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.
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.
In our small series, features and outcomes were not significantly different in patients with DM presenting with prostatic abscess.