Transperineal Drainage of Seminal Vesicle Abscess Under Local Anaesthetic: A Case Report

Ali Hooshyari,1 Flavio Vasconcelos Ordones,1,2 Lodewikus Petrus Vermeulen1,2 1Urology Department, Tauranga Hospital, Tauranga, New Zealand; 2Honorary Clinical Lecturer, University of Auckland, Auckland, New ZealandCorrespondence: Ali Hooshyari, Email [email protected]: A 44-year-old healthy Caucasian gentleman presented with fevers and right lower quadrant pain. He had mildly elevated inflammatory markers and computed tomography demonstrated cystic enlargement of the right seminal vesicle concerning for seminal vesicle abscess (SVA). SVA is a rare diagnosis and generally requires drainage for adequate source control. The patient was commenced on intravenous antibiotics and underwent uncomplicated transperineal drainage of seminal vesicle abscess under local anaesthetic. Urine culture confirmed infection with Citrobacter koseri and the patient was discharged on the first post-operative day with a 14-day course of oral co-trimoxazole. Six-week follow-up with multiparametric magnetic resonance imaging of the prostate shows no evidence of any prostatic lesions, prostatitis or recurrence of abscess.Keywords: seminal vesicle abscess, transperineal drainage, local anaesthetic