Evidence map›Paper›PMID 42587330›Full record

ArticleJournal of medical case reports2026

Simultaneous endoscopic management of prostatic and seminal vesicle abscess using holmium laser enucleation of the prostate and seminal vesiculoscopy: a case series.

Guiyang Zhang, Jingqun Wang, Wei Lu, Ruizhe Zhao

Abstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Guiyang ZhangDepartment of Urology, Gaoyou People's Hospital, Yangzhou, 225600, China.
Jingqun WangDepartment of Urology, Gaoyou People's Hospital, Yangzhou, 225600, China.
Wei LuDepartment of Urology, Gaoyou People's Hospital, Yangzhou, 225600, China. thinkingreed@yeah.net.ORCID http://orcid.org/0009-0005-4483-2444
Ruizhe ZhaoDepartment of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210009, China. drzrzurology@njmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProstatic abscess (PA) is uncommon but potentially life-threatening. Secondary seminal vesicle abscess (SVA) is extremely rare and lacks standardized minimally invasive treatment. We report a case series evaluating holmium laser enucleation of the prostate (HoLEP) and seminal vesiculoscopy for the simultaneous drainage of these abscesses via a single endoscopic access. CASE PRESENTATION: Two Han-Chinese men (aged 82 and 56 years) presented with LUTS, fever and imaging-confirmed PA; the younger also had a multi-loculated right SVA. The prostate volumes were approximately 75 mL (Case 1) and 50 mL (Case 2). The prostatic abscesses measured 33 × 34 mm (Case 1) and 27 × 15 mm (Case 2), with the right seminal vesicle abscess measuring 40 × 24 mm (Case 2). After culture-directed antibiotics and glycemic control, both patients underwent single-session endoscopic surgery: Case 1 HoLEP alone; Case 2 seminal vesiculoscopy followed immediately by HoLEP. Operative times were 50 minutes and 60 minutes; blood loss < 50 mL. No intraoperative or major postoperative complications were encountered (transient stress urinary incontinence in Case 1 resolved spontaneously within 1 week). Catheters were removed on postoperative days 5 and 4; Qmax improved to 20 mL/second and 22 mL/second and IPSS fell from 25 to 9 and 26 to 8 at 1 month. Imageological examination at 1 month showed complete resolution of abscess cavities with no recurrence.

conclusionsHoLEP appears to be a viable option for PA drainage and simultaneous relief of bladder-outlet obstruction. Combined HoLEP plus seminal vesiculoscopy may offer a feasible, single-access minimally invasive strategy for complex prostatovesicular abscesses, though long-term follow-up is necessary to definitively confirm efficacy and recurrence rates.

Indexed as

AbscessEndoscopyLasers, Solid-StateProstatic DiseasesSeminal VesiclesAged, 80 and overDrainageHumansMaleMiddle AgedProstateTreatment OutcomeHoLEPProstatic abscessSeminal vesicle abscessSeminal vesiculoscopy

Identifiers

PMID42587330
PMCPMC13466187

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.