Author/Authors :
Humberto Olarte Barragán, Edgar Department of Urology - Hospital Universitario San Juan de Alicante, Alicante, Spain , Sánchez Caballero, Laura Department of Urology - Hospital Universitario San Juan de Alicante, Alicante, Spain , Sarrió Sanz, Pau Department of Urology - Hospital Universitario San Juan de Alicante, Alicante, Spain , Nakdali- Kassab, Baraa Department of Urology - Hospital Universitario San Juan de Alicante, Alicante, Spain , Gómez Garberí, Miguel Department of Urology - Hospital Universitario San Juan de Alicante, Alicante, Spain , Gómez Pérez, Luis Department of Urology - Hospital Universitario San Juan de Alicante, Alicante, Spain , Ángel Ortiz Gorraiz, Manuel Department of Urology - Hospital Universitario San Juan de Alicante, Alicante, Spain
Abstract :
Introduction: Prostatic abscess is an infrequent but serious pathology that could be treated by
ultrasound-guided puncture, transurethral resection, or open surgery.
Case Report: We present a case of a 72-year-old male with a 3x5 cm prostatic abscess in the right
lobe showed in abdominal computed tomography (CT). In the blood test, he presented coagulopathy.
Urgent transurethral drainage by holmium laser was decided to be performed. It started with incision
and opening of the right prostatic lobe with an energy of 1.2 J and a frequency of 20 Hz with a
total power of 24 W. A 550-micron fiber was used for this technique. Coagulation of the area was
performed with a power of 20 W. The postoperative course was uneventful.
Conclusion: The holmium laser appears to be an effective alternative in the treatment of this
pathology in patients with coagulation disorders by providing adequate hemostatic control.
