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Submited on: 06 Nov 2011 10:13:03 PM GMT
Published on: 07 Nov 2011 04:06:58 PM GMT
- Other Comments: 5. The abstract is rather lengthy. Should be abridged. 7. The 'Case report' section of the abstract should be shortened.
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Competing interests:
None
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Invited by the author to review this article? :
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Have you previously published on this or a similar topic?:
No
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References:
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Experience and credentials in the specific area of science:
A practicing urologist in a tropical, resource limited environment. - How to cite: Essiet A .Review of prostatic abscess paper[Review of the article 'Prostatic Abscess: Case Report and Review of Literature ' by Venyo A].WebmedCentral 2011;2(11):WMCRW001113
This paper describes an uncommon, although not really rare, condition; the discussion of the literature on similar cases is well conducted and described in detail.
A prostatic abscess is a potential indication for surgery. Medical management of prostatic abscess is often unsuccessful. Thus, surgical drainage via either transrectal or perineal aspiration, transurethral resection, or transrectal ultrasound–guided placement of a transrectal drainage tube may be considered, as reported by authors.
Transrectal or perineal aspiration of the abscess is preferred and is often effective, especially if the patient's symptoms do not improve after 1 week of medical therapy. TURP and drainage of the cavity is another approach; this approach is less desirable because of the potential hematogenic spread of bacteria, particularly if an appropriate and specific antibiotic treatment is not initiated in advance.
The abscess should be allowed to drain, or some type of drainage should be performed if the abscess is larger than 1 cm. It is advisable to monitor the abscess closely if a spontaneous rupture occurs into the urethra.
no competing interests
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some recent clinical experience