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Pyocystis: a systematic review.

Mohamed H Kamel1, Ramsey Gardner2, Ali Tourchi2

  • 1Department of Urology, University of Arkansas for Medical Sciences (UAMS), Little Rock, AR, USA. mkamel@uams.edu.

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|March 8, 2017
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Summary
This summary is machine-generated.

Purulent-filled bladders, known as pyocystis, can occur in patients with urinary diversion or end-stage renal disease. This severe urinary tract infection poses risks of sepsis and mortality if not properly managed.

Keywords:
BladderComplicationsEmpyemaPyocystisRenal failureUrine diversion

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Area of Science:

  • Urology
  • Infectious Diseases

Background:

  • Pyocystis, empyema cystis, and vesical empyema describe a purulent-filled bladder.
  • This condition often affects patients with defunctionalized bladders (e.g., after urinary diversion without cystectomy) or those with end-stage renal disease and anuria.
  • It represents a severe lower urinary tract infection with potential for serious complications.

Purpose of the Study:

  • To review the pathogenesis, risk factors, and management of pyocystis.
  • To highlight this often-overlooked complication of urinary diversion.

Main Methods:

  • Literature review on pyocystis, empyema cystis, and vesical empyema.
  • Analysis of pathogenesis, risk factors, and clinical management strategies.

Main Results:

  • Pyocystis presents with local symptoms like suprapubic pain and malodorous discharge.
  • Systemic complications include bacterial dissemination, sepsis, and mortality.
  • Management strategies are crucial for preventing severe outcomes.

Conclusions:

  • Pyocystis is a serious complication requiring prompt recognition and management.
  • Understanding pathogenesis and risk factors is key to prevention and treatment.
  • Effective management can mitigate the risks of sepsis and mortality associated with this condition.