[Intractable bacterial infections of the genito-urinary tract].

Bacterial infection of the genito-urinary tract in the compromised host is still one of the difficulties encountered by the urologists. The problem factors of the urinary tracts, including underlying diseases in compromised uro-patients, and how to prevent a miserable outcome are discussed. In terms of adequate and timely anti-bacterial chemotherapy, retroperitoneal abscess, recurrent Pseudomonas aeruginosa urinary tract infection (UTI) and chronic bacterial prostatitis were evaluated, respectively. Recently, satisfactory anti-bacterial agents and therapeutic alternatives are available. Nevertheless, the Pseudomonas aeruginosa UTI associated with bio-film formation in catheterized, uro-patients is intractable. Adjuvant modality, as well as antibacterial chemotherapy, is recommended for successful strategy in so-called total therapy.