Two drains were placed in the retropubic space. The post-operative
period was uneventful. The patient was managed with IV amikacin and
ceftriaxone for 7 days in the surgical ward and was discharged on oral
antibiotics for 5 more days based on the clinical improvement of the
patient. Histopathological examination of the excised tissue was
suggestive of the prostatic urethral tract lining with chronic
inflammation. During the follow-up, persistent discharge from the
surgical site was noted following which Citrobacter freundii was
isolated from the wound swab culture and sensitivity test. Exploration
and debridement were done along with oral antibiotics such as
ciprofloxacin and azithromycin for 5 days. The wound was allowed to heal
by secondary suturing. After regular dressing and follow-up, the patient
recovered well with good cosmetic and functional results. An
unobstructed urinary tract that was free of infection was noted. The
review ultrasonography of the pelvis after completion of the antibiotic
dose showed a resolution of the size of the retropubic abscess.