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| The Incidence，Variation and Significance of Pyuria and Bacteriuria of Different Time Periods after TURP/ |
| The People’s Hospital of Yangshuo County，Yangshuo 541900，China |
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Abstract Objective：To observe the incidence，variation and significance of pyuria and bacteriuria of different time periods after TURP and provide guidance for clinical antimicrobial therapy.Method：76 cases of BPH patients admitted to our hospital from January 2010 to May 2014 were selected for the study.Patients were treated with TUPR
treatment.The incidences of pyuria and bacteriuria after 1 week，1 month，2 months and 3 months were recorded，and the incidences of different times were compared；the patients were divided into pyuria group and the normal group in accordance with the occurrence of pyuria after three months，and the prostatectomy volume of the two groups were compared.Result：The pyuria incidences after 1 week，1month，2 months and 3 months were sequentially 47.4%（36/76），100%（74/74），60.3%（41/68） and 33.8%（23/68）；occurrence of bacteriuria of different times were as follows：after 1 week 7.9%（6/76），including 3 cases of E.coli，2 cases of pseudomonas aeruginosa，1 case of E.faecalis；after 1 month bacteriuria rate was 9.4%（7/74），with 3 cases of Enterococcus faecalis，2 cases of E.coli，2
cases of staphylococcus epidermidis；after 2 months bacteriuria rate was 7.4%（5/68），including 3 cases of E.coli，1case of staphylococcus epidermidis，1 case of oral streptococci； after 3 months bacteriuria was 0.Pyuria and bacteriuria rates at different times were compared.Result：The incidence of bacteriuria at different times was no significant difference（P>0.05），pyuria rate had statistically significant difference（P<0.05）.The prostate resection volume of pyuria group was（ 31.72±9.56）mL and that of the normal group was（ 23.29±8.16）mL，the differences between the two groups were statistically significant（P<0.05）.Conclusion：After TURP，pyuria decreased over time.Simple pyuria is related to inflammatory reaction caused by surgical trauma and is self-healing；simple bacteriuria is asymptomatic bacteriuria or
bacterial colonization.The use of antibiotic therapy is not needed in both cases.
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