Is transurethral enucleation of the prostate combined with internal incision of peripheral zone abscesses a safe treatment for prostate multilocular abscesses?

BACKGROUND: To evaluate the effectiveness and safety of performing transurethral enucleation of the prostate in combination with internal incision of prostate abscesses located in the peripheral zone for multilocular prostate abscesses. METHODS: This retrospective study included 10 patients aged 45 to 89 years who were diagnosed with multilocular prostate abscesses. All patients underwent transurethral bipolar plasmakinetic enucleation of enlarged prostatic adenomas with internal incision of peripheral zone abscesses. Clinical and demographic characteristics, intraoperative parameters, urination status, postoperative complications, and recurrence of abscesses were systematically analyzed to determine the outcomes of this procedure. RESULTS: All patients successfully completed the operation without intraoperative complications. After surgery, infection-related parameters, including white blood cell count, C-reactive protein, procalcitonin and body temperature, returned to normal ranges, while urinary function indices such as post-void residual urine volume, maximum urinary flow rate, International Prostate Symptom Score, and quality-of-life score showed significant improvement compared with preoperative values. During follow-up, all patients achieved complete resolution of their prostate abscesses without evidence of recurrence. CONCLUSIONS: Transurethral enucleation of the prostate combined with internal incision of peripheral zone abscesses appears to be a safe and reliable surgical approach for multilocular prostate abscesses.