Periurethral Abscess

Abstract

From 1963 to 1985, 63 periurethral abscesses were treated in 47 men. The records were reviewed to characterize the natural course of the disease. The most common predisposing factors were a history of gonorrhea, previous periurethral abscess and urethral stricture disease. Treatment consisted of abscess drainage, suprapubic urinary diversion and intravenous antibiotic therapy, consisting of an aminoglycoside and a cephalosporin. Mortality was 1 of 63 patient hospitalizations (1.6 per cent). Improved survival over historical cohorts is attributed to the availability of better antibiotics and medical support.

Periurethral Abscess in a Neonate

“…At present, the patient is asymptomatic and urinary stream is good. A relatively high number of sexually transmitted pathogens are isolated in sexually active individuals while urinary pathogens are found more frequently in older men [5]. Isolation of sexually transmitted pathogens is rarely achieved as most of the times superadded infection with other pathogens ensues.…”

“…If the abscess penetrates Buck's fascia, a necrotising fasciitis with extensive tissue destruction may occur. It has been postulated that the pathogenesis of periurethral abscess may evolve into a urethral stricture with subsequent urethral disruption and extravasation of infected urine [5]. Rarely, a urethral carcinoma may be implicated in the pathogenesis [3].…”

“…Rarely, a urethral carcinoma may be implicated in the pathogenesis [3]. Treatment consisted of abscess drainage, suprapubic urinary diversion and intravenous antibiotic therapy [5].…”

Proximal Bulbar Periurethral Abscess

“…Although the abscess fluid culture was negative, he completed a two-week antibiotic course per infectious disease recommendations. Recommended periurethral abscess antibiotic coverage is culture-specific or treatment with an aminoglycoside and cephalosporin (1). Periurethral abscesses have been associated with gonococcal urethritis infections, urethral strictures, periurethral bulking agent injections, and urethral diverticulum (1)(2)(3).…”

“…Recommended periurethral abscess antibiotic coverage is culture-specific or treatment with an aminoglycoside and cephalosporin (1). Periurethral abscesses have been associated with gonococcal urethritis infections, urethral strictures, periurethral bulking agent injections, and urethral diverticulum (1)(2)(3). Periurethral abscesses are treated with antibiotic coverage and surgical or needle-aspiration drainage depending on abscess location.…”