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Current opinion on urogenital tuberculosis


Authors: R. Zachoval;  P. Nencka;  V. Vik;  V. Borovička;  P. Holý
Authors‘ workplace: Urologické oddělení ;  Primář: doc. MUDr. Roman Zachoval, PhD ;  Fakultní Thomayerova nemocnice, Praha
Published in: Prakt. Lék. 2010; 90(12): 700-703
Category: Reviews

Overview

Urogenital tuberculosis is a relatively rare form of tuberculosis. Symptoms are non-specific and the latency between primary infection and onset of disease is long; therefore diagnosis and timely therapeutic intervention are difficult. Urogenital tuberculosis should be considered when urological symptoms are prolonged and the diagnosis is unclear.

Diagnosis consists mainly of 5 consecutive urine cultures, molecular methods, imaging methods and examination of histological specimens. Antituberculous drugs are usually the primary treatment.

Surgical treatment comes after at least 4 weeks of antituberculous drug treatment with the exception of abscess drainage or diversion of hydronephrosis, which leads to a decreased incidence of ureteral strictures and renal function deterioration.

Key words:
tuberculosis urogenital, diagnosis, antituberculous drugs.


Sources

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