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Periurethral Abscess


Presentation

  • Due to variety of symptomatic presentations sometimes it is not the first diagnosis that comes to one's mind. Management is by removal of the calculus via various methods ranging from endoscopic to open surgery.[ncbi.nlm.nih.gov]
  • Features 20 all new case presentations with expert commentary.[books.google.com]
Chills
  • A 62 year-old male suffered from fever, chillness, dysuria, scrotum uncomfortable, frequency, and urgency for weeks. The following CT showed the lesion of periuretral abscess.[eschool.tua.org.tw]
  • Chills were observed as a symptom. No specific voiding symptoms other than dysuria were observed, and there were no suspicions of sexually transmitted disease and lymph node enlargement in the inguinal area.[journals.lww.com]
Soft Tissue Swelling
  • Scrotal ultrasonography revealed a 10 3 cm air-containing periurethral abscess with severe soft tissue swelling (Fig. 2). We changed the antibiotics to a combined regimen of meropenem (500 mg bid, YUHAN) and metronidazole (500 mg bid, Alvogen).[journals.lww.com]
Crying
  • After 5 days, the baby started crying excessively during micturition and had occasional fever, although the urinary stream was good.[ncbi.nlm.nih.gov]
Poor Feeding
  • He presented to pediatric emergency department with complaints of fever, lethargy, poor feeding and weak urinary stream since last 5 days. Antenatal scans did not show any congenital malformations. Perinatal course was also uneventful.[ncbi.nlm.nih.gov]
Colic
  • Utility of hematuria testing in patients with suspected renal colic: correlation with unenhanced helical CT results. Urology 2002; 59: 839-842. ‎ Seite 15 - ... 1998; 5: 276-283 51. McNeill SA, Donat R, Pillai MK et al.[books.google.de]
  • Utility of hematuria testing in patients with suspected renal colic: correlation with unenhanced helical CT results. Urology 2002; 59: 839-842. ‏ الصفحة 15 - ... 1998; 5: 276-283 51. McNeill SA, Donat R, Pillai MK et al.[books.google.com]
  • Utility of hematuria testing in patients with suspected renal colic: correlation with unenhanced helical CT results. Urology 2002; 59: 839-842. ‎ Pagina 15 - ... 1998; 5: 276-283 51. McNeill SA, Donat R, Pillai MK et al.[books.google.ro]
Heart Failure
  • الصفحة 27 - ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary.[books.google.com]
Costovertebral Angle Tenderness
Meningism
  • […] spondylopathy A54.42 Gonococcal arthritis A54.43 Gonococcal osteomyelitis A54.49 Gonococcal infection of other musculoskeletal tissue A54.5 Gonococcal pharyngitis A54.6 Gonococcal infection of anus and rectum A54.8 Other gonococcal infections A54.81 Gonococcal meningitis[healthprovidersdata.com]
  • […] intraspinal abscess and granuloma (A17.81) G07 Intracranial and intraspinal abscess and granuloma in diseases classified elsewhere excludes: abscess of brain: amebic (A06.6) chromomycotic (B43.1) gonococcal (A54.82) tuberculous (A17.81) tuberculoma of meninges[codelay.com]
  • […] sinusitis 2016 2017 2018 2019 Billable/Specific Code Applicable To Antritis (chronic) Maxillary sinusitis NOS mediastinum J85.3 ICD-10-CM Diagnosis Code J85.3 Abscess of mediastinum 2016 2017 2018 2019 Billable/Specific Code meibomian gland - see Hordeolum meninges[icd10data.com]
Swelling of the Scrotum
  • On the 7th day of hospitalization, ultrasonography was performed due to the sudden swelling of the scrotum, and the patient was diagnosed with a periurethral abscess that was 10   3 cm in size.[ncbi.nlm.nih.gov]
  • On the 7th day of hospitalization, ultrasonography was performed due to the sudden swelling of the scrotum, and the patient was diagnosed with a periurethral abscess that was 10 3 cm in size.[journals.lww.com]
Urethral Disease
  • disease (n*) 尿道周囲 *** にょうどうしゅうい Google, WikiPedia periurethral ** (aj) コーパス 尿道周囲炎 N342 ** にょうどうしゅういえん PubMed, Scholar, Google, WikiPedia periurethritis (n) 尿道周囲膿瘍 N340 ** にょうどうしゅういのうよう PubMed, Scholar, Google, WikiPedia periurethral abscess * (n) 尿道出血[life-science-dictionary.com]
  • . • The identification of the bulbomembranous junction on a retrograde urethrogram is very important for assessing patients with urethral disease as well as for planning urologic procedures. • When the posterior urethra is optimally opacified and the[slideshare.net]
Scrotal Pain
  • Case Study: Scrotal Pain in a Young Man [pdf] This document was amended in July 2016 to reflect literature that was released since the original publication of this content in May 2012.[auanet.org]

