McClure J
Br J Urol. 1982 Apr;54(2):181-5. doi: 10.1111/j.1464-410x.1982.tb13545.x.
five cases of malakoplakia of the urinary tract are described. It is much more common in middle-aged females (peak incidence in the fifth decade compared with the seventh decade for males) but remains an uncommon condition, although clinically there is a strong association with recurrent urinary tract infection. It causes obstructive stenotic lesions of the ureters or pelviureteric junction, which pose the serious threat. Many cases are associated with non-malakoplakic diseases of other systems which often determine the prognosis. The most commonly used method of treatment was long-term antibiotic therapy; this seemed effective, although controlled trials have not been performed.