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[Acute periurethritis: 155 cases].

S M Gueye1, C Sylla, A Ndoye

  • 1Clinique Urologique, Centre Hospitalier Universitaire Aristide Le Dantec-Dakar/Sénégal.

Medecine Tropicale : Revue Du Corps De Sante Colonial
|July 1, 1992
PubMed
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Acute peri-urethral phlegmon, a severe complication of urethral stricture, involves polymicrobial infections. Diffuse forms have a 7% mortality rate, requiring polyantibiotherapy and surgical excision.

Area of Science:

  • Urology
  • Infectious Diseases
  • Surgical Pathology

Context:

  • Urethral stricture can lead to severe complications like acute peri-urethral phlegmon.
  • Peri-urethral phlegmon presents as localized or diffuse forms.
  • These infections are typically polymicrobial.

Purpose:

  • To analyze the pathogenical, clinical, and therapeutical aspects of acute peri-urethral phlegmon.
  • To investigate the characteristics and outcomes of phlegmon in 155 cases.

Summary:

  • Acute peri-urethral phlegmon is a severe complication of urethral stricture, characterized by polymicrobial infections.
  • Diffuse forms of phlegmon are associated with a significant mortality rate of approximately 7%.
  • Treatment involves a combination of medical management (polyantibiotherapy) and surgical intervention (excision of suppurative lesions).

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Impact:

  • Highlights the critical nature of diffuse peri-urethral phlegmon and its associated mortality.
  • Informs clinical practice regarding the combined medical and surgical treatment strategies.
  • Contributes to understanding the pathogeny and clinical presentation of this severe urological complication.