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Surgery

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Urogenital Tuberculosis: Epidemiology, Diagnosis, Therapy

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Abstract

Standard chemotherapy is effective only for early diagnosed form of UGTB, in complicated form modified scheme with 5 anti-TB drugs in combination with pathogenetic therapy is indicated. Destructive forms of kidney and male genital TB cannot be cured by chemotherapy, surgery is necessary.

Even in the era of modern anti-TB drugs, nephrectomy is still an essential procedure. It was recommended to perform early nephrectomy for patients with major renal lesion with or without bladder involvement, gross hydronephrosis and for those who have glomerular filtration rate (GFR) of < 20 ml/min/m2.

Preoperative tuberculostatic therapy reduced frequency of postoperative complications. But even in early diagnosis, the organ was saved in operations in 9.4 % only.

The surgical exploration should be done on all patients with non-functioning tuberculous kidneys to, (1) salvage kidneys before they are damaged totally by the obstructive lesions, (2) remove a potential source of infection with viable organisms and (3) shorten convalescence.

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Authors and Affiliations

  1. Urogenital Department, Novosibirsk Research TB Institute, Novosibirsk, Russia

    Ekaterina Kulchavenya MD

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  1. Ekaterina Kulchavenya MD
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Kulchavenya, E. (2014). Surgery. In: Urogenital Tuberculosis: Epidemiology, Diagnosis, Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-04837-6_10

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