Transurethral Surgery in Tuberculosis of the Prostate
Abstract
From 2002 till 2014 30 transurethral resections and 12 incisions of the prostate in tuberculosis lesion were performed. Disease was accompanied by tuberculosis of the kidneys in 24 (57,1%) patients, tuberculous epididymitis – in 30 (76,2%), isolated lesion of the prostate registered in 4 (9,5%). The average age was 58,2 ± 4,2 years. Duration of the preoperative chemotherapy ranged from 3 до 12 months. Prostate volume measured by ultrasonography ranged from 30 to 60 (48,6 ± 5,3) cm³. Reoperation rate marked in 2 (4,8%) cases in early postoperative period and in 10 (23,8%) – in late. Early complications were bleedings (2 – 4,8%), the late ones – urethral strictures (4 – 9,5%) and bladder neck sclerosis (6 – 14,3%). All complications were treated by endoscopy manipulations. The advantages of transurethral surgery of tuberculous lesions of the prostate include: low level of complications, high information value, diagnostic capabilities, technical simplicity, low invasiveness and good patients’ tolerability.
About the Author
O. N. Zuban
ГКУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента
здравоохранения г. Москвы»
Russian Federation
Russian Federation
References
1. Зубань О.Н., Комяков Б.К. Хирургическая коррекция малого мочевого пузыря. – СПб.: Стикс, 2011. – 227 с.
2. Камышан И.С. Руководство по туберкулезу урогенитальных органов. – Киев, 2003. – С. 286-328.
3. Bour L., Schull A., Delongchamps N.B. et al. Multiparametric MRI features of granulomatous prostatitis and tubercular prostate abscess // Diagn. Interv. Imaging. – 2013 – Vol. 94. – N. 1. – P. 84-90.
4. Calişkan S., Koca O., Akyüz M. et al. Granulomatous prostatitis: a rare diagnosis of prostatic disease // Minerva Urol. Nefrol. – 2014. – Vol. 66. – N. 3. – P. 201-202.
5. Gupta N., Mandal A.K., Singh S.K. Tuberculosis of the prostate and urethra: A review // Indian J. Urol. – 2008. – Vol. 24. – N. 3. – P. 388-391.
6. Jacob S., Mammen K. Necrotising prostatic granulomas following transurethral resection – a case report // Indian J. Pathol. Microbiol. – 2003. – Vol. – 46. – N. 3. – P. 480-481.
7. Lee J.Y., Park H.Y., Park S.Y. et al. Clinical characteristics of genitourinary tuberculosis during a recent 10-year period in one center // Korean J. Urol. – 2011. – Vol. 52. – N. 3. – P. 200-205.
Review
For citations:
Zuban O.N. Transurethral Surgery in Tuberculosis of the Prostate. Tuberculosis and socially significant diseases. 2015;(4):38-43. (In Russ.)
Views:
24
Email this article 