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Background: The prostatic abscess is difficult to diagnose because in the initial days of it, prostatic abscess mimic several others diseases of the lower urinary tract. Objectives: The present study was done with an objective to discuss the pathogenesis, diagnostic methods and treatment of the prostatic abscess. Materials and methods: The present study is the retrospective record based study of 30 patients diagnosed and treated for prostatic abscess. We assessed the age of the cases, associated disease and other symptoms and therapeutic methods. Results: Mean age of the cases was 55.2 years. Transrectal ultrasound of the prostate confirmed the diagnosis of prostatic abscess in all 30 cases in which it was performed. All cases received antibiotic and other symptomatic treatment. Surgical intervention was required in 72% of the cases. 9 patients required perineal catheter drainage, 5 patients required transurethral resection of the prostate (TURP), and one patient required both procedures. Mean hospitalization time was 11.2 days. The most frequent bacterial agent was S. aureus. All patients were discharged from the hospital, and there was no death in this series. Conclusions: Prostatic abscess should be treated with broad-spectrum antibiotics and surgical drainage (perineal puncture or TURP). Microabscess may heal without surgery.

Introduction: The diagnosis of acute appendicitis particularly in children is often challenging, occasionally taxing the skill of most experienced surgeon. It is difficult to obtain a clear history in children. Objectives: The present study was planned with an objective to see the utility of Alvarado score in diagnosis of acute appendicitis. Methods: Children in the age group of 5-15 yrs were enrolled in the study. All the patients were scored as early as possible. The decision of operation was made by the surgeon himself independent of the score. Finally the scores were correlated with subsequent clinical and operative findings of the patients and the histo-pathological examination of the removed appendix. Results: A total of 64 patients were included, of these 48 patients were operated and remaining 16 patients improved rapidly with the start of the treatment. Of the 64 patients 38 were male, mean age was 11.4 years. Alvarado score were done all 64 patients. Out of 48 patients having appendisectomy 4 had normal appendix as proved on histopathology. Other 44 had complicated pathological report of appendix. It was found that patients with low Alvarado score have little chance to suffer from acute appendicitis. Conclusion: The Alvarado score can be used as an aid in diagnosing acute appendicitis in children. Patients with score ≤5 are unlikely to need an emergency operation and can be observed as outpatient with little risk.