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The Clinical Significance of Granulomatous Prostatitis after Intravesical BCG Immunotherapy
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Soo Dong Kim, Jung Ho Kim, Jung Min Ha, Won Yeol Cho
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Korean J Urogenit Tract Infect Inflamm 2010;5(2):188-192. Published online October 31, 2010
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 Abstract
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- "Purpose: To evaluate the clinical significance of granulomatous prostatitis (GnP) after intravesical bacillus Calmette-Guerin (BCG) therapy (GnP-BCG) for superficial bladder transitional cell carcinoma or carcinoma in situ. Materials and Methods: We reviewed the medical records and transrectal ultrasonography (TRUS) of 193 patients who had undergone transurethral resection of bladder tumor and had received intravesical BCG therapy from January, 2003 through to December, 2009. Among them, 19 patients underwent prostate biopsy due to elevated prostate specific antigen (PSA) or abnormal TRUS finding. Results: Six of 19 patients (31.5%) who had sustained symptom were identified as GnP, of whom one patient had concurrent prostate cancer. The other 5 patients’ symptoms were spontaneously resolved and their PSA normalized by conservative care. Conclusions: Since GnP-BCG has a similar clinical appearance to prostate cancer, we should differentiate GnP-BCG from prostate cancer. However, the natural history of GnP-BCG is that of slow and complete resolution after conservative treatment. We suggest conservative treatment before undergoing prostate biopsy in patients with BCG immunotherapy to reduce unnecessary invasive intervention."
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Recent Trend on the Diagnosis and Management of Urinary Tuberculosis
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Soo Dong Kim, Won Yeol Cho
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Korean J Urogenit Tract Infect Inflamm 2009;4(1):13-19. Published online April 30, 2009
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Abstract
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- "Genitourinary tuberculosis is not very common but it is considered as a severe form of extra-pulmonary tuberculosis. Recently, the prevalence rate of genitourinary tuberculosis is increasing, even in developed countries where the incidence used to be low. The tuberculosis recrudescence was caused by the AIDS pandemic, emergence of resistant bacilli, human migration patterns, and world poverty. The diagnosis of genitourinary tuberculosis is made based on culture studies by isolation of the causative organism; however, biopsy material on conventional solid media may occasionally be required. Modern short-course anti-tuberculous drug regimens are effective in all forms of tuberculosis and is considered the first line therapy in genitourinary tuberculosis. And, radical or reconstructive surgery also necessary to treat of genitourinary tuberculosis. All urologist have to know genitourinary tuberculosis inside out and reduce a complication by early diagnosis and right medical and surgical treatment."
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Analysis of Renal and Perinephric Abscesses: with Treatment as the Center
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Soo Dong Kim, Jae Jin Kwak, Chan Wook Shin, Won Yeol Cho
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Korean J Urogenit Tract Infect Inflamm 2008;3(2):223-227. Published online October 31, 2008
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Abstract
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- "Purpose: The objective was to analyze the renal and perinephric abscesses with treatment as the center. Patients and methods: The medical records of 47 patients with renal and prinephric abscesses treated at our hospital from January 1990 to December 2007 were reviewed. The data collected included underlying conditions, size and multiplicity of abscess, cultured organisms, associated disease and treatment method. Results: The mean age of the patients was 47.7 years old (4~84), and men and women were 12 and 35 cases, respectively. In 24 cases the abscess were happened in right kidney, and bilateral cases were 4 cases. Multiple abscess were 11 cases, and the size of abscess was variable from 1cm to 6cm. Below 4cm size of abscess were 25 cases, and beyond 4cm size of abscess were 22 cases. Diabetes mellitus (31.9%), hypertension (17.0%) and urolithiasis (12.8%) were the most common underlying conditions and 11 cases were multiple. The abscess size of twenty-five cases were less than 4cm. Pyuria were found in 29 (61%) and causative organisms were found in 17 cases. The most common organisms are E. coli. Interventional treatments were performed in 23 cases: surgical drainage (1 case), percutaneous drainage (13 cases), nephrectomy (9 cases). Among the percutaneous drainage, nephrectomy was done in 2 cases. Open surgery was performed in cases that associated urologic disease existed, abscesses were multiple and abscess size was more than 4cm. The interventional treatment was decreased after 2000 year. Conclusions: Renal and perinephric abscesses are successfully managed by medical treatment. But for more good results, we considered underlying conditions, size and multiplicity of abscess."
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