Surgical treatment of patients with urogenital tuberculosis
- Autores: Kholtobin D.P1, Kulchavenya E.V1,2
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Afiliações:
- TB Research Institute of Ministry of Health of Russia
- GBOU VPO Novosibirsk State Medical University of Ministry of Health of Russia
- Edição: Nº 3 (2021)
- Páginas: 155-161
- Seção: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/312626
- DOI: https://doi.org/10.18565/urology.2021.3.155-161
- ID: 312626
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Resumo
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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Sobre autores
D. Kholtobin
TB Research Institute of Ministry of Health of Russia
Email: urotub@yandex.ru
Ph.D., urologist at the Urogenital Department
E. 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
Bibliografia
- Global tuberculosis report 2016. WH0/HTM/TB/2016.13. World Health Organization Geneva 2016: http://www.who.int/tb/publications/global_report/en/
- Global tuberculosis report 2019. WH0/CDS/TB/2019.15. https://apps.who.int/iris/bitstream/handle/10665/329368/9789241565714-eng.pdf?ua=1
- Kulchavenya E., Naber K., Bjerklund Johansen T.E. Urogenital tuberculosis: classification, diagnosis, and treatment. European Urology Supplements. 2016;15(4):112-121.
- Kulchavenya E., Kholtobin D., Shevchenko S. Challenges in urogenital tuberculosis. World Journal of Urology. 2020;38(1):89-94. Doi: 10.1007/ s00345-019-02767-x.
- Щербань М.Н., Кульчавеня Е.В., Брижатюк Е.В. Диагностика, предупреждение и лечение нарушений репродуктивной функции у мужчин. Туберкулез и болезни легких. 2010;87(10):31-36
- Кульчавеня Е.В., Жукова И.И. Внелегочный туберкулез - вопросов больше, чем ответов. Туберкулез и болезни легких. 2017;95(2):59-63
- Холтобин Д.П., Кульчавеня Е.В. Маски урогенитального туберкулеза как причина диагностических ошибок. Урология. 2017;5:100-110. Doi: 10.18565/ urology.2017.5.100-105
- Шевченко С.Ю., Кульчавеня Е.В. Информативность пробы с диаскинтестом в скрининге мочеполового туберкулеза. Туберкулёз и болезни лёгких. 2017;95(8):49-51. doi: 10.21292/20751230-2017-95-8-49-51
- Nesbit R.M., Keitzer W.A., Lynn J.M. The prognosis of renal tuberculosis, treated by nephrectomy, and the outlook of the patient who is considered unsuitable for operative treatment. J. Urol. 1945;54:227.
- Bloom S., Weehsler H., Lattimer J.K. Result s of long term study of nonfunctioning tuberculous kidneys. J. Urol. 1975;104:760. Doi: 10.1016/ s0022-5347(17)61803-2.
- Krishnamoorthy S., Gopalakrishnan G. Surgical management of renal tuberculosis. Indian J. Urol. 2008;24(3):369-375. doi: 10.4103/09701591.42620.
- Bansal P., Bansal N. The surgical management of urogenital tuberculosis our experience and long-term follow-up. Urol Ann. 2015;7(1):49-52. doi: 10.4103/0974-7796.148606.
- Gupta N.P., Kumar A., Sharma S. Reconstructive bladder surgery in genitourinary tuberculosis. Indian J. Urol. 2008;24:382-387. doi: 10.4103/0970-1591.42622.
- Gupta N.P., Kumar R., Mundada O.P., et al. Reconstructive surgery for the management of genitourinary tuberculosis: A single center experience. J. Urol. 2006;175:2150. doi: 10.1016/S0022-5347(06)00310-7.
- Hemal A.K., Aron M. Orthotopic neobladder in management of tubercular thimble bladders: Initial experience and long term results. Urology. 1999;53:298-301. doi: 10.1016/s0090-4295(98)00504-4.
- Shin K.Y., Park H.J., Lee J.J., et. al. Role of early endourologic management of tuberculous ureteral strictures. J. Endourol. 2002; 16(10):755-758. doi: 10.1089/08927790260472917.
