, Dong Il Kim, Hyo Jin Yun, Se Hee Yoon, Sung Ro Yun, Won Min Hwang Prostatic abscess is not a common entity which is characterized by non-specific clinical presentations. This poses a diagnostic challenge for clinicians. Clinicians routinely consider antibiotic treatments concomitantly with drainage for the treatment of prostatic abscess. But there are no established guidelines for its optimal timing, methods and indications. Surgical drainage procedures include transurethral resection of the prostate and perineal incision and drainage. But there is variability in the prognosis of patients between the procedures. We have treated a 48-year-old diabetes patient with prostatic abscess accompanied by MRSA bacteremia using a percutaneous fine-needle aspiration under the computed tomography (CT) guidance. The patient achieved improvement of the symptoms and in follow up CT findings. A percutaneous drainage under the CT guidance is advantageous in that it causes fewer complications. However, Further studies are warranted to establish the optimal timing, methods and indications in patients with prostate abscess.
, Jun Young Shin, Sang Hun Lee, Sung Jae Park, Dong Won Byon, Dong Hyeon Lee A 41-year-old male visited Ewha womans university hospital with the symptom of frequency, dysuria and residual urine sensation. We could find a Mullerian duct cyst by Transrectal ultrasonography(TRUS) and MRI image. Mullerian duct cyst was incised by transutricular seminal vesiculoscopy(TUS). The symptom was decreased significantly after surgical treatment. Presently, We report this case with a review of the Mullerian duct cyst.
, Sang Hoon Lee, Yong Chan Lee, Bong Suk Shim, Sung Won Kwon Based on urological statistic results, finding a cyst in prostate are not common cases. The size of cysts are usually smaller than prostate and they are also generally found within prostate or seminal vesicles.
Nevertheless, we have experienced a case of a large prostaic cystadenoma which is misdiagnosed as a mullerian duct cyst.
A 55-year-old male visited Ewha Woman's University Hospital with the symptom of residual urine sensation and no other specific symptoms. We could find a large multiple septated cystic mass in his pelvis by CT scan. The large multiple septated cystic mass seemed a Mullerian duct cyst. But after surgical excision, the department of pathology noticed us it was a prostatic cystadenoma.
Presently, we report this case with a review of the mullerian duct cyst and other cyst associated with prostate.
, Jeong Pyo Kang, Jun Ho Jung, Sang Hyu Roh, Joon Yong Kim, Bong Suk Shim, Sung Won Kwon We retrospectively reviewed the cases of transurethral prostatectomy benign prostatic hyperplasia. We defined the morbidity, hospitalization and urethral catheter time, complication and operator's skilled experience and compared to transurethral prostatectomy in the historical series.
A retrospective chart review of 720 consecutive patients who underwent tranasurethral prostatectomy between 1990 and 1999 at our institution for symptomatic benign prostatic hyperplasia was performed. Perioperative and late postoperative morbidity and their risk factors, hospitalization and urethral catheter time, operator's skilled experience were analyzed. The objective cases were divided by operator's experience into 5 groups, and compared in each group.
Patients were identified with an average of 66 years(range 45 to 88). Significant co-morbidity(2 or more co-morbid disease processes) was identified preoperatively in 22.1% of the patients. The most common indication for transurethral prostatectomy was prostatism only(63%). Average weight of resected tissue was 18.6gm. There was no perioperative patient mortality. Blood transfusion rate was 6.9%. The rates of early and late postoperative complications were 13.7% and 6.2%. Total average hospital stay was 5.5 days and 5.3 days from 1995 through 1999. Average preoperative symptom score was 23.8(range 10 to 35) and postoperative symptom score was 9.5(range 3 to 30) with an average follow up of 42 months(range 6 to 44 months).
In the 1990s complications of transurethral prostatectomy were relatively lower than rates in historical series. The average hospital stay and urethral catheter time have steadily decreased during the last 10 years. Transurethral resection of prostate could provide relief of lower urinary tract symptoms with high safety rate and low complication rate. Our study suggest that technique of trnasurthral resection is improving step by step by accumulating experience of operation and stabilized skillful technique will be achieved after experience of more than 150 cases.
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