Archiv für Gynäkologie

, Volume 218, Issue 4, pp 261–268

Gynaecological tuberculosis, past, present and future

  • Arthur M. Sutherland
Article

Summary

Until the introduction of the anti-tuberculosis drugs about 25 years ago, the treatment of tuberculosis of the female genital tract was generally unsatis-factory although many different forms of therapy were employed. Surgery was associated with a high incidence of post-operative complications, particularly of fistula, and an appreciable mortality rate.

The position improved greatly after the introduction of the anti-tuberculosis drugs. Several drug programmes were employed by the writer, the best results being obtained with a combination of streptomycin, PAS and isoniazid for at least 18 months. Where drug treatment had failed, or where pelvic masses developed, surgery under drug cover was employed. No serious complications and no fatalities occurred in these patients.

The question of possible transmission through sexual intercourse of male genitourinary tuberculosis is being investigated. A new drug programme is now being employed, the drugs used being streptomycin, ethambutol and isoniazid.

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References

  1. Berkeley, C.: Genital tuberculosis in the female. Obstet. Gynaec. Brit. Emp.3, 31 (1903)Google Scholar
  2. Bret, J., Legros, R.: Tuberculose Utéro-Annexielle. Paris: Masson & Cie. 1956Google Scholar
  3. Daniel, C.: Tuberculose du corps de l'utérus. Gynéc. et Obstét.11, 161 (1925)Google Scholar
  4. Ehrler, P.: Die Genital- und Peritonaäl-Tuberkulose der Frau. Bern-Stuttgart: Hans Huber 1966Google Scholar
  5. Greenberg, J. P.: Tuberculous salpingitis. A clinical study of 200 cases. Johns Hopkins Hospital Reports,21, 97 (1924)Google Scholar
  6. Jameson, E. M.: Gynecological and Obstetrical Tuberculosis. Philadelphia: Lea & Febiger 1935Google Scholar
  7. Jedberg, H.: A study on genital tuberculosis in women. Acta obstet. gynec. scand.31, Suppl. 1 (1950)Google Scholar
  8. Liljedahl, S. O., Rydén, Å. B. V.: Diagnosis and treatment of genital tuberculosis in women. Acta obstet. gynec. scand.30, 359 (1951)Google Scholar
  9. Morgagni, J. B.: De Sedibus et Causis Morborum. Epistola 38, Number 34 (Ed. Radius) (1744)Google Scholar
  10. Murphy, J. B.: Tuberculosis of the female genitalia and peritoneum. Amer. of Obst. Dis. Wom.48, 737 (1903)Google Scholar
  11. Murphy, J. B.: Tuberculosis of the female genitalia and peritoneum. Amer. J. of Obstet. Dis. Wom.49, 6, 205 (1904)Google Scholar
  12. Norris, C. C.: Gynecological and Obstetrical Tuberculosis. New York: Appleton 1921Google Scholar
  13. Schaefer, G.: Tuberculosis in Obstetrics and Gynecology. Boston-Toronto: Little, Brown & Co 1956Google Scholar
  14. Sutherland, A. M.: Unsuspected tuberculosis of the endometrium. J. Obstet. Gynaec. Brit. Emp.,50, 161 (1943)Google Scholar
  15. Sutherland, A. M.: The treatment of tuberculous endometritis with streptomycin and PAS. J. Obstet. Gynaec. Brit. Emp.,61, 614 (1954)Google Scholar
  16. Sutherland, A. M.: Tuberculosis of the endometrium. J. Obstet. Gynaec. Brit. Emp.,63, 161 (1956a)Google Scholar
  17. Sutherland, A. M.: Tuberculosis del Endometrio. Acta ginec.,7, 471 (1956b)Google Scholar
  18. Sutherland, A. M.: The treatment of endometrial tuberculosis with streptomycin and PAS. J. Obstet. Gynaec. Brit. Emp.,64, 423 (1957)Google Scholar
  19. Sutherland, A. M.: The treatment of tuberculosis of the endometrium. A comparison of streptomycin and PAS with streptomycin and isoniazid. J. Obstet. a Gynaec. Brit. Emp.65, 450 (1958)Google Scholar
  20. Sutherland, A. M.: Tuberculosis of the endometrium. A report on 250 cases with the results of drug treatment. Obstet. and Gynec.,11, 527 (1958b)Google Scholar
  21. Sutherland, A. M.: Genital tuberculosis in women. Amer. J. of Obstet. Gynec.,79, 486 (1960)Google Scholar
  22. Sutherland, A. M.: The place of surgery in the treatment of genital tuberculosis in women. Acta obstet. gynec. scand.,44, 163 (1965)Google Scholar
  23. Sutherland, A. M.: Latent Female Genital Tuberculosis, pp. 196–205. Basel-New York: Karger 1966Google Scholar
  24. Sutherland, A. M.: The treatment of genital tuberculosis in women. Geneesk. Gids,45, 362 and 386 (1967)Google Scholar
  25. Sutherland, A. M.: Diagnostik und Behandlung der weiblichen Genitaltuberkulose. Der Gynäkologe,5, 206 (1972)Google Scholar
  26. Williams, J. W.: Tuberculosis of the female generative organs. Johns Hopkins Hospital Reports,3, 85 (1894)Google Scholar
  27. Ylinen, O.: Genital tuberculosis in women. Clinical experiences with 348 proved cases. Acta obstet. gynec. scand.,40, Suppl. II (1960)Google Scholar

Copyright information

© J. F. Bergmann 1975

Authors and Affiliations

  • Arthur M. Sutherland
    • 1
  1. 1.Department of Obstetrics and GynaecologySouthern General HospitalGlasgow

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