Bacteriuria, leukocytosis, and fever after transurethral prostatectomy.
Transurethral prostatectomy was performed in 71 patients, whose body temperature and leukocyte count were recorded for four days. Twenty-four of the patients had a pre- or postoperative urinary tract infection. The fever index scores (temperature X hours) of both the infected and noninfected patients increased similarly on the day of surgery and postoperative day 1; the scores of the noninfected then decreased rapidly, while those of the infected declined gradually. There was a similar pattern in leukocyte counts. It is hypothesized that the fever associated with transurethral prostatectomy in noninfected patients is a swift reaction to bacteremia, which is promptly overcome; infected patients, who do not react as quickly, experience prolonged infection and fever.
Fujita
K
K
Department of Urology, National Medical Center Hospital, Tokyo, Japan.
Kawamura
M
M
D001437:Bacteriuria / Q000209:etiology*; D005334:Fever / Q000209:etiology*; D006801:Humans; D007964:Leukocytosis / Q000209:etiology*; D008297:Male; D011183:Postoperative Complications; D011468:Prostatectomy / Q000009:adverse effects*; D014552:Urinary Tract Infections / Q000209:etiology