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A 25-year-old male asked about a 25-year-old male:

My dad 58 years old..has recently had laser ablation of prostate for bph..previously dignosed as prostatitis with uti.now onfoley catheter ..fever not reducing and doctors told he has micro abscess ?

3 doctor answers9 doctors weighed in
Dr. Daniel Cabot
Family Medicine 23 years experience
Fever=infection: If he is having a fever after surgery you should definitely follow up with his surgeon. A microabscess is an area of infection that has been walked off within the body to a specific area. These often need to be drained or the person can get sicker.
Dr. Myron Arlen
Surgical Oncology 65 years experience
Foley infection: BPH is of minimal concern at 58. Prostate ca in the 50's can be serious. An indwelling cath might be needed but frequently associated with UTI and microabscesses. Can be brought under control with the proper antibiotics.
Dr. James Krick
Urology 37 years experience
Bph: First of all, laser ablation is generally not a great therapy choice for obstructing bph. It typically removes a relatively small amount of tissue. With micro-abscesses, he may need a full transurethral resection of the prostate. Especially since he still has an indwelling catheter. May consider a 2nd opinion.
Dr. Craig Smith
Dr. Craig Smith commented
Urology 36 years experience
Laser ablation of the prostate with Greenlight or cyber lasers can be very effective therapy by a urologist who has good experience. It is hemostatic and most often performed as an outpatient procedure. I agree with the above comment that a prostatic abscess confirmed by a CT exam most often requires a TURP to resect into the cavity to evacuate the abscess collection. Seek additional opinion
May 3, 2014

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