Genitourinary malakoplakia.
Between 1973 and 1991, 13 patients with malakoplakia (MKP) have been diagnosed and treated. The lesions involved all sites in the genitourinary tract; 2 patients had multiple and 11 had single lesions. Treatment was based on 2 criteria: (a) pharmacological treatment with trimethoprim-sulphamethoxazole and/or ascorbic acid and/or bethanechol chloride; (b) excision of the MKP lesion either endoscopically or by open surgery. Two patients died (1 from multiple MKP and the other from a myocardial infarct); the remainder did well. The pathogenic, diagnostic and therapeutic aspects of the disease are discussed.
Cózar Olmo
J M
JM
Department of Urology, La Paz Hospital, Madrid, Spain.
Cárcamo
P
P
Gastón de Iriarte
E
E
Jiménez
F
F
Martinez-Pineiro
L
L
Martinez-Pineiro
J A
JA
D000368:Aged; D005260:Female; D052776:Female Urogenital Diseases / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D006801:Humans; D008287:Malacoplakia / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D008297:Male; D052801:Male Urogenital Diseases; D008875:Middle Aged