EAU guidelines for the management of genitourinary tuberculosis

被引:111
作者
Çek, M [1 ]
Lenk, S [1 ]
Naber, KG [1 ]
Bishop, MC [1 ]
Johansen, TEB [1 ]
Botto, H [1 ]
Grabe, M [1 ]
Lobel, B [1 ]
Redorta, JP [1 ]
Tenke, P [1 ]
机构
[1] Taksim Teaching Hosp, Dept Urol, Istanbul, Turkey
关键词
genitourinary tuberculosis; guidelines;
D O I
10.1016/j.eururo.2005.03.008
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Nearly one third of the world's population is estimated to be infected with Mycobacterium tuberculosis. Moreover, tuberculosis is the most common opportunistic infection in AIDS patients. Genitourinary tuberculosis is not very common but it is considered as a severe form of extra-pulmonary tuberculosis The diagnosis of genitourinary tuberculosis is made based on culture studies by isolation of the causative organism; however, biopsy material on conventional solid media may occasionally be required. Drug treatment is the first line therapy in genitourinary tuberculosis. Treatment regimens of 6 months are effective in most of the patients. Although chemotherapy is the mainstay of treatment, surgery in the form of ablation or reconstruction may be unavoidable. Both radical and reconstructive surgery should be carried out in the first 2 months of intensive chemotherapy. (c) 2005 Elsevier B.V. All rights reserved.
引用
收藏
页码:353 / 362
页数:10
相关论文
共 32 条
[1]
ALLEN FJ, 1993, S AFR MED J, V83, P903
[2]
Cutaneous tuberculosis of the penis and sexual transmission of tuberculosis confirmed by molecular typing [J].
Angus, BJ ;
Yates, M ;
Conlon, C ;
Byren, I .
CLINICAL INFECTIOUS DISEASES, 2001, 33 (11) :E132-E134
[3]
Indications for surgical management of genitourinary tuberculosis [J].
Carl, P ;
Stark, L .
WORLD JOURNAL OF SURGERY, 1997, 21 (05) :505-510
[4]
Renal tuberculosis presenting as lateralizing hematuria diagnosis by ureteronephroscopy and selective upper tract urine culture [J].
Chan, SWH ;
Shalhav, AL ;
Clayman, RV .
JOURNAL OF ENDOUROLOGY, 1998, 12 (04) :363-364
[5]
Genitourinary tuberculosis in pediatric surgical practice [J].
Chattopadhyay, A ;
Bhatnagar, V ;
Agarwala, S ;
Mitra, DK .
JOURNAL OF PEDIATRIC SURGERY, 1997, 32 (09) :1283-1286
[6]
GENITOURINARY TUBERCULOSIS - REVIEW OF 102 CASES [J].
CHRISTENSEN, WI .
MEDICINE, 1974, 53 (05) :377-390
[7]
Extrapulmonary tuberculosis in chronic hemodialysis patients [J].
Chuang, FR ;
Lee, CH ;
Wang, IK ;
Chen, JB ;
Wu, MS .
RENAL FAILURE, 2003, 25 (05) :739-746
[8]
Fain, 2000, Eur J Intern Med, V11, P145, DOI 10.1016/S0953-6205(00)00076-5
[9]
GENITOURINARY TUBERCULOSIS IN PATIENTS UNDER 25 YEARS OF AGE [J].
FERRIE, BG ;
RUNDLE, JSH .
UROLOGY, 1985, 25 (06) :576-578
[10]
FISCHER M, 1990, UROLOGE A, V29, P261