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Draining a prostatic abscess +/- Baytril injection: what’s the procedure?

Sonopath Forum

Draining a prostatic abscess +/- Baytril injection: what’s the procedure?

  • When draining a prostatic abscess is there any particular way to approach it or does it depend strictly on the area and location of the abscess itself?
  • Also, for Baytril injection is the dosing different than the normal dose that would be given SQ or IV to the same size patient?
  • Is there an area of concern in the prostate that you should steer clear of such as a whopping blood supply, etc?

I did see the ADAIN procedure in the basic search.

  • When draining a prostatic abscess is there any particular way to approach it or does it depend strictly on the area and location of the abscess itself?
  • Also, for Baytril injection is the dosing different than the normal dose that would be given SQ or IV to the same size patient?
  • Is there an area of concern in the prostate that you should steer clear of such as a whopping blood supply, etc?

I did see the ADAIN procedure in the basic search.

http://sonopath.com/resources/interventional-procedures/adain-procedure-abscess-drainage-antibiotic-injection-and-neuter

Comments

rlobetti

Personally no real “best

Personally no real “best approach” – aim and insert the needle into the abscess cavity, this also will avoid complications.

Extract from: The Curbside Guide. Diagnosis & Treatment of Common Sonographically Detected Disease: Canine & Feline.

ADAIN Procedure:Prostatic abscesses traditionally have necessitated surgical marsupialization, which is invasive and incurs significant expense and hospitalization. A simpler and easier method is the Abscess Drainage Antibiotic Injection and Neuter (ADAIN) procedure. The abscess is drained using a 14-16g IV catheter until only a very small cavity remains. Enrofloxacin (total dose of 5 mg/kg) is then injected directly into the abscess cavity; oral enrofloxacin (2.5-5 mg/kg BID) should be continued for 7-10 days following the procedure. If the animal is not neutered, then castration is advised. The results of this procedure have been effective in almost 100% of cases without complications.The technique can also be used on abscesses that form in prostatic carcinomas, which usually occur in neutered males. The drainage and antibiotic injection, which decreases the volume of the abscess within the tumor, is typically a palliative treatment in these cases.

rlobetti

Personally no real “best

Personally no real “best approach” – aim and insert the needle into the abscess cavity, this also will avoid complications.

Extract from: The Curbside Guide. Diagnosis & Treatment of Common Sonographically Detected Disease: Canine & Feline.

ADAIN Procedure:Prostatic abscesses traditionally have necessitated surgical marsupialization, which is invasive and incurs significant expense and hospitalization. A simpler and easier method is the Abscess Drainage Antibiotic Injection and Neuter (ADAIN) procedure. The abscess is drained using a 14-16g IV catheter until only a very small cavity remains. Enrofloxacin (total dose of 5 mg/kg) is then injected directly into the abscess cavity; oral enrofloxacin (2.5-5 mg/kg BID) should be continued for 7-10 days following the procedure. If the animal is not neutered, then castration is advised. The results of this procedure have been effective in almost 100% of cases without complications.The technique can also be used on abscesses that form in prostatic carcinomas, which usually occur in neutered males. The drainage and antibiotic injection, which decreases the volume of the abscess within the tumor, is typically a palliative treatment in these cases.

echotech

Thank you Dr. Lobetti, I have

Thank you Dr. Lobetti, I have a possible drainage procedure coming up and I am not sure if the ADAIN procedure was recommended for this patient but I want to be prepared just in case.

echotech

Thank you Dr. Lobetti, I have

Thank you Dr. Lobetti, I have a possible drainage procedure coming up and I am not sure if the ADAIN procedure was recommended for this patient but I want to be prepared just in case.

EL

Note this is a non published

Note this is a non published procedure that will comee out in the curbside guide. But the best position in my experience is the same as position 3 for the pelvic urethra from the SDEP 17 point abdomen approach (poster and lecture download here   http://sonopath.com/products). With the patient in right lateral recumbency retract the left rear leg and approach inguinally to have just the abscess as close to the body wall and  probe as possible. Sliding to different angles to minimize the distance is variable depending on the position of the abscess.

Please upload some images when you do it so we can help improve if need be.

EL

Note this is a non published

Note this is a non published procedure that will comee out in the curbside guide. But the best position in my experience is the same as position 3 for the pelvic urethra from the SDEP 17 point abdomen approach (poster and lecture download here   http://sonopath.com/products). With the patient in right lateral recumbency retract the left rear leg and approach inguinally to have just the abscess as close to the body wall and  probe as possible. Sliding to different angles to minimize the distance is variable depending on the position of the abscess.

Please upload some images when you do it so we can help improve if need be.