EUS-guided drainage of an isolated primary tubercular prostatic abscess.

摘要

Prostatic abscess occurs infrequently. The genitourinary tract is a common site of involvement in extrapulmonary tuberculosis. However, primary prostatic tuberculosis is very rare,1 and tubercular abscess in the prostate gland is extremely uncommon unless the patient is immunocompro-mised.2'3 Prostatic imaging studies, such as transrectal US (TRUS) and magnetic resonance imaging (MRI) are important in the diagnosis and management of prostatic abscess.4"11 Although surgical drainage is the mainstay in the treatment of prostatic abscess, the best method of drainage remains somewhat controversial.7'8 TRUS-guided needle aspiration or drainage is the most widely used technique, with fairly good success. Failure of this method usually requires surgical drainage.12 Although there are a few case reports of tubercular prostatic abscess in the medical literature, all were described in AIDS patients.