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[Acute periurethritis: 155 cases]
1Clinique Urologique, Centre Hospitalier Universitaire Aristide Le Dantec-Dakar/Sénégal.
Abstract:
Severe complications of urethral stricture, acute peri-urethral phlegmon can be localized or diffuse. They are characterized by polymicrobial infections. The mortality rates about 7% is the privilege of diffuses forms. The treatment associates medical and surgical procedures, and consists in polyantibiotherapy and excision of suppurative lesions. From a series of 155 cases we analyse the pathogenical, clinical and therapeutical aspects.
Insights
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).
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.