scholarly journals Prostatic abscess: an unusual cause of delirium associated with lower urinary tract symptoms

2020 ◽  
Vol 49 (5) ◽  
pp. 885-886
Author(s):  
Alexander Pawsey ◽  
Jonathan Calleja ◽  
Nicholas Clarke
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Elderly Care ◽  
The Elderly ◽  
Care Physician ◽  
Prostatic Abscess ◽  
Urinary Tract Symptoms ◽  
Optimal Medical Care ◽  
Lower Urinary

Abstract Our case describes an 80-year-old gentleman who presented with delirium and lower urinary tract symptoms. Initially treated for a urinary tract infection, he became more unwell with features of physiological decompensation secondary to sepsis. A computerized tomography scan was performed in light of the findings of suprapubic tenderness, which on examination revealed a prostatic abscess. On discussion with urology and microbiology colleagues a plan for antibiotics was constructed and the gentleman recovered without the need for invasive interventions. Our case goes on to discuss the merits of imaging for the elderly care physician when the diagnosis is not clear or when the clinical picture is of deterioration despite optimal medical care.

Diagnosis and treatment of lower urinary tract symptoms in the elderly by general practitioners

2008 ◽  
Vol 8 (2) ◽  
pp. 119-125 ◽  
Author(s):  
Kikuo Okamura ◽  
Tomonori Hasegawa ◽  
Yoshikatsu Nojiri ◽  
Mineo Kobayashi ◽  
Toshiyuki Murase ◽  
...  
Keyword(s):  
Urinary Tract ◽  
General Practitioners ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
The Elderly ◽  
Diagnosis And Treatment ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Association Between Lower Urinary Tract Symptoms and Falls in Adults Males: Based on the Korean Community Health Survey

2019 ◽  
Vol 31 (7) ◽  
pp. 643-651 ◽  
Author(s):  
Tae-Yoon Hwang ◽  
Sang-Kyu Kim ◽  
Ki Ho Kim ◽  
Jong-Yeon Kim
Keyword(s):  
Urinary Tract ◽  
Community Health ◽  
Lower Urinary Tract Symptoms ◽  
Health Survey ◽  
Lower Urinary Tract ◽  
The Elderly ◽  
Adult Males ◽  
Urinary Tract Symptoms ◽  
Community Health Survey ◽  
Lower Urinary

This study aimed to investigate the correlation between lower urinary tract symptoms (LUTSs) and falls considering places where falls can occur in adult males. We analyzed 101 862 males in the 2011 Korean Community Health Survey. LUTSs were assessed using the International Prostate Symptom Score system. The rate of total and indoor falls significantly increased with the LUTS severity, respectively. After adjusting for age and other confounding variables, the odds ratios (ORs) for total falls were significantly high for the mild (OR = 1.63, 95% confidence interval [CI] = 1.54-1.71), moderate (OR = 2.35, 95% CI = 2.16-2.56), and severe groups (OR = 2.83, 95% CI = 2.49-3.22), relative to the normal group. Indoor fall experience was the same for the mild (OR = 1.56, 95% CI = 1.36-1.79), moderate (OR = 2.37, 95% CI = 1.97-2.85), and severe groups (OR = 3.77, 95% CI = 3.00-4.72). Nocturia, hesitancy, and urgency were significantly associated with indoor falls. The association between falls and the degree of LUTS was observed in both the young and the elderly. Therefore, further studies are needed to determine the effects of treatment of LUTS on the risk of falls and the effectiveness of the fall prevention program.

scholarly journals Extensive Prostatic Abscess in an Elderly Patient Requiring Multidisciplinary Drainage

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
John Michael Nesemann ◽  
Kathy Huen ◽  
Jonathan Bergman
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Multidisciplinary Approach ◽  
Perineal Pain ◽  
Medical Attention ◽  
Prostatic Abscess ◽  
Urinary Tract Symptoms ◽  
Systemic Symptoms ◽  
Lower Urinary

Background. Prostatic abscess is rare and mainly affects immunocompromised individuals, classically presenting with both systemic and lower urinary tract symptoms. Our case is unique as the patient presented with an exceptionally long duration of symptoms prior to seeing a health-care provider, had no systemic symptoms, and was managed via a multidisciplinary approach. Case Presentation. We present a case of a 70-year-old man with type-two diabetes who endured two months of lower urinary tract symptoms and constipation without systemic symptoms prior to seeking medical attention. He had a positive urinalysis and culture and was initially thought to have a urinary tract infection; however, computed tomography scan revealed a large, complex, and multiloculated prostatic abscess. Multidisciplinary drainage of the abscess was performed by interventional radiology and urology. A postoperative Foley catheter was left in place, and the patient recovered without complications. Discussion. Prostatic abscess is uncommon and presents almost exclusively in patients with immunocompromising conditions such as diabetes. Prior to the advent of antibiotics, the major causes were gonorrheal and Staphylococcus aureus infections, but with the advent of antibiotics, microbial culprits have shifted to gram-negative organisms. Patients typically present with lower urinary tract symptoms, perineal or lower back pain, and systemic symptoms. Management often consists of intravenous antibiotics and surgical drainage either by transrectal ultrasound-guided needle aspiration, or transurethral deroofing of the prostate. Our case highlights the following: (a) the importance of a high index of suspicion for a prostatic abscess in an immunocompromised patient with persistent leukocytosis and perineal pain after treatment with antibiotics and (b) the potential for an early multidisciplinary approach to draining extensive, loculated prostatic abscesses.

Alleviating Constipation in the Elderly Improves Lower Urinary Tract Symptoms

Gerontology ◽  
2001 ◽  
Vol 47 (2) ◽  
pp. 72-76 ◽  
Author(s):  
Gideon Charach ◽  
Alexander Greenstein ◽  
Pavel Rabinovich ◽  
Itamar Groskopf ◽  
Moshe Weintraub
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
The Elderly ◽  
Urinary Tract Symptoms ◽  
Lower Urinary
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