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Tuberculosis of the Urogenital Tract in Adults in a Tertiary Referral Center

  • Jacek Jagodziński
  • Tadeusz M. ZielonkaEmail author
  • Krystyna Peplińska
  • Katarzyna Życińska
Chapter
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 1040)

Abstract

The genitourinary system is the main location of extrapulmonary tuberculosis. In Poland, it occupies the third place after tuberculosis of the pleura and lymph nodes. The aim of this study was to evaluate the prevalence and characteristics of tuberculosis in the urogenital tract in adult patients in a tertiary referral center in the years 2007–2015. The retrospective study included 87 patients, 42 women and 45 men. The average age was 62 ± 15 years. Changes in the urinary tract were diagnosed in 91% of women and 64% of men. Testicular tuberculosis was found in ten men, prostate tuberculosis in five, and in individual cases tuberculosis of the epididymis, scrotum, uterus, and the fallopian tube were found. The diagnosis was confirmed by bacteriological methods in 47% of patients, by histopathological in 41%, and by molecular methods in 23% of patients. In 84% of patients urological or gynecological interventions had to be applied. Patients were burdened with a number of urological diseases or diseases affecting other systems which hampered the diagnosis of tuberculosis. Antituberculosis treatment gave good results. Urogenital tuberculosis is a multivariate disease and a standard unified approach is impossible.

Keywords

Diagnostics Extrapulmonary tuberculosis Genitourinary system Risk factors Tuberculosis Urological interventions 

Notes

Conflicts Interest

The authors declare no conflict of interest in relation to this article.

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Copyright information

© Springer International Publishing AG  2018

Authors and Affiliations

  • Jacek Jagodziński
    • 1
  • Tadeusz M. Zielonka
    • 2
    Email author
  • Krystyna Peplińska
    • 3
  • Katarzyna Życińska
    • 2
  1. 1.Mazovian Center for the Treatment of Lung Diseases and Tuberculosis in OtwockOtwockPoland
  2. 2.Department of Family MedicineMedical University of WarsawWarsawPoland
  3. 3.Department of Internal Medicine and CardiologySolec HospitalWarsawPoland

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