Surgical treatment of patients with urogenital tuberculosis


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Abstract

Despite the modest positive trends in the epidemic situation for tuberculosis, the incidence of extrapulmonary tuberculosis is not consistent. The relevance of urogenital tuberculosis remains high, as well as its social significance. Tuberculosis of the kidneys and urinary tract is often diagnosed late, when drug therapy is not enough and surgical treatment is required. A total of 78 national and foreign publications dedicated to surgical treatment of patients with urogenital tuberculosis were analyzed. Various surgical techniques for renal and bladder tuberculosis are described with a comparison of their advantages and disadvantages. Tuberculosis of the urinary system, like any infectious disease, can and must be cured with drug therapy. Unfortunately, there are complicating subjective (low alertness of doctors regarding tuberculosis, low adherence to national and international guidelines) and objective (absence of pathognomonic symptoms of urogenital tuberculosis, which results in late diagnosis, increased drug resistance of the pathogen, high comorbidity) factors. The advancements in surgical techniques and modern drugs for neoadjuvant therapy give patients the opportunity to receive minimally invasive treatment that saves not only life, but also provides them acceptable quality of life.

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About the authors

D. P Kholtobin

TB Research Institute of Ministry of Health of Russia

Email: urotub@yandex.ru
Ph.D., urologist at the Urogenital Department

E. V Kulchavenya

TB Research Institute of Ministry of Health of Russia; GBOU VPO Novosibirsk State Medical University of Ministry of Health of Russia

Email: urotub@yandex.ru
Ph.D., MD, professor, Chief Researcher; professor at the Department of Urology, professor at Department of Tuberculosis

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