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Periurethral abscess
M M Walther1, B B Mann, D P Finnerty
1Department of Surgery (Urology), Emory Clinic, Atlanta, Georgia.
Abstract:
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.
Insights
This study reviewed 63 periurethral abscess cases in men, identifying gonorrhea and urethral strictures as key risk factors. Modern treatments, including antibiotics and drainage, significantly improved survival rates for this condition.
Area of Science:
- Urology
- Infectious Diseases
Background:
- Periurethral abscess is a serious condition in men.
- Predisposing factors include prior gonorrhea, abscess, and urethral strictures.
Purpose of the Study:
- To characterize the natural course of periurethral abscesses.
- To evaluate treatment outcomes and survival rates.
Main Methods:
- Retrospective review of 63 cases treated between 1963 and 1985.
- Analysis of predisposing factors, treatment modalities, and outcomes.
Main Results:
- Common predisposing factors identified: gonorrhea history, previous abscess, urethral stricture disease.
- Treatment involved abscess drainage, suprapubic urinary diversion, and IV antibiotics (aminoglycoside and cephalosporin).
- Mortality rate was 1.6% (1 of 63 hospitalizations).
Conclusions:
- Periurethral abscess management has evolved.
- Improved survival compared to historical data is linked to advancements in antibiotics and medical support.