- Mcaleer S.J., Johnson C.W., Johnson W.D. Tuberculosis and parasitic and fungal infections ofthe genitourinary system. In: Wein AJ, editor. Campbell-Walsh Urology. 9th ed. Philadelphia: Saunders Elsevier. 2007;436-470.
- Altintepe L., Tonbul H.Z., Ozbey I., et al. Urinary tuberculosis: ten years’ experience. Ren Fail. 2005;27:657-661. doi: 10.1080/08860220500234857.
- Seung H.K. Urogenital tuberculosis. In: Pollack HM, McClennan BL, editors. Clinical urography. 2nd ed. Pennsylvania: W.B. Saunders Company. 2000;1193-1228.
- Halim A., Gow J.G. Genitourinary tuberculosis. In: Hussain I., editor. Tropical urology and renal disease. 1st ed. New York: Churchill Livingstone. 1984;118-140.
- Wong S.H., Lau W.Y. The surgical management of non-functioning tuberculous kidneys. J. Urol. 1980;124:187-191. doi: 10.1016/s0022-5347(17)55367-7.
- Gow J.G. Renal calcification in genitourinary tuberculosis. Br J. Surg. 1965;52:283-288. doi: 10.1002/bjs.1800520410.
- Грунд В.Д. Ошибки в диагностике и лечении туберкулеза мочеполовой системы. М.: Медицина. 1975
- Холтобин Д.П., Кульчавеня Е.В., Хомяков В.Т. Рак и туберкулез мочеполовой системы (обзор литературы и клиническое наблюдение). Урология. 2016;4:106-110
- Kerr W.K., Gale G.L., Peterson K.S. Reconstructive surgery for genitourinary tuberculosis. J. Urol. 1969;101:254.
- Gow J.G., Barbosa S. Genitourinary tuberculosis: A study of 1117 cases over a period of 34 years. Br J. Urol. 1984;56:449-55.
- Zwergel, T.H.,Ziegler M.Zur operativen Therapie der Urogenitaltuberkulose. Urologe A. 1984;23:194-198.
- Wyrens R.G. Indications for extirpative renal operation for tuberculosis. J. Urol. 1945;54:227.
- Wechsler M., Lattimer J.K. An evaluation of the current therapeutic regimen for renal tuberculosis. J. Urol. 1975;113:760. doi: 10.1016/s0022-5347(17)59575-0.
- Арканов Л.В. Хирургическое лечение туберкулеза почки с тотальным поражением мочеточника. Автореф. дисс. к.м.н. М., 2014
- Зубань О.Н. Причины, диагностика и лечение дисфункций мочевого пузыря у больных нефротуберкулезом. Автореф. дисс. к.м.н. СПб., 2002
- Flechner S.M., Gow J.G. Role of nephrectomy in the treatment of nonfunctioning or very poorly functioning unilateral tuberculous kidney. The Journal of Urology. 1980;123(6):822-825. doi: 10.1016/s0022-5347(17)56149-2.
- Gupta N.P., Agrawal A.K., Sood S. Tubercular pyelonephritic nonfunctioning kidney: Another relative contraindication for laparoscopic nephrectomy: A case report. J. Laparoendosc Adv Surg Tech. 1997;7:131-134. doi: 10.1089/lap.1997.7.131.
- Rassweiler J., Fornara P., Weber M., et al. Laparoscopic nephrectomy: The experience of the laparoscopy working group of the German urologic association. J Urol. 1998;160:18-21. doi: 10.1016/s0022-5347(01)63015 5
- Lee K.S., Kim H.H., Byun S.S., et. al. Laparoscopic nephrectomy for tuberculous nonfunctioning kidney: Comparison with laparoscopic simple nephrectomy for other diseases. Urology. 2002;60:411-414. Doi: 10.1016/ s0090-4295(02)01759-4
- Hemal A.K., Gupta N.P., Kumar R. Comparison of retroperitoneoscopic nephrectomy with open surgery for tuberculous nonfunctioning kidneys. J Urol. 2000;164:32-35
- Zhang X., Zheng T., Ma X., et al. Comparison of retroperitoneoscopic nephrectomy versus open approaches to nonfunctioning tuberculous kidneys: A report of 44 cases. J. Urol. 2005;173:1586-1589. doi: 10.1097/01. ju.0000154624.44403.b9.
