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Bladder Tuberculosis

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Urogenital Tuberculosis: Epidemiology, Diagnosis, Therapy

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Abstract

UGTB is complicated by bladder tuberculosis in more than half of cases; late diagnosis and/or absence of pathogenetic therapy leads to development of shrinked bladder up to full its obliteration.

Bladder tuberculosis (BTB) is difficult for in-time diagnosis as there is no evident sign of TB inflammation, which may be revealed by cystoscopy; there are no pathognomonic features, kinds of dysuria. Typical X-ray picture means BTB grade 4, unsuitable for therapy, only reconstructive surgery may cure such patient. Modified therapy with isoniazid + rifampicin + pyrazinamid + ofloxacin alongside with trospium chloride is superior – urinary frequency reduced about 75 %, bladder capacity increased an average of 4.7 fold. None of the patients developed true microcystis after the combined treatment. However, after standard treatment this complication developed in 21.1 % of the patients.

This chapter is written by Denis Kholtobin and Ekaterina Kulchavenya

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  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). Bladder Tuberculosis. In: Urogenital Tuberculosis: Epidemiology, Diagnosis, Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-04837-6_7

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