Diagnosis and management of acute and chronic prostatitis.

Prostatitis syndromes are some of the most poorly understood yet prevalent problems in urology. There is little controversy over acute prostatitis, a urinary tract infection with systemic symptoms and signs that typically responds to antimicrobial therapy. By contrast, the chronic prostatitis syndromes have so far eluded attempts to understand their pathophysiology and design effective therapies, resulting in great frustration among patients and health care providers.

Risk of urinary incontinence following radical prostatectomy.

Of 143 prostatic cancer patients treated with radical prostatectomy 38 had undergone transurethral resection of the prostate before the prostatectomy. After radical prostatectomy 5 per cent of the patients who did not have a resection and 8.1 per cent of those who did were severely incontinent.

Teletherapy for stage C adenocarcinoma of the prostate.

From 1967 to 1977, 22 patients with clinical stage C adenocarcinoma of the prostate received external beam radiation therapy with curative intent. The crude rate of survival was 100 per cent at 2 years and 64 per cent (14 of 22) at 5 years post-radiation. Metastatic disease developed in 14 patients (64 per cent) 1 to 5 years after radiation therapy, 5 of whom (23 per cent) died of the disease.

Cutaneous and subcutaneous metastases from carcinoma of prostate.

Secondary cutaneous and subcutaneous metastases originating from a visceral carcinoma are relatively uncommon and are associated most frequently with mammary, pulmonary, renal, and colonic cancers. Cutaneous and subcutaneous deposits from cancer of the prostate must be classified as extremely rare, e.g.

Renal malakoplakia: acute onset of renal failure due to bilateral upper tract involvement.

A case of malakoplakia-induced acute renal failure is presented. In the twenty months following diagnosis the patient remains anuric. Malakoplakia involving the upper urinary tract is not self-limiting and should be considered in the differential diagnosis of acute renal failure.