Prostatic Abscesses Involving Anaerobic Bacteria

Bartlett, John G.; Weinstein, William M.; Gorbach, Sherwood L.

doi:10.1001/archinte.1978.03630340041014

Cited by 17 publications

(2 citation statements)

References 13 publications

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“…Candida albicans may infect the prostate gland by ascending hematogenous route and rarely cause PA (Lentino et al 1984;Vahlensieck 1987). From: Bartlett et al (1978), Bergner et al (1981), Brawer and Stamey (1987), Chia et al (1986), Cytron et al (1988), Dennis and Donohue (1985), , Kadmon et al (1986), Learmonth and Philp (1988), Lentino et al (1984), Marans et al (1991), Mariani et al (1983), Mitchell and Blake (1972), Morrison et al (1988), Pai and Bhat (1972), Papanicolaou et al (1987), Rorvik and Daehlin (1989), Sohlberg et al (1991), Steinhardt (1988), Sugao et al (1986), Trapnell and Roberts (1970), Vaccaro et al (1986), Washecka and Rumancik (1985), Weinberg et al (1985), Woo et al (1987) 50% of reported PA cases are a result of instrumentation or indwelling catheters (Meares 1980. This is promoted especially in older patients by bladder outlet obstruction caused, for example, by neurogenic bladder, urolithiasis, carcinoma of the prostate and benign prostatic hyperplasia, urinary tract infection, adnexitis, or transurethral instrumentation including previous prostatectomy, prostate needle biopsy, or indwelling catheter (Bartlett et al 1986;Bergner et al 1981;Brawer and Stamey 1987;Chia et al 1986;Cytron et al 1988;Dennis and Donohue 1985;Kadmon et al 1986;Learmonth and Philp 1988;…”

Section: Etiology and Pathogenesismentioning

confidence: 99%

Prostatitis

1994

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Sol'!cover reprint of the hardcover 1 st edition 1994The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.Typesetting: VII PrefaceProstatitis syndromes continue to be a major problem in urology. About every second man will experience symptoms of prostatitis during his lifetime. A study by the U.S. National Center for Health Statistics showed that approximately 25% of the men seen for urogenital problems suffer from prostatitis.What is the intention of this book? Although investigations in recent years, including microbiologic and immunologic ones, have focused on the correct diagnosis of prostatitis, much confusion still remains regarding its correct classification, its etiology, and the evaluation of diagnostic results. Many clinicians, therefore, tend to lump together several diseases of variable type and sequela as prostatitis.The term "prostatitis" implies an inflammatory disease, but true bacterial infection is detected in only 5 %-1 0% of patients. In fact, most patients reveal no significant bacterial counts in the prostatic fluid. Nonetheless, 40%-60% of these patients suffer from non bacterial prostatitis, as shown by the fact that the prostatic fluid contains elevated leukocyte counts while common uropathogens are not detected.Essentially, three clinical types of real inflammatory prostatitis are widely accepted: acute and chronic bacterial and nonbacterial prostatitis. There remains a condition denoted as prostatodynia, covering patients in whom signs of neither inflammation nor infection are found. Multiple extraprostatic disorders are suspected causes of these complaints, e.g., bladder outlet disorders, detrusor hyperreflexia, pelvic floor tension myalgia, interstitial cystitis, urolithiasis, ostitis pubis, and anogenital disorders. Proven data concerning these special problems are rare, and their association to prostatodynia is unclear. The intention of this book is to provide the reader with a clarification of the etiopathogenesis of prostatitis and the competence to exclude the patient with complaints and symptoms of prostatitis but without true prostatic inflammation, i.e., to identify the man suffering from prostatodynia, thus preventing multiple and useless antibiotic trials. Instead, if the diagnosis prostatodynia is clarified, there may be an indication for, among other things, psychodynamic investigation and therapy.This book concentrates on clinical prostatitis strictu sensu and does not treat the various types of histologically detected inflammation of the prostate, e.g., "prostatitis" associated with benign prostatic hypertrophy. Very rarely, prostatectomy specimens of younger patients or autopsy samples of prostates x Preface without evidence of hyperplasia demonstrate inflammatory infiltrates. In men up to the age of 40, prostatitis is mainly located in the peripheral gland, no...

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Section: Etiology and Pathogenesismentioning

confidence: 99%

Prostatitis

1994

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“…Neuerdings wird vermehrt das Auftreten von Prostataabszessen bei Hämodialysepatienten (12,14)oderImmunsupprimierten (18) beobachtet. In Verbindung mit Veränderungen im Keimspektrum ergaben sich in den letzten Jahren häufigere Komplikationen (4) mit zum Teil fatalem Verlauf (2,13,17).…”

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Die konservative Behandlung des Prostataabszesses

Mickisch¹,

Eschner²,

Tschada³

et al. 1989

Aktuel Urol

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Chronic prostatitis: Comments on infectious etiologies and antimicrobial treatment

et al. 1985

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Twenty-three males with the clinical diagnosis of chronic prostatitis were evaluated for a bacterial etiology by the Stamey and Meares method. In addition, 16 patients, regardless of culture results, were placed on either cefadroxil or oral carbenicillin antimicrobial therapy. Culture results identified only four (17%) of 23 patients with bacterial prostatitis: coagulase-negative Staphylococcus (2), Enterobacter agglomerans (1), and Haemophilus parainfluenzae, and coagulase-negative Staphylococcus (1). Four of seven patients who received oral carbenicillin and three of nine patients who received cefadroxil reported symptomatic relief. This study did not identify a common etiology for chronic prostatitis or a consistently effective antimicrobial treatment. Rather, we observed that the etiologic agent in most cases of chronic prostatitis (83%) could not be identified by routine bacteriologic culture. Future research efforts in chronic prostatitis must address not only treatment regimens but expand the search for etiologic agents.

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Prostatic Abscesses Involving Anaerobic Bacteria

Cited by 17 publications

References 13 publications

Prostatitis

Prostatitis

Die konservative Behandlung des Prostataabszesses

Chronic prostatitis: Comments on infectious etiologies and antimicrobial treatment

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