Workup

Decreased Platelet Count
  • Initial laboratory test revealed the following: white blood cell (WBC) count of 3,900 (neutrophil 88.2%), elevated C-reactive protein of 18.5 mg/dL, hemoglobin of 13.5 g/dL, and decreased platelet count of 80,000/mm 3.[journals.lww.com]

Treatment

  • By using transurethral endoscopic drainage, treatment of periurethral abscess is much easier and made patient more satisfactory about the result.[eschool.tua.org.tw]
  • Gonococcal urethritis in a heterosexual male complicated by periurethral abscess and its treatment with antibiotics and surgical drainage is presented.[ncbi.nlm.nih.gov]
  • The text has been reorganized into separate sections—one on presenting symptoms and diagnosis and one on medical and surgical treatment of diseases.[books.google.com]

Prognosis

  • Prognosis As a consequence of delayed diagnosis, women may encounter several complications, such as recurrent urinary tract infections, stone formation, and more rarely, malignancy. [1] Although pathology is benign 97% of the time a high degree of suspicion[emedicine.medscape.com]
  • CCA of the male urethra is an extremely rare entity with only six cases in the world English literature having an extremely poor prognosis and uncertain histogenesis.[ijpmonline.org]
  • Prognosis Untreated chlamydia will either persist or spontaneously resolve. One study reported a spontaneous resolution rate of 22% [ 18 ].[patient.info]
  • While they heal faster, there may be a higher rate of recurrence than those left open. [24] Prognosis Even without treatment they rarely result in death as they will naturally break through the skin. [3] Epidemiology Skin abscesses are common and have[ipfs.io]

Etiology

  • I report it as interesting because of its infrequency and on account of its etiologic significance as the cause of recurrent gonorrhea. History. —The patient, a married man of 38, had contracted his first gonorrhea nineteen years ago.[jamanetwork.com]
  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Epidemiology and Natural History 482 Evaluation and Nonsurgical Management of Benign Prostatic Hyperplasia 486 Minimally Invasive and Endoscopic Management of Benign Prostatic Hyperplasia 493 Retropubic and Suprapubic Open Prostatectomy 496 Epidemiology Etiology[books.google.ro]
  • Due to the limited number of similar reported cases, injury to the urethra as a possible etiological cause of developing a CCA is only a supposition.[ijpmonline.org]
  • Etiology Several theories have been proposed to explain the etiology of female urethral diverticulum. They encompass congenital and acquired causes.[emedicine.medscape.com]

Epidemiology

  • […] and Natural History 482 Evaluation and Nonsurgical Management of Benign Prostatic Hyperplasia 486 Minimally Invasive and Endoscopic Management of Benign Prostatic Hyperplasia 493 Retropubic and Suprapubic Open Prostatectomy 496 Epidemiology Etiology[books.google.ro]
  • […] ie, no white blood cells in semen and/or expressed prostatic secretions) Category IV – Asymptomatic inflammatory prostatitis (ie, evidence of inflammation in biopsy samples, semen and/or expressed prostatic secretions, but no symptoms) Historical and epidemiologic[emedicine.medscape.com]
  • Where partners decline 'epidemiological treatment', they should be advised to abstain from sex until they have a negative test result.[patient.info]
  • "National epidemiology of cutaneous abscesses: 1996 to 2005.". The American journal of emergency medicine. 27 (3): 289–92. doi : 10.1016/j.ajem.2008.02.027. PMID 19328372. 1 2 3 Elston, Dirk M. (2009). Infectious Diseases of the Skin.[ipfs.io]
Sex distribution
Age distribution

Pathophysiology

  • Cutaneous Continent Urinary Diversion 459 Orthotopic Urinary Diversion 465 Genital and Lower Urinary Tract Trauma 468 Lower Urinary Tract Calculi 471 Development Molecular Biology and Physiology of the Prostate 476 Benign Prostatic Hyperplasia Etiology Pathophysiology[books.google.ro]
  • Pathophysiology Tubuloalveolar mucous glands, known as periurethral glands, line the urethral wall. They are located posterolaterally in the mid and distal third of the urethra. Most periurethral glands drain into the distal urethra.[emedicine.medscape.com]
  • […] warmth at the margins of the incision with purulent drainage from it. [17] If the diagnosis is uncertain, the wound should be aspirated with a needle, with aspiration of pus confirming the diagnosis and availing for Gram stain and bacterial culture. [17] Pathophysiology[ipfs.io]
  • […] warmth at the margins of the incision with purulent drainage from it. [19] If the diagnosis is uncertain, the wound should be aspirated with a needle, with aspiration of pus confirming the diagnosis and availing for Gram stain and bacterial culture. [19] Pathophysiology[en.wikipedia.org]

Prevention

  • Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets[books.google.com]
  • In a review of the published literatures, antibiotics using was necessary and open debridement was suggested to prevent this life-threatening infection. Debridement need more time and cost to treat it and always made patient uncomfortable.[eschool.tua.org.tw]

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