Open Access

RESIDENT’S CORNER

Seminal vesicle abscess following prostate biopsy requiring transgluteal percutaneous drainage

Christopher E. Bayne¹, William A. Davis², Christopher P. Rothstein³, Jason D. Engel¹

1 Department of Urology, The George Washington University Hospital, Washington, DC, USA
2 Division of Infectious Diseases, Department of Medicine, Medstar Georgetown University Hospital, Washington, DC, USA
3 Department of Radiology, Sibley Memorial Hospital, Washington, DC, USA
Address correspondences Dr. Christopher E. Bayne, The George Washington University Medical Faculty Associates, Inc., Department of Urology, 2150 Pennsylvania Ave, NW, #3-417, Washington, DC, 20037 USA

Canadian Journal of Urology 2013, 20(3), 6811-6814.

Abstract

Transrectal ultrasound guided biopsy (TRUSB) of the prostate directly contaminates the prostate with rectal flora. Patients commonly receive fluoroquinolone (FQ) antibiotics to prevent infection. Infectious complications following TRUSB are increasing. The most common offending organism is Escherichia coli (E. coli), with isolates of this bacteria showing growing resistance to FQs. We present to our knowledge the first reported case of seminal vesicle abscess formation after TRUSB. The abscess was initially not seen on computed tomography and eventually treated with percutaneous drainage by a transgluteal approach. We review literature on infectious complications following TRUSB with implications for future antibiotic prophylaxis.

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