Chronic bacterial prostatitis: a trial to treatment via transurethral local injection of antibiotics

In this study, a new visualized procedure for the local injection of the prostate with antibiotics via the transurethral route by using a special needle was adopted. The study was conducted on 31 patients suffering from chronic bacterial prostatitis, which were resistant to multiple courses of antimicrobial therapy. The patients were divided into 2 groups according to the antibiotic used. In group 1, thiamphenicol was used. In group 2, the choice of antibiotic depended on the culture and sensitivity readings of EPS. Urethrocystoscopy was initially done to exclude any associated pathology. A special fine malleable needle with sharp tip was then introduced through the catheterizing bridge and the antibiotic was injected in different sites of the prostate as well as in the prostatic sinus alongside the verumontanum. Four patients were excluded from the study because of endoscopic evidence of associated pathology. Eleven patients [40.7%] of the remaining 27 patients required a second injection. All patients were reviewed 2-3 weeks after injection and then once monthly for at least 4 months. The average cure rate was 50% in group 1 and 61.5% in group 2 after the first injection. The results improved significantly after the second injection [57% in group 1 and 75% in group 2]

Role of percutaneous nephrostomy in management of pyonephrosis

This study included the drainage of 38 pyonephrotic renal units in 37 patients by percutaneous nephrostomy tube. In 36 patients, the clinical symptoms [fever and loin pain], mainly disappeared 48 - 72 hours after the procedure. One patient died from septic shock. Four patients in whom the obstruction cleared spontaneously following percutaneous nephrostomy needed no further treatment. Definitive procedures were carried out in 32 patients once the acute stage had remitted and the patient's general condition allows

Lower urinary tract symptoms and female genital tract infection

Fifty female patients with lower urinary tract symptoms with symptoms of genital infection were studied bacteriologically and vaginal and cervical swabs were examined. 36.4% had monilial vaginitis and monilial cevicitis in 27.37% Mixed monilial and trichomonoas vagintis in 22.7% and trichomonoas vaginitis in 13.6%. Fifty six per cent had significant bacteriurea with E. Coli infection in 89.3%. Forty four per cent had pyuria but insignificant bacteriuria. In the latter group 86% had positive vaginal swabs and no growth in 14%, cervical swabs were positive in 22%. The aetiology of lower urinary symptoms is discussed