Steinhardt G F
Department of Surgery, St. Louis School of Medicine, Missouri.
J Urol. 1988 Nov;140(5):1002-6. doi: 10.1016/s0022-5347(17)41910-0.
Prostatic abscess is an unusual occurrence in the era of modern antibiotics. In 5 patients with myelodysplasia extravasation of contrast material to the boundaries of the prostate was noted on voiding cystourethrography. All patients were adolescents who, with varying degrees of compliance, had managed the neurogenic bladder with intermittent catheterization since childhood. All patients had chronic urinary tract infections. In 2 patients subjected to transurethral resection the prostatic parenchyma was completely replaced by the suppurative process. Neither patient demonstrated much clinical improvement after resection. The possible etiological factors and various therapeutic options are discussed for the previously unreported condition of chronic prostatic abscess in myelomeningocele patients.
在现代抗生素时代，前列腺脓肿是一种不常见的病症。在5例患有骨髓发育不良的患者中，排尿性膀胱尿道造影显示造影剂外渗至前列腺边界。所有患者均为青少年，自童年起就通过间歇性导尿来处理神经源性膀胱，依从程度各异。所有患者都有慢性尿路感染。在2例行经尿道切除术的患者中，前列腺实质完全被化脓过程所取代。切除术后，这两名患者均未表现出明显的临床改善。本文讨论了脊髓脊膜膨出患者慢性前列腺脓肿这种此前未报道病症的可能病因及各种治疗选择。
