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RESIDENT’S CORNER

Anticipated treatment defect versus prostatic abscess: radiographic findings following transurethral convective radiofrequency-induced water vapor thermal ablation

Jennifer Fantasia^1,2, Joseph Brito III³, Ali Amin^1,4, Gyan Pareek^1,2,5

1 Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
2 Division of Urology, Rhode Island Hospital and The Miriam Hospital, Providence, Rhode Island, USA
3 Department of Urology, Yale University School of Medicine, New Haven, Connecticut, USA
4 Department of Pathology and Laboratory Medicine, Rhode Island and The Miriam Hospital, Providence, Rhode Island, USA
5 Minimally Invasive Urology Institute, The Miriam Hospital, Providence, Rhode Island, USA
Address correspondence to Dr. Jennifer Fantasia, 2 Dudley Street, Suite 185, Providence, RI 02905 USA

Canadian Journal of Urology 2018, 25(4), 9424-9426.

Abstract

With the increasing use of minimally invasive technologies for the treatment of benign prostatic enlargement/lower urinary tract symptoms, clinicians must become familiar with the various treatment effects and complications. Here we present a case of treatment defect after transurethral convective radiofrequency-induced water vapor thermal ablation (REZUM) radiographically identified as a prostatic abscess without consideration that the finding may have represented an anticipated treatment defect. This likely led to an unnecessary surgical procedure. This entity should be recognized by urologists and radiologists alike to avoid such interventions in the future.

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