Urogenital tuberculosis – case report

  • Tomaž Smrkolj Department of urology University medical center Ljubljana Zaloška 7 1000 Ljubljana
  • Boštjan Likar Department of urology General hospital »Dr. Franca Derganca« Nova Gorica Ulica padlih borcev 13A 5290 Šempeter pri Gorici
  • Dejan Galič Department of urology University medical center Ljubljana Zaloška 7 1000 Ljubljana
DOI: https://doi.org/10.6016/ZdravVestn.1046
Keywords: extrapulmonary tuberculosis, urinary tract, male genital tract, diagnostics, urological treatment

Abstract

Urogenital tuberculosis is uncommon in developed countries. Numerous and nonspecific urologic complaints are characteristic, e.g. lower urinary tract symptoms, haematuria, renal pain, palpable lesions in testis and epididymis and constitutional symptoms. Microbiological diagnostic tests together with imaging and endoscopy are indicated in urogenital tuberculosis. The role of surgery has changed in the era of modern antimycobacterial agents. Surgery is used in advanced stages and is reconstructive rather than ablative for removal of infected tissue. Article describes procedures for treatment of urinary obstruction, surgical procedures on kidney, ureter, bladder, prostate and urethra and testis with epididymis.

Case report presents 69 year old man who presented with left side epididymitis, however after initial diagnostic tests tumour of left testis and epididymis and right kidney with liver metastasis was suspected. Computer tomography of thorax diagnosed miliary tuberculosis. Patient was transferred to pulmonary department, where tuberculosis was confirmed and medical antituberculous therapy was initiated. Adequate treatment response with regression of tuberculous lesions in urogenital tract was observed.

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Published
2015-02-27
How to Cite
1.
Smrkolj T, Likar B, Galič D. Urogenital tuberculosis – case report. TEST ZdravVestn [Internet]. 27Feb.2015 [cited 2May2024];84(1). Available from: http://vestnik-dev.szd.si/index.php/ZdravVest/article/view/1046
Issue
Vol 84 No 1 (2015): January
Section
Case report, short scientific article


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