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Clinical Outcome of Acute Bacterial Prostatitis; A Multicenter Study
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Seong Ju Lee, Jin Mo Koo, Bong Suk Shim, Yong Hyun Cho, Chang Hee Han, Seung Ki Min, Sung Joo Lee, Hwan Cheol Son, Jun Mo Kim, Jong Bo Choi, Tae Hyoung Kim, Sang Kuk Yang, Kil Ho Lee, Yong Kil Na, Sung Ho Lee, Hee Jong Jung, Seung Il Jung, Chul Sung Kim, Jae Min Chung, Young Jin Seo, Won Yeol Cho, Kweon Sik Min, Sang Don Lee
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Korean J Urogenit Tract Infect Inflamm 2011;6(2):165-170. Published online October 31, 2011
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- "Purpose: Proper guidelines concerning antibiotic administration for acute bacterial prostatitis (ABP) are unclear. We retrospectively analyzed treatment status and clinical outcomes to establish a proper treatment guideline. Materials and Methods: The clinical records of 669 patients from 21 hospitals diagnosed with ABP were reviewed. Prior manipulation, antibiotics administration, mean length of treatment, complication and procedure were analyzed. Results: The mean age of 538 patients (80.4%) without manipulation (group 1) and 131 patients (19.6%) with manipulation (group 2) was 58.3 years (range 19-88 years). Transrectal prostate biopsy was the most common cause of acute bacterial prostatitis (n=66; 50.4%). Of the clinical symptoms in the non-manipulation and manipulation groups, fever was most common (88.2% and 86.3%, respectively). Acute urinary retention (14.3% and 28.1%, respectively) was significantly increased in the manipulation group (p<0.05). Escherichia coli was the most frequently isolated bacterium from urine (72.0% and 66.7% of cases, respectively). Mean length of treatment was 6.5days and 7.9days, respectively; the difference was significant (p<0.05). Combination antibiotic therapy with third generation cephalosporin+aminoglycoside was used in 49.3% and 55.5% of cases, respectively. For single antibiotic therapy, second generation quinolones were used the most (35.5% and 34.3%, respectively). Sequale occurred in 29 group 1 patients (5.4%) and 20 group 2 patients (15.3%); the difference was significant (p<0.05). Conclusions: Prior manipulation was associated with 20% of ABP patients. Regardless of manipulation, clinical outcome was similar after treating with appropriate antibiotics."
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The Relationship between Lower Urinary Tract Symptoms and Chronic Inflammation
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Dong Il Kang, Kweon Sik Min
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Korean J Urogenit Tract Infect Inflamm 2007;2(2):124-135. Published online October 31, 2007
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- Lower urinary tract symptoms (LUTS) are related to urination, pain/discomport, or both. The prevalence of LUTS in the community is high in men and increases with age. LUTS are an important clinical manifestation of prostate. Benign prostatic hyperplasia (BPH) and prostatitis are the most common benign diseases of the prostate and induce LUTS. Recently, many researches have shown roles of chronic inflammation in BPH and chronic prostatitis/chronic plevic pain symdrome (CP/CPPS). Although the pathogenesis of BPH and CP/CPPS is still unresolved, chronic inflammation may play a significant role in disease progression of LUTS. This review presents recent evidence that suggests a relationship between inflammation and BPH and CP/CPPS.
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Three Cases of Prostatic Abscess
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Ik Joon Choi, Sung Hwan Jung, Ji Sung Park, Kweon Sik Min, Jae Il Chung, Sung Hyup Choi, Dong Il Kang
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Korean J Urogenit Tract Infect Inflamm 2007;2(2):225-229. Published online October 31, 2007
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Abstract
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- Prostatic abscess is acute infection in urologic department. The incidence of prostatic abscess has been decreased for development of antibiotics and decreased incidence of gonococcal infection. Currently the pathogen of prostatic abscess has been changed from N. gonorrheae to E. coli, Staphylococcus, Klebsiella, Pseudomonas, Anaerobes and rarely Candida. We encountered 3 cases of prostatic abscess. Pathogens were Klebsiella pneumoniae, and Staphylococcus aureus. Radiologic findings of each abscess were similar in all patients. All patients had been administrated sensitive intravenous antibiotics to each pathogen. Percutaneous needle aspiration and drainage, transurethral resection drainage of prostate were done to each patient.
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