Malacoplakia of the Urinary Tract: Challenges and Frustrations with 10 Cases

Abstract

No AccessJournal of Urology1 Nov 1977Malacoplakia of the Urinary Tract: Challenges and Frustrations with 10 Cases M.J. O'Dea, R.S. Malek, and G.M. Farrow M.J. O'DeaM.J. O'Dea , R.S. MalekR.S. Malek , and G.M. FarrowG.M. Farrow View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)58178-1AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Experience with 10 cases of malacoplakia of the urinary tract is reviewed. The bladder was affected in all 10 patients, in addition to both ureters in 1, possibly 1 ureter in 1 and the urethra in 1 patient. Symptoms were noted in 9 patients and intercurrent chronic liver disease was present in 3. Treatment of bladder lesions was by fulguration only in 1 patient, fulguration and short-term antimicrobial therapy in 5, fulguration and long-term therapy in 3 and thio-tepa instillation in addition to fulguration and long-term antimicrobial therapy in 1. A patient with ureteral involvement underwent temporary nephrostomy and the one with the urethral lesion healed after prolonged antimicrobial therapy. Recurrence has been rare in 3 patients who received long-term antimicrobial therapy with prolonged followup. We believe that fulguration and long-term antimicrobial therapy are therapies of choice for bladder lesions. Upper urinary tract lesions should be managed by long-term antimicrobial therapy and conservative operations as indications arise. It is possible that this disease is an immunodeficiency disorder and, therefore, patients should be followed carefully. © 1977 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byHurwitz G, Reimund E, Moparty K and Hellstrom W (2018) Bilateral Renal Parenchymal Malacoplakia: A Case ReportJournal of Urology, VOL. 147, NO. 1, (115-117), Online publication date: 1-Jan-1992.Long J and Althausen A (2018) Malacoplakia: A 25-Year Experience with a Review of the LiteratureJournal of Urology, VOL. 141, NO. 6, (1328-1331), Online publication date: 1-Jun-1989.Sloane B, Ernesto Figueroa T, Ferguson D and Moon T (2018) Malacoplakia of the UrethraJournal of Urology, VOL. 139, NO. 6, (1300-1301), Online publication date: 1-Jun-1988.Stanton M, Lynch J, Maxted W and Chun B (2018) Malacoplakia of the Bladder: A Case Report of Resolution with Bethanechol, Trimethoprim-Sulfamethoxazole and Ascorbic AcidJournal of Urology, VOL. 130, NO. 6, (1174-1175), Online publication date: 1-Dec-1983.Stanton M and Maxted W (2018) Malacoplakia: A Study of the Literature and Current Concepts of Pathogenesis, Diagnosis and TreatmentJournal of Urology, VOL. 125, NO. 2, (139-146), Online publication date: 1-Feb-1981.Feldman S, Levy L and Prinz L (2018) Malacoplakia of the Bladder Causing Bilateral Ureteral ObstructionJournal of Urology, VOL. 123, NO. 4, (588-589), Online publication date: 1-Apr-1980.Droller M (2018) Editorial CommentJournal of Urology, VOL. 123, NO. 4, (589-589), Online publication date: 1-Apr-1980.Nieh P and Althausen A (2018) Malacoplakia of the UreterJournal of Urology, VOL. 122, NO. 5, (701-702), Online publication date: 1-Nov-1979.Mostofi F (2018) Editorial CommentJournal of Urology, VOL. 122, NO. 5, (702-702), Online publication date: 1-Nov-1979. Volume 118Issue 5November 1977Page: 739-742 Advertisement Copyright & Permissions© 1977 by The American Urological Association Education and Research, Inc.MetricsAuthor Information M.J. O'Dea More articles by this author R.S. Malek More articles by this author G.M. Farrow More articles by this author Expand All Advertisement PDF downloadLoading ...