  OBJECTIVE
  To evaluate different treatment methods for prostatic abscess and to describe technical points that will improve the outcome of transurethral (TUR) drainage of prostatic abscess.
  
  
  METHODS
  We performed a retrospective study of a series of 11 patients diagnosed with prostatic abscess, who were admitted and treated in Farwaniya Hospital, Kuwait, between February 2008 and November 2010. Drainage was indicated when antibiotic therapy did not cause clinical improvement and after prostatic abscess was confirmed by TRUS (Transrectal ultrasonography) and/or CT computed Tomographyscan. TUR drainage was indicated in 7 cases, ultrasound-guided transrectal drainage was performed in 2 cases, and ultrasound-guided perineal drainage was performed in 2 cases.
  
  
  RESULTS
  All patients that underwent TUR-drainage had successful outcomes, without the need of secondary treatment or further surgery.
  
  
  CONCLUSIONS
  TUR drainage of a prostatic abscess increases the likelihood of a successful outcome and lowers the incidence of treatment failure or repeated surgery. Less invasive treatment, with perineal or transrectal aspiration, may be preferred as a primary treatment in relatively young patients with localized abscess cavities.
authors.affiliation: Farwaniya Hospital, Kuwait.
authors.forename: Mohamed
authors.initials: M
authors.lastname: El-Shazly
authors.forename: Nawaf
authors.initials: N
authors.lastname: El-Enzy
authors.forename: Khaled
authors.initials: K
authors.lastname: El-Enzy
authors.forename: Encho
authors.initials: E
authors.lastname: Yordanov
authors.forename: Badawy
authors.initials: B
authors.lastname: Hathout
authors.forename: Adel
authors.initials: A
authors.lastname: Allam
keywords: Drainage; Methods; Prostate; Transurethral