- Nagaraj H.K., Kishore T.A., Nagalakshmi S. Laparoscopic nephrectomy for renal tuberculosis. Indian J. Urol. 2006;22:329-331.
- Figueiredo A.A., Lucon A.M., Srougi M. Urogenital Tuberculosis. Microbiol Spectr. 2017;5(1):10.1128/microbiolspec.TNMI7-0015-2016. doi: 10.1128/microbiolspec.TNMI7-0015-2016.
- Bazhenov I.V. Minimally invasive open retroperitoneoscopic surgery for some urological kidney diseases. Diss. PhD, MONIKI. M., 2003. (Russian). Баженов И.В. Малоинвазивные открытые ретроперитонеоскопические операции при некоторых урологических заболеваниях почек. Дисс. д.м.н., МОНИКИ. М., 2003.
- Журавлев В.Н., Баженов И.В., Зырянов А.В., и др. Открытые малоинвазивные ретроперитонеоскопические операции в урологии. Уральский медицинский журнал.2007;9:7-9
- Журавлев В.Н., Баженов И.В., Истокский К.Н., и др. Клиническая реабилитация пациентов после реконструктивных ретроперитонеоскопических (РПС) операций на пузырно-мочеточниковом сегменте. Уральский медицинский журнал.2013;9(114):34-40
- Carl P., Stark L. Indications for surgical management of genitourinary tuberculosis. World J. Surg. 1997;21(5):505-510. doi: 10.1007/pl00012277.
- Rizzo M., Poncietti R., Di Loro F., et. al. Twenty years experience on genitourinary tuberculosis. Arch Ital Urol Androl. 2004;76:83-87.
- Gupta R., Dorairajan L.N., Muruganandham К. et al. Laparoscopic Ablative and Reconstructive Surgeries in Genitourinary Tuberculosis. JSLS. 2014;18(3):e2014.00203. doi: 10.4293/JSLS.2014.00203.
- Gokce G., Kilicarslan H., Ayan S., et al. Genitourinary tuberculosis: A review of 174 cases. J. Infect Dis. 2002;34:338-340. doi: 10.1080/00365540110080331.
- Ramanathan R., Kumar A., Kapoor R., Bhandari M. Relief of urinary tract obstruction in tuberculosis to improve renal function: Analysis of predictive factors. Br J. Urol. 1998;81:199-205. Doi: 10.1046/j. 1464-410x.1998.00500.x.
- O’Flynn D. Surgical treatment of genito-urinary-tuberculosis. Br. J. Urol.1970;43:667-73.
- Rodeck G. Spezifische Entzu'ndungen des Urogenitaltraktes. In: Urologie in Klinik und Praxis, R. Hohenfellner, E.J. Zingg, editors. Stuttgart, Thieme Verlag. 1982;415-461.
- Skutil V., Varsa J., Obsitnik M. Six-month chemotherapy for urogenital tuberculosis. Eur Urol. 1985;11(3):170-176. doi: 10.1159/000472484.
- Кульчавеня Е.В., Холтобин Д.П. Причины позднего выявления туберкулеза мочевого пузыря. Урология. 2015;3:29-32
- Кульчавеня Е.В., Холтобин Д.П. Туберкулез мочевого пузыря 4-й стадии: как восстановить мочеиспускание? Урология. 2014;5:26-29
- Stephen W. Late results of cystoplasty in chronic tubercular cystitis. Br J. Urol. 1970;42:697-703.
- Johnson W.D., Johnson C.W., Lowe F.C. Tuberculosis and parasitic diseases of the genitourinary system. In: Walsh PC, editor. Campbell’s urology. 8th ed. Vol. 1. Philadelphia: WB Saunders Co. 2002;743-763. chapter 21.
- Duel B.P., Gonzalez R., Bathold J.S. Alternative techniques for augmentation cystoplasty. J. Urol. 1998;159:998-1005.
