Intrapelvic surgical treatment of infected prostatic and paraprostatic cysts using pubic osteotomies.

Abstract

Prostatopathies are common in adult and elderly intact male dogs. Prostatic abscesses may develop secondary to bacterial prostatitis or due to contamination of prostatic retention cysts or paraprostatic cysts. The objective of this report is to describe a case of prostatic and paraprostatic abscesses in a 13-year-old male dachshund in which surgical resolution was achieved by prostatic omentalization through exploratory laparotomy and pubic osteotomies. The dog was presented with apathy, anorexia, dyschezia, dysuria, and vomiting. Abdominal ultrasonography and computed tomography revealed an amorphous, heterogeneous structure with hypoechoic content and prostatic communication, displacing the urethra and colon, suggesting prostatic and paraprostatic abscesses or cysts. Omentalization of the abscesses was completed, recovery was rapid, and the dog was reported to be doing very well 1 y later. Most lesions were located in the intrapelvic region, and pubic osteotomies provided adequate working space and visualization, with rapid recovery. Key clinical message: Carrying out pubic osteotomies facilitated the approach to an intrapelvic prostatic abscess and paraprostatic infected cysts. Furthermore, hospitalization was of short duration and recovery was rapid and complete.