Infertility/Impotence/Gen Uro
Paper Abstract
Brian Wiseman
Medical Student
West Virginia University School of Medicine
Morris Jessop
Urology Resident
West Virginia University
Chad Crigger, MD, MPH
Urology Resident
West Virginia University
John Barnard, MD
Urology Resident
West Virginia University
Stanley Zaslau
Urology Department Chairman and Professor
West Virginia University
Introduction & Objective :
Prostatic abscess is an uncommon disease and Diabetes mellitus (DM) is a known risk factor for development. No prior studies have compared features or outcomes in diabetic and non-diabetic patients.
Methods :
We retrospectively reviewed our series of 17 patients presenting with prostatic abscesses since 2012. We reviewed and compared patient demographics, presenting features, management and follow-up.
Results : Of the 17 patients presenting with prostatic abscess, 12 were diabetic and 5 non-diabetic. Mean age at presentation was 60.6 years and average HbA1c 8.3% in DM patients. No differences were observed between DM and non-diabetic patients with abscess size (3.3 vs 3.2 cm, p=0.95), abscess multifocality (58% vs 50%, p=1.0), BMI (29.4 vs 31.6 kg/m2, p=0.58), WBC count on presentation (16.2 vs 17.1, p=0.80), LOS (11.3 vs 16.8 days, p=0.49), presence of abnormal UA (82% vs 67%, p=0.58), positive blood cultures (42% vs 67%, p=0.61) or history of tobacco use (58% vs 67%, p=1.0). Management included transurethral (n=12), transrectal (n=4), IR (n=1), and laparoscopic (n=1) drainage and was not dependent on presence of DM. Mean antibiotic duration was 4.3 weeks. The most common culture organism in our group was coagulase-positive staphylococcus(n=11). Mean follow-up was 254 days with abscess recurrence in 1 non-diabetic patient.
Conclusions :
In our small series, features and outcomes were not significantly different in patients with DM presenting with prostatic abscess.