- Kholtobin D., Kulchavenya E. Endoscopy, bacteriology or histology - how to diagnose bladder tuberculosis? Urology.2014;84(S4):117.
- Kuss R., Bitker M., Cemey M., et. al. Indications, early and late results of intestinocystoplasty: A review of 185 cases. J. Urol. 1970;103:53-63. doi: 10.1016/s0022-5347(17)61891-3.
- Mundy A.R., Venn S.N. Long term results of augmentation cystoplasty. Eur Urol. 1998;34:40-42. doi: 10.1159/000052275.
- Tizzoni E., Foggi A. The restoration of the urinary bladder: Experimental studies. Zentralbl Chir. 1988;15:921-926.
- Lemoine G. Creating a new bladder by a process’ personnal capre cystectomic’s total for cancer. J. Urol Nephrol. 1913;4:367-372.
- Мочалова Т.П. Туберкулез мочевых путей (диагностика, клиника, лечение). Ташкент: Медицина. 1976;182
- Довлатян А.А. Восстановительная хирургия мочевых путей (туберкулез и неспецифические заболевания). М.:Медицина. 2008;416
- Мочалова Т.П., Волович Л.Я. Хирургическое лечение больных туберкулезом мочевых органов. Киев: Здоров Я. 1983;159 с.: ил. (Б-ка практ. врача
- Shirley W.S., Mirelman S. Experience with colocystoplasties, cecoplasties and ileocystoplasties in urological surgery 40 patients. J. Urol. 1978;129:165- 168. doi: 10.1016/s0022-5347(17)57088-3.
- Jurasz A. Operacja wytwareza pecherza. Polski Przeglad Chirurgiczny. 1928;7:453-454.
- Rutkowski M. For the method harnblasen sculpture. Centralblatt fur chirurgie. 1989;26:473-478.
- Mikulicz V. For the operation of augeboremen blasenspalte. Zentralbl fur Chir. 1899;26:641.
- Smith R.B., Van Cangh P., Skinner D.G., et. al. Augmentation enterocystoplasty: A critical review. J. Urol. 1977;118:35-45.
- Convelaire R. The «little bladder» of genito-urinary tuberculosis; classification, site and variants of bladder-intestine transplants. J. Urol. 1950;56:381-434.
- Givernet J.M., Adan R. Ileocystoplastie on colocystoplastie. J. Med Surg Urol. 1956;62:491-495.
- Turner Warwick R.T., Ashken M.H. The functional results ofpartial, subtotal and total cystoplasty with special reference to ureterocaecocystoplasty, selective sphincterotomy and cecocystoplasty. Br J. Urol. 1967;39:3-10. doi: 10.1111/j.1464-410x.1967.tb11774.x.
- Sianaiko E. Artificial bladder from segment of stomach and study of effect of urine on gastric secretion. Surg Gynecol Obstet. 1956;102:433.
- Adams M.C., Mitchell M.E., Rink R.C. Gastrocystoplasty: An alternative solution to the problem of urological reconstruction in severely compromised patient. J. Urol. 1988;140:1152-1161. doi: 10.1016/s0022-5347(17)41986-0.
- Shamsa A. Gastric neobladder for treatment of tubercular cystitis. J. Urol. 1998;159:202.
- Комяков Б.К., Фадеев В.А., Сергеев А.В., и др. Отдаленные результаты ортотопического замещения мочевого пузыря сегментом желудка. Урологические ведомости. 2016;6(S):57-58
- Jarolim L., Babjuk M., Hanus T., et. al. Female urethra sparing cystectomy and orthotopic bladder replacement. Eur Urol. 1997;31:173-177.
- Bennani S., Aboutaieb R., el Mrini M., Benjelloun S. Place de la corticotherapie et de l’endoscopie dans le traitement de la tuberculose uro-genetale [The role of corticotherapy and endoscopy in the treatment of urogenital tuberculosis]. Ann Urol (Paris). 1994;28(5):243-249.
- Славов Ч., Куманов Х., Доновский Л. Интравезикальная дистензия при туберкулезно-сморщенном мочевом пузыре. Урол Нефрол. 1991;1: 5-7
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