1/17. Sonographic and MR findings of an extensive, hiv-related prostatic abscess.We present findings in a patient positive for the human immunodeficiency virus in whom a prostatic abscess involving the entire gland was diagnosed by transrectal ultrasonography and magnetic resonance imaging (MRI); he was subsequently treated by transurethral resection, drainage, and antibiotics. To our knowledge, this is the first report of a pelvic phased-array coil MRI performed in a patient with prostatic abscess.- - - - - - - - - - ranking = 1keywords = gland (Clic here for more details about this article) |
2/17. ciprofloxacin as cure of premature ejaculation.This article presents the case report of a 31-year-old patient of mine with both an inflamed prostate gland and, unknown to his doctor, premature ejaculation, both of which were treated successfully by the antibiotic ciprofloxacin.- - - - - - - - - - ranking = 1keywords = gland (Clic here for more details about this article) |
3/17. Eosinophilic prostatitis and prostatic specific antigen.Eosinophilic prostatitis is a rare form of abacterial prostatitis with uncertain aetiology. Its clinical presentation, like other types of abacterial prostatitis, commonly mimics carcinoma of the prostate. Transrectal ultrasound may be helpful in the diagnosis of prostatitis but histological confirmation is necessary. Prostatic specific antigen has been widely used in the diagnosis and follow-up of patients with prostatic carcinoma. High levels of this antigen (greater than 30 micrograms/l) have been claimed to be highly specific for prostate cancer, although lesser elevations may also occur in patients with large benign prostate glands and in bacterial prostatitis. We report 3 patients with histologically proven eosinophilic prostatitis and high levels of prostatic specific antigen. This diagnosis may closely mimic carcinoma of the prostate and must be excluded by histological examination of biopsy material before treatment for presumed prostate carcinoma is initiated.- - - - - - - - - - ranking = 1keywords = gland (Clic here for more details about this article) |
4/17. low back pain due to neisseria prostatitis: report of three cases.After a short term of employment in a new job, 3 young heroin addicts became disabled from low back pain due to neisseria gonorrhea prostatitis. Each returned to work after a few weeks of antibiotic therapy without symptoms following proper diagnosis. These patients demonstrate the importance of a careful history and thorough examination of the patient with low back pain including a rectal examination of the prostate gland.- - - - - - - - - - ranking = 1keywords = gland (Clic here for more details about this article) |
5/17. coccidioidomycosis of the prostate gland: two cases and a review of the literature.coccidioidomycosis prostatitis is an uncommon presentation of disseminated coccidioidomycosis, a fungal disease endemic in the southwestern united states. coccidioidomycosis prostatitis should be considered in the differential diagnosis of a patient from an endemic region with evidence of persistent sterile pyuria, prostatitis, or granulomatous disease of the prostate. diagnosis is established by biopsy, and treatment includes either an azole or amphotericin b. We present the twelfth and thirteenth reported cases and provide a review of the literature.- - - - - - - - - - ranking = 4keywords = gland (Clic here for more details about this article) |
6/17. Subclinical prostatic inflammation attributable to chlamydia trachomatis in a patient with prostate cancer.Chronic inflammation has long been linked to cancers with an infectious etiology. Subclinical intraprostatic inflammation is a frequent finding in prostatic specimens obtained during surgical procedures. Recent studies using biomolecular (amplification) methods showed that the incidence of cryptic bacterial infections of prostate gland may be underestimated. We present the case of 66 years old man with no symptoms of prostatitis in whom chronic chlamydia trachomatis infection was diagnosed based on the patient's medical history and detection of chlamydial dna in prostate biopsy specimen by means of ligase chain reaction. Two years later the patient was diagnosed with prostate cancer on repeated prostate biopsy.- - - - - - - - - - ranking = 1keywords = gland (Clic here for more details about this article) |
7/17. Primary cryptococcal prostatitis and correlation with serum prostate specific antigen in a renal transplant recipient.The prostate gland is a rare site of primary infection due to cryptococcus neoformans; however, it may serve as a site of its sequestration after an occult or treated disseminated infection. serum prostate specific antigen may correlate with the severity of prostatic inflammation, but its role as a diagnostic and prognostic marker is unclear. We report the first case of primary cryptococcal prostatitis in a renal transplant recipient. The diagnosis was established based on asymmetrically enlarged prostate gland, markedly elevated serum PSA levels, cryptococcal fungemia, an ultrasound-guided prostatic biopsy that demonstrated cryptococcal fungal elements and growth of C. neoformans on culture. The patient was successfully treated with a prolonged course of fluconazole and remained disease-free for more than 28 months of follow-up. In addition, we present a review of the published literature since 1946 and discuss possible correlation with PSA levels.- - - - - - - - - - ranking = 2keywords = gland (Clic here for more details about this article) |
8/17. sepsis due to asymptomatic Candida prostatitis.A case of a asymptomatic prostatitis due to candida albicans that caused a sepsis is presented. Up today in literature only 3 cases of Candida infections of the prostate gland without general illness were described. In this case the transurethral electro-resection of prostate was the adequate treatment.- - - - - - - - - - ranking = 1keywords = gland (Clic here for more details about this article) |
9/17. Early treatment of cavernositis resulted in erectile function preservation.INTRODUCTION: Some of the more common complications of intracavernous injection (ICI) therapy include pain and prolonged erections. Rare reported complications include intracorporeal needle breakage and postinjection cavernositis. AIM: We report a case of early management of postinjection cavernositis resulting in preservation of erectile function with no angulation. methods: A 53-year-old male with no history of diabetes mellitus presented to our department with a small painful penile swelling 36 hours after ICI of 15 microg prostaglandin E1. Clinical, laboratory, and ultrasound assessments suggested the occurrence of cavernositis. Surgical debridement, abscess drainage, and antibiotics resulted in marked improvement. Follow-up showed normal erectile function with minimal scarring. CONCLUSIONS: Timely management of cavernositis can help prevent loss of erectile function. Stringent supervision of patients, after adequate ICI training, together with drug prescription, is essential.- - - - - - - - - - ranking = 1keywords = gland (Clic here for more details about this article) |
10/17. uric acid crystals in the semen of a patient with symptoms of chronic prostatitis.OBJECTIVE: To report the finding of red and brownish precipitates with morphology and chemistry compatible with uric acid crystals in semen in a patient with symptoms of chronic prostatitis. DESIGN: Case report. SETTING: Academic clinical biochemistry and immunology laboratory. PATIENT(S): A 35-year-old man with clinical symptoms of prostatitis. INTERVENTION(S): uric acid crystals were detected in the semen samples. Treatment with a low purine diet relieved the symptoms. MAIN OUTCOME MEASURE(S): Study of chemical and morphological characteristics of crystals found in the semen using standard semen analysis and transrectal ultrasound. Analysis of serum, urine, and seminal plasma uric acid levels. RESULT(S): uric acid crystals were detected in semen. A transrectal ultrasound revealed the presence of microcalcifications in the prostate gland. After treatment with a low purine diet, the patient experienced considerable relief of the clinical symptoms. Determination of uric acid and creatinine levels in serum and seminal plasma were carried out before and after treatment. There were no abnormalities or presence of crystals in the post-treatment semen analysis. CONCLUSION(S): The presence of uric acid crystals in semen of a patient with symptoms of chronic prostatitis can be attributed to the pelvic pain.- - - - - - - - - - ranking = 1keywords = gland (Clic here for more details about this article) |
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