Robot-assisted laparoscopic radical prostatectomy after fluoroquinolone resistant Escherichia coli sepsis following a transrectal ultrasonography-guided prostate biopsy

Authors

  • Seung Chol Park Department of Urology, Wonkwang University School of Medicine and Hospital, Institute of Wonkwang Medical Science, Iksan, Korea
  • Jea Whan Lee Department of Urology, Wonkwang University School of Medicine and Hospital, Institute of Wonkwang Medical Science, Iksan, Korea
  • Joung Sik Rim Department of Urology, Wonkwang University School of Medicine and Hospital, Institute of Wonkwang Medical Science, Iksan, Korea

DOI:

https://doi.org/10.5489/cuaj.673

Abstract

The incidence of febrile urinary tract infection after transrectal
ultrasonography-guided prostate biopsy has been reported to range
from 0.1% to 7%, with Escherichia coli being the most common
organism identified. The conventional wisdom is to recommend
an interval of more than 4 to 6 weeks after the transrectal prostate
biopsy before treating patients with radical prostatectomy. This
allows time for resolution of the biopsy-induced inflammation,
which might complicate the surgical planes for dissection. We
present a 58-year-old man with an elevated prostate-specific antigen,
who developed near-fatal sepsis following transrectal ultrasonography-
guided prostate biopsy despite quinolone prophylaxis.
The patient underwent a robot-assisted laparoscopic radical prostatectomy
31 days after the prostate biopsy.

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Author Biographies

Seung Chol Park, Department of Urology, Wonkwang University School of Medicine and Hospital, Institute of Wonkwang Medical Science, Iksan, Korea

Jea Whan Lee, Department of Urology, Wonkwang University School of Medicine and Hospital, Institute of Wonkwang Medical Science, Iksan, Korea

Joung Sik Rim, Department of Urology, Wonkwang University School of Medicine and Hospital, Institute of Wonkwang Medical Science, Iksan, Korea

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How to Cite

Park, S. C., Lee, J. W., & Rim, J. S. (2013). Robot-assisted laparoscopic radical prostatectomy after fluoroquinolone resistant Escherichia coli sepsis following a transrectal ultrasonography-guided prostate biopsy. Canadian Urological Association Journal, 5(4), E56-E59. https://doi.org/10.5489/cuaj.673

Issue

Vol. 5 No. 4 (2011): August

Section

Case Report

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