Transurethral drainage of prostatic abscess using pulsed Tm:YAG laser: a case report

TL;DR

A 78-year-old man with a prostatic abscess was successfully treated using a pulsed Tm:YAG laser for drainage, a first-of-its-kind approach.

Contribution

This is the first reported case of transurethral drainage of a prostatic abscess using a pulsed Tm:YAG laser.

Findings

A pulsed Tm:YAG laser was successfully used for transurethral drainage of a prostatic abscess.

The patient received intravenous meropenem alongside the laser treatment and showed improvement.

This case demonstrates a novel minimally invasive approach for treating prostatic abscesses.

Abstract

Prostate abscesses are uncommon in a time of modern antibiotics. Nonetheless, surgical intervention and drainage are frequently required and may be performed via transperineal, transurethral, or transrectal approaches. Here, we report on a 78-year-old man who developed a prostatic abscess following joint replacement surgery. The patient was surgically treated with thulium laser enucleation of the prostate, performed using a pulsed solid-state thulium:YAG laser (Thulio®). He also received intravenous antibiotic therapy with meropenem. To our knowledge, this is the first report on transurethral drainage of a prostatic abscess using a pulsed Tm:YAG laser.

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