[Transurethral decompression and drainage with holmium laser for prostatic abscess: Analysis of clinical therapeutic effect].
Zhonghua Nan Ke Xue
; 26(8): 731-735, 2020 Aug.
Article
em Zh
| MEDLINE
| ID: mdl-33377736
ABSTRACT
OBJECTIVE:
To investigate the clinical effect and safety of transurethral decompression and drainage with holmium laser in the treatment of prostatic abscess.METHODS:
We retrospectively analyzed the clinical data on 13 cases of prostatic abscess treated in our hospital from January 2015 to May 2019. One of the patients was cured by drug therapy while the other 12 underwent transurethral decompression and drainage with holmium laser after failure in medication. We recorded such postoperative symptoms as fever, frequent urination, urgent urination, painful urination, tenteria, dysuria and abdominal distension, obtained the dynamical indices of blood and urine routine and culture after surgery, and performed MRI during the follow-up for possible recurrence and complications. Those with disappearance of the clinical symptoms, negative results of urine leukocyte and pathogen examinations, and no recurrence revealed by MRI were considered to be cured.RESULTS:
After operation, the clinical symptoms were improved significantly and the urinary catheters removed within 5ï¼10 days in all the cases. At 3ï¼5 days after removal of the catheters, all the patients experienced smooth urination, with no urinary retention or urethral stricture. The patients were followed up for 3ï¼16 months, during which no recurrence was observed.CONCLUSIONS:
Transurethral decompression and drainage with holmium laser can achieve a definite clinical effect in the treatment of prostatic abscess and therefore deserves to be promoted in clinical practice.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Hiperplasia Prostática
/
Drenagem
/
Descompressão Cirúrgica
/
Abscesso
/
Terapia a Laser
/
Lasers de Estado Sólido
Tipo de estudo:
Observational_studies
Limite:
Humans
/
Male
Idioma:
Zh
Revista:
Zhonghua Nan Ke Xue
Assunto da revista:
MEDICINA REPRODUTIVA
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
China