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Treatment of prostatic abscess: case collection and comparison of treatment methods.

DC FieldValueLanguage
dc.contributor.author이동훈-
dc.contributor.author이승환-
dc.contributor.author정병하-
dc.date.accessioned2014-12-19T17:24:54Z-
dc.date.available2014-12-19T17:24:54Z-
dc.date.issued2012-
dc.identifier.issn2005-6737-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/91364-
dc.description.abstractPURPOSE: Prostatic abscess is an uncommon urologic disease but has a high mortality rate if not treated properly. Furthermore, diagnosis and proper treatment of prostatic abscesses remains a challenge for physicians. Therefore, we compared data on conservative treatments, transurethral resection of prostatic abscess, and transrectal ultrasound (TRUS)-guided needle aspiration in 52 cases over a 10-year period. MATERIALS AND METHODS: The records of 52 patients diagnosed with prostatic abscess by computed tomography at Gangnam Severance Hospital between January 2000 and September 2010 were retrospectively reviewed. All patients were discharged when their leukocytosis had normalized and they had been free of fever for 2 days. Multivariate regression analysis was done to determine independent risk factors for the length of hospitalization. RESULTS: At the time of diagnosis, the average age of the 52 patients was 61.3 years (range, 33 to 81 years), the average volume of the prostate was 56.3 ml (range, 21 to 223 ml), the average prostate-specific antigen was 18.54 ng/ml (range, 2.0 to 57.0 ng/ml), and the average abscess size was 3.8 cm (range, 2.1 to 5.5 cm). All patients were treated with parenteral antibiotics during their hospital stay with intravenous antibiotics (fluoroquinolone monotherapy or 3rd-generation cephalosporin in combination with an aminoglycoside). Of 52 patients, 22 had diabetes mellitus (42.3%), 19 had hypertension (36.5%), and 7 (13.5%) had paraplegia due to spinal cord injury. The most common symptoms were fever (47, 90.4%), perineal discomfort (43, 82.7%), dysuria (40, 76.9%), and urinary retention (29, 55.8%). Prostatic abscesses were treated by conservative treatment (11 cases), transurethral resection of prostatic abscess (23 cases), and TRUS-guided needle aspiration (18 cases). The average hospitalization stay was 17.5 days (range, 6 to 39 days); that of conservative treatment patients was 19.1 days (range, 9 to 39 days). Patients treated by transurethral resection of prostatic abscess and TRUS-guided needle aspiration stayed 10.2 days (range, 6 to 15 days) and 23.25 days (range, 18 to 34 days), respectively. Of the 18 cases who underwent needle aspiration, prostatic abscesses recurred in 4 cases (22.2%) within 1 month after patient discharge. The 2 patients subjected to conservative treatment died due to sepsis. We found no independent factors that affected the average hospitalization period. CONCLUSIONS: Patients with prostatic abscess treated by transurethral resection of the prostate had a significantly shorter hospitalization length compared with needle aspiration.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfKorean Journal of Urology-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleTreatment of prostatic abscess: case collection and comparison of treatment methods.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨기과학)-
dc.contributor.googleauthorKidon Jang-
dc.contributor.googleauthorDae Hun Lee-
dc.contributor.googleauthorSeung Hwan Lee-
dc.contributor.googleauthorByung Ha Chung-
dc.identifier.doi10.4111/kju.2012.53.12.860-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02742-
dc.contributor.localIdA02938-
dc.contributor.localIdA03607-
dc.relation.journalcodeJ02134-
dc.contributor.alternativeNameLee, Dong Hoon-
dc.contributor.alternativeNameLee, Seung Hwan-
dc.contributor.alternativeNameChung, Byung Ha-
dc.contributor.affiliatedAuthorLee, Dong Hoon-
dc.contributor.affiliatedAuthorLee, Seung Hwan-
dc.contributor.affiliatedAuthorChung, Byung Ha-
dc.citation.volume53-
dc.citation.number12-
dc.citation.startPage860-
dc.citation.endPage864-
dc.identifier.bibliographicCitationKorean Journal of Urology, Vol.53(12) : 860-864, 2012-
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실)

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