MP15-04 PROSTATE ABSCESS: DOES TRANSURETHRAL INCISION OF PROSTATE ABSCESS REALLY HAVE SHORTER HOSPITAL STAY IN CRITICALLY ILL PATIENTS?

Abstract

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Prostate & Genitalia I1 Apr 2018MP15-04 PROSTATE ABSCESS: DOES TRANSURETHRAL INCISION OF PROSTATE ABSCESS REALLY HAVE SHORTER HOSPITAL STAY IN CRITICALLY ILL PATIENTS? Chin-Fong AU, Wei-Che Wu, and Shiu-Dong Chung Chin-Fong AUChin-Fong AU More articles by this author , Wei-Che WuWei-Che Wu More articles by this author , and Shiu-Dong ChungShiu-Dong Chung More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.517AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Some studies demonstrated that prostatic abscess treated by transurethral incision of prostate abscess had a significantly shorter hospital stay and more effective compared to transrectal needle aspiration. Our study aims to evaluate the factors affect hospital stay in patients with prostate abscess. METHODS We retrospectively analyzed the medical records of patients with prostate abscess who received an interventional treatment in one tertiary hospital from August 2008 to August 2017. Patients were divided to two groups depending on the length of hospital stay: Group A, hospital stay < 14 days; Group B, hospital stay ≥ 14 days. Patient's demographics as well as laboratory data and details of the intervention were reviewed. Pearson's chi-squared test and logistic regression were applied for in order to determine the factors affect hospital stay in critically ill patients with prostate abscess. RESULTS A total of 29 patients with prostate abscess were recruited. All of the patients treated with broad-spectrum antibiotics postoperatively. A total of 21(72.4%) patients with hospital stay ≥ 14 days while 8(27.6%) patients with hospital stay < 14 days. On univariate analysis, significant factors associated with longer hospital stay were diabetes mellitus (p=0.002) and critically ill patients (p=0.002). Critically ill patients in our study were defined as severe sepsis, septic shock, concurrent with multiple abscess(> 2 sites) or pleural effusion on preoperatively. However, types of intervention, age, hypertension, liver cirrhosis and BMI were not statistically significant predictors. On multivariate logistic regression analysis, diabetes mellitus (OR=29.72, 95% CI:1.52-582.66, p=0.025) and critically ill patients (OR=47.87, 95% CI:1.57-1456.80, p=0.026) remain the significant factors associated with longer hospital stay. CONCLUSIONS We concluded that blood glucose level and general condition of the patients upon admission decide the length of hospital stay and patient's outcome. In addition to broad-spectrum antibiotics and surgical intervention, clinicians should keep in mind that strict blood glucose control in critically ill patients is also the important treatment plan for prostate abscess. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e190 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Chin-Fong AU More articles by this author Wei-Che Wu More articles by this author Shiu-Dong Chung More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...