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The surgical management of urogenital tuberculosis our experience and long-term follow-up

INTRODUCTION: Urogenital tuberculosis (TB) is common in developing countries. We present our experience of surgically managed cases of genitourinary TB (GUTB). MATERIALS AND METHODS: We retrospectively reviewed 60 cases GUTB who underwent surgery at our center from January 2003 to January 2010. Mode...

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Autores principales: Bansal, Punit, Bansal, Neeru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310117/
https://www.ncbi.nlm.nih.gov/pubmed/25657544
http://dx.doi.org/10.4103/0974-7796.148606
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author Bansal, Punit
Bansal, Neeru
author_facet Bansal, Punit
Bansal, Neeru
author_sort Bansal, Punit
collection PubMed
description INTRODUCTION: Urogenital tuberculosis (TB) is common in developing countries. We present our experience of surgically managed cases of genitourinary TB (GUTB). MATERIALS AND METHODS: We retrospectively reviewed 60 cases GUTB who underwent surgery at our center from January 2003 to January 2010. Mode of presentation, organ involvement, investigation, surgical treatment and follow-up were studied. RESULTS: There were 38 males and 22 females with a mean age of 32.5 years. The most common symptom was irritative voiding symptoms. The most common organ involved was bladder in 33 cases, and next most common was kidney in 30 cases. Preoperative bacteriologic diagnosis was confirmed in only 19 cases. A total of 66 procedures were performed as some patients needed more than one procedure. These included 35 ablative procedures and 31 reconstructive procedures. All the patients were followed-up with renal function test (RFT) at 3, 6 and 12 months. The intravenous urography and diethylenetriamine pentaacetic acid scan were performed at 3 months when indicated. Then the patients were followed with RFT and ultrasonography 6 monthly for 3 years and then annual RFT. CONCLUSION: Many patients of urogenital TB present late with cicatrisation sequelae. Multidrug chemotherapy with judicious surgery as and when indicated is the ideal treatment. The results of reconstructive surgery are good and should be done when possible. Rigorous and long term follow-up is necessary in patients undergoing reconstructive surgery.
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spelling pubmed-43101172015-02-05 The surgical management of urogenital tuberculosis our experience and long-term follow-up Bansal, Punit Bansal, Neeru Urol Ann Original Article INTRODUCTION: Urogenital tuberculosis (TB) is common in developing countries. We present our experience of surgically managed cases of genitourinary TB (GUTB). MATERIALS AND METHODS: We retrospectively reviewed 60 cases GUTB who underwent surgery at our center from January 2003 to January 2010. Mode of presentation, organ involvement, investigation, surgical treatment and follow-up were studied. RESULTS: There were 38 males and 22 females with a mean age of 32.5 years. The most common symptom was irritative voiding symptoms. The most common organ involved was bladder in 33 cases, and next most common was kidney in 30 cases. Preoperative bacteriologic diagnosis was confirmed in only 19 cases. A total of 66 procedures were performed as some patients needed more than one procedure. These included 35 ablative procedures and 31 reconstructive procedures. All the patients were followed-up with renal function test (RFT) at 3, 6 and 12 months. The intravenous urography and diethylenetriamine pentaacetic acid scan were performed at 3 months when indicated. Then the patients were followed with RFT and ultrasonography 6 monthly for 3 years and then annual RFT. CONCLUSION: Many patients of urogenital TB present late with cicatrisation sequelae. Multidrug chemotherapy with judicious surgery as and when indicated is the ideal treatment. The results of reconstructive surgery are good and should be done when possible. Rigorous and long term follow-up is necessary in patients undergoing reconstructive surgery. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4310117/ /pubmed/25657544 http://dx.doi.org/10.4103/0974-7796.148606 Text en Copyright: © Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bansal, Punit
Bansal, Neeru
The surgical management of urogenital tuberculosis our experience and long-term follow-up
title The surgical management of urogenital tuberculosis our experience and long-term follow-up
title_full The surgical management of urogenital tuberculosis our experience and long-term follow-up
title_fullStr The surgical management of urogenital tuberculosis our experience and long-term follow-up
title_full_unstemmed The surgical management of urogenital tuberculosis our experience and long-term follow-up
title_short The surgical management of urogenital tuberculosis our experience and long-term follow-up
title_sort surgical management of urogenital tuberculosis our experience and long-term follow-up
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310117/
https://www.ncbi.nlm.nih.gov/pubmed/25657544
http://dx.doi.org/10.4103/0974-7796.148606
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