Surveillance of urachal abscess in the Kyushu-Okinawa area of Japan.

Autor: Tobu S; Department of Urology, Faculty of Medicine, Saga University, Saga, Japan., Udo K; Department of Urology, Faculty of Medicine, Saga University, Saga, Japan., Nishihara K; Department of Urology, Kurume University School of Medicine, Kurume, Japan., Miyajima S; Department of Urology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan., Ando T; Department of Urology, Faculty of Medicine, Oita University, Yufu, Japan., Onizuka C; Department of Urology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan., Itesako T; Department of Urology, Faculty of Medicine, Kagoshima University, Kagoshima, Japan., Ashikari A; Department of Urology, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan., Hakariya T; Department of Urology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan., Igawa T; Department of Urology, Kurume University School of Medicine, Kurume, Japan., Tanaka M; Department of Urology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan., Shin T; Department of Urology, Faculty of Medicine, Oita University, Yufu, Japan., Kamoto T; Department of Urology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan., Nakagawa M; Department of Urology, Faculty of Medicine, Kagoshima University, Kagoshima, Japan., Saito S; Department of Urology, Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan., Sakai H; Department of Urology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan., Eto M; Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan., Kamba T; Department of Urology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan., Fujimoto N; Department of Urology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan., Noguchi M; Department of Urology, Faculty of Medicine, Saga University, Saga, Japan.
Jazyk: angličtina
Zdroj: International journal of urology : official journal of the Japanese Urological Association [Int J Urol] 2021 Oct; Vol. 28 (10), pp. 1008-1011. Date of Electronic Publication: 2021 Jul 21.
DOI: 10.1111/iju.14637
Abstrakt: Objective: To report a multicenter experience with the management of urachal abscess treatment in Japan.
Methods: This was a retrospective study of 263 cases of urachal abscess managed at 12 university hospitals in the Kyushu-Okinawa region over a 10-year period. Age, sex, abscess size, clinical symptoms, type of urachal remnants, and treatment were collected and analyzed.
Results: The average age was 29.8 ± 18.1 years, with males accounting for approximately two-thirds of the study population. The average abscess size was 1.7 cm (range 0-11 cm). The most common presenting symptom was umbilical secretion (66%), followed by abdominal pain (46%). A total of 127 patients (48.3%) were treated with antibiotics alone, whereas 136 patients (51.7%) received surgical treatment. The surgical approach was laparotomy in 75 patients (61.0%) and laparoscopic surgery in 48 patients (39.0%). Regarding the type of urachal remnant, the urachus sinus (180 patients) accounted for 68.4% of the total.
Conclusions: To our knowledge, this study represents the first report on urachal abscess treatment in Japan. Our data show that the clinical symptoms might vary depending on the type of urachus remnant. It should be noted that gross hematuria, a characteristic symptom of urachal cancer, is rare in patients with urachal abscess.
(© 2021 The Japanese Urological Association.)
Databáze: MEDLINE
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