Walther M M, Mann B B, Finnerty D P
Department of Surgery (Urology), Emory Clinic, Atlanta, Georgia.
J Urol. 1987 Nov;138(5):1167-70. doi: 10.1016/s0022-5347(17)43538-5.
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.
1963年至1985年期间，47名男性患者共接受了63例尿道周围脓肿治疗。对病历进行回顾以明确该疾病的自然病程。最常见的诱发因素为淋病病史、既往尿道周围脓肿及尿道狭窄疾病。治疗包括脓肿引流、耻骨上膀胱造瘘及静脉使用抗生素治疗，抗生素为氨基糖苷类和头孢菌素类。63例患者住院治疗中有1例死亡（1.6%）。与历史队列相比生存率提高归因于可获得更好的抗生素及医疗支持。
