An update on lower urinary tract tuberculosis

被引：51

作者：

Wise G.J. ^{[1
]}

Shteynshlyuger A. ^{[1
]}

机构：

[1] Division of Urology, Maimonides Medical Center, Brooklyn, NY 11219

来源：

Current Urology Reports | 2008年 / 9卷 / 4期

关键词：

Tuberculosis; Seminal Vesicle; Prostatitis; Genital Tuberculosis; Genitourinary Tuberculosis;

D O I：

10.1007/s11934-008-0053-9

中图分类号：

学科分类号：

摘要：

Tuberculosis of the genitourinary tract presents with atypical manifestations. Only 20% to 30% of patients with genitourinary tuberculosis have a history of pulmonary infection. Tuberculosis often affects the lower genitourinary system rather than the kidney. Tuberculosis of the lower genitourinary tract most commonly affects the epididymis and the testis, followed by bladder, ureter, prostate, and penis. Use of bacillus Calmette-Guérin therapy for bladder cancer can cause symptomatic tubercular infections of the lower genitourinary tract. Tuberculosis of the lower genitourinary tract can present with irritative voiding symptoms, hematuria, epididymo-orchitis, prostatitis, and fistulas. Tuberculosis of the seminal vesicles, vas, fallopian tubes, and the uterus can cause infertility. Urinalysis may demonstrate sterile pyuria, hematuria, or albuminuria. Identification of acid-fast bacilli in culture or tissue or by polymerase chain reaction studies is diagnostic. Medical treatment may not result in resolution of symptoms. Surgical intervention and reconstruction of the urinary tract are frequently indicated. Copyright © 2008 by Current Medicine Group LLC.

引用

页码：305 / 313

页数：8

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