Clinical Features of Urogenital Tuberculosis

Abstract

There are some submerged reefs of rocks in EPTB, which camouflages the problem of it. The first rock is difficulty of diagnostic. EPTB has no any special clinical picture excluding mycobacterium culture – but it is rare in EPTB. The example in figures – 70 % men, died from TB, had tuberculosis of prostate, mostly overlooked alive. For Russia that means about 10,000 men.

Now the structure of EPTB changed, urogenital TB decreased and bone and joint TB raised and up to 45 % multi-organ forms of EPTB are diagnosed. It worse results of the therapy and prognosis and increase a risk of drug resistance of the infection agent.

UGTB is a part of common infectious disease – tuberculosis. Clinical features of UGTB are variable and instable and depend on external factors (epidemic situation, presence/absence of antibiotics etc.), properties of macroorganism (immunity, co-morbidity, pernicious habits etc.) and properties of Mtb (persistence and resistance). Clinical features of UGTB and properties of MBT may be different in different regions. UGTB hide under the guises of other diseases, mostly – cystitis and prostatitis. None UGTB patient was diagnosed on the first visit, because this disease has no any pathognomonic feature.

We have to suspect UGTB in any patient with UTI, who has/had TB any localizations, who lived in the region with TB epidemic. For early diagnosis UGTB urine, prostatic secretion and ejaculate should be investigated on Mtb before antibacterial therapy.