IJU case reports · 2025
Periprostatic Abscess Extending to the Perineum Following Hydrogel Spacer Placement: A Case Report.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hirata Daichi, Kamei Jun, Matsui Hotaka, Miyakawa Jimpei, Taguchi Satoru, Kakutani Shigenori, Niimi Aya, Yamada Yuta, Kume Haruki
Аннотация
INTRODUCTION: Hydrogel spacers are commonly used to minimize rectal toxicity during prostate cancer radiotherapy. We report a case of a periprostatic abscess extending to the perineum following hydrogel spacer placement.
CASE PRESENTATION: A 59-year-old man diagnosed with prostate cancer (serum prostate-specific antigen level, 6.71 ng/mL; Gleason score, 3 + 4; cT2aN0M0) underwent transperineal hydrogel spacer placement before stereotactic radiotherapy. Twenty-two days later, the patient developed urinary retention and painful perineal swelling. Computed tomography of pelvis revealed an abscess extending from the prostate to the perineum and scrotum. Broad-spectrum antibiotics were administered, followed by emergency perineal abscess drainage and percutaneous cystostomy. Residual abscesses required percutaneous drainage. The infection was cured, and the cystostomy successfully removed seven months after the onset of symptoms.
CONCLUSION: Although rare, severe infectious complications can occur following hydrogel spacer placement. Careful patient selection and perioperative management are essential to reduce risk and ensure patient safety.
CASE PRESENTATION: A 59-year-old man diagnosed with prostate cancer (serum prostate-specific antigen level, 6.71 ng/mL; Gleason score, 3 + 4; cT2aN0M0) underwent transperineal hydrogel spacer placement before stereotactic radiotherapy. Twenty-two days later, the patient developed urinary retention and painful perineal swelling. Computed tomography of pelvis revealed an abscess extending from the prostate to the perineum and scrotum. Broad-spectrum antibiotics were administered, followed by emergency perineal abscess drainage and percutaneous cystostomy. Residual abscesses required percutaneous drainage. The infection was cured, and the cystostomy successfully removed seven months after the onset of symptoms.
CONCLUSION: Although rare, severe infectious complications can occur following hydrogel spacer placement. Careful patient selection and perioperative management are essential to reduce risk and ensure patient safety.