Transrectal ultrasound-guided transperineal and transrectal management of seminal vesicle abscesses

• Published in: European journal of radiology Vol. 52; no. 3; pp. 329 - 334
• Main Authors: Sağlam, Mutlu, Uğurel, Şahin, Kilciler, Mete, Taşar, Mustafa, Somuncu, İbrahim, Üçöz, Taner
• Format: Journal Article
• Language: English
• Published: Shannon Elsevier Ireland Ltd 01-12-2004; Elsevier Science
• Subjects: Abscess; Abscess - diagnostic imaging; Abscess - surgery; Adolescent; Adult; Anti-Bacterial Agents - therapeutic use; Aspiration; Bacterial diseases; Bacterial diseases of the urinary system; Biological and medical sciences; Cefoxitin - therapeutic use; Escherichia coli Infections - diagnostic imaging; Escherichia coli Infections - surgery; Follow-Up Studies; Genital Diseases, Male - diagnostic imaging; Genital Diseases, Male - surgery; Hospitalization; Human bacterial diseases; Humans; Infectious diseases; Male; Medical sciences; Middle Aged; Minimally Invasive Surgical Procedures; Needles; Paracentesis - instrumentation; Perineum; Rectum; Seminal vesicle; Seminal Vesicles - diagnostic imaging; Seminal Vesicles - surgery; Suction - instrumentation; Time Factors; Transrectal ultrasonography (TRUS); Ultrasonography, Interventional; Seminal vesicle; Aspiration; Abscess; Transrectal ultrasonography (TRUS); Sonography; Human; Bilateral; Method; Aspiration punction; Drainage; Guidance; Clinical management; Treatment; Seminal vesicle diseases; Surgery; Needle; Echography; Unilateral; Complication; Technique; Prostate; Ultrasound
• ISSN: 0720-048X; 1872-7727
• DOI: 10.1016/j.ejrad.2003.11.006

Objective: The treatment of seminal vesicle abscesses (SVA) by transrectal ultrasound-guided transrectal and transperineal approaches were evaluated in this study.
Materials and methods: Six SVA cases were diagnosed among 2350 patients admitted to our ultrasound unit with prostate and seminal vesicle symptoms during the last 6 years. Four out of six cases had bilateral, and two had unilateral SVA. Transperineal puncture and aspiration was done in four patients with bilateral abscesses and transrectal approach was preferred in two patients with unilateral abscesses.
Results: For both approaches, the aspiration was successfully done without any complication. The mean durations of intervention were 64 and 13
min, and the durations of hospitalization were 2 and 3 days for the transperineal and transrectal approaches, respectively.
Conclusion: Transrectal ultrasound examination allows simultaneous evaluation of the gland and the guidance for a needle puncture and aspiration. Furthermore, rapid pain relief, regression of other symptoms, minimally invasive technique and shorter hospitalization seem to be important features as compared with conservative and surgical treatment modalities.