Abstract
To improve the approach to diagnose and management of urogenital tuberculosis (UGTB) we need clear and unique classification. UGTB remains an important problem, especially in developing countries, it is often overlooked disease. As any other infections, UGTB should be cured by antibacterial therapy, but because of late diagnosis it may often require surgery.
Scientific literature dedicated to this problem was critically analyzed and juxtaposed with own more than 30-years experience in TB-urology.
The conception, terms, definition were consolidated in one system; classification stage by stage as well as complication are presented. Classification of any disease includes dispersion on forms and stages and exact definition for each stage. Clinical features and symptoms significantly varied between different forms and stages of UGTB. The simple diagnostic algorithm was done.
UGTB is multivariant disease, and standard unified approach to it is impossible. Clear definition as well as unique classification is necessary for real estimation of epidemiology and optimization therapy. Join term “UGTB” has insufficient information in order to estimate therapy, surgery and prognosis – as well as to evaluate the epidemiology.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Aphonin AB, Perezmanas EO, Toporkova EE, Khodakovsky EP (2006) Tuberculous infection as sexually transmitted infection. Vestnik poslediplomnogo obrazovaniya 3–4:69–71
Baskin LS, Mee S (1989) Tuberculosis of the penis presenting as a subcutaneous nodule. J Urol 141(6):1430–1431
Carrillo-Esper R, Moreno-Castañeda L, Hernández-Cruz AE, Aguilar-Zapata D (2010) A renal tuberculosis. Cir Cir 78(5):442–447
Chowdhury AR, Dey RK (2013) Penile tuberculosis following intravesical Bacille Calmette-Guérin immunotherapy. Indian J Urol 29(1):64–66. doi:10.4103/0970-1591.109989
Dell’Atti L (2014) Unusual isolated tubercolous epididymitis. Case report. G Chir 35(5–6):134–136
Figueiredo AA, Lucon AM (2008) Urogenital tuberculosis: update and review of 8961cases from the world literature. Rev Urol 10(3):207–217
Gupta N, Mandal AK, Singh SK (2008) Tuberculosis of the prostate and urethra: a review. Indian J Urol 24(3):388–391. doi:10.4103/0970-1591.42623
Hemal AK, Gupta NP, Rajeev TP, Kumar R, Dar L, Seth P (2000) Polymerase chain reaction in clinically suspected genitourinary tuberculosis: comparison with intravenous urography, bladder biopsy, and urine acid fast bacilli culture. Urology 56(4):570–574
Kamyshan IS (2003) Guideline on urogenital tuberculosis. Kuev 2003:363–424
Kaneko T, Kudoh S, Matsushita N, Kashiwabara Y, Tamura T, Yoshida I, Nomura K (2008) Case of bladder tuberculosis with onset at the age of nineteen--treatment of urinary tract tuberculosis in accordance with the new Japanese tuberculosis treatment guidelines. Nihon Hinyokika Gakkai Zasshi 99(1):29–34
Kar JK, Kar M (2012) Primary tuberculosis of the glans penis. J Assoc Physicians India 60:52–53
Kim CJ, Sano T, Takimoto K (2011) Miliary tuberculosis following transrectal ultrasonography (TRUS)-guided prostate biopsy. Korean J Urol 52(6):425–427. doi:10.4111/kju.2011.52.6.425. Epub 2011 Jun 17
Kulchavenya E (2010) Some aspects of urogenital tuberculosis. Int J Nephrol Urol 2(2):351–360
Kulchavenya E (2014) Urogenital tuberculosis: epidemiology, diagnosis, therapy. Springer, Cham/Heidelberg/New York/Dordrecht/London. doi:10.1007/978-3-319-04837-6, 137 p. ISBN 978-2-319-04836-9
Kulchavenya E, Kim CS, Bulanova O, Zhukova I (2012) Male genital tuberculosis: epidemiology and diagnostic. World J Urol 30(1):15–21. Epub 2011 May21. Review
Kumar A, Srivastava A, Mishra VK, Banerjee G (1994) Tubercular cavity behind the prostate and bladder: an unusual presentation of genitourinary tuberculosis. J Urol 151(5):1351–1352
Kumar S, Kashyapi BD, Bapat SS (2015) A rare presentation of tuberculous prostatic abscess in young patient. Int J Surg Case Rep 10:80–82. doi:10.1016/j.ijscr.2015.03.028. Epub 2015 Mar 18
Lenk S, Schroeder J (2001) Genitourinary tuberculosis. Curr Opin Urol 11(1):93–98
Linden-Castro E, Pelayo-Nieto M, Alias-Melgar A (2014) Penile tuberculosis after intravesical bacille Calmette-Guérin immunotherapy. Urology 84(2):e3. doi:10.1016/j.urology.2014.04.037. Epub 2014 Jun 21
Miyake H, Fujisawa M (2011) Tuberculosis in urogenital organs. Nihon Rinsho 69(8):1417–1421
Narayana AS, Kelly DG, Duff FA (1976) Tuberculosis of the penis. Br J Urol 48(4):274
Porter MF III (1894) Uro-Genital tuberculosis in the Male. Ann Surg 20(4):396–405
Sah SP, AshokRaj G, Joshi A (1999) Primary tuberculosis of the glans penis. Australas J Dermatol 40(2):106–107
Savu C, Surcel C, Mirvald C, Gîngu C, Hortopan M, Sinescu I (2012) Atypical primary tuberculosis mimicking an advanced penile cancer. Can we rely on preoperative assessment? Rom J Morphol Embryol 53(4):1103–1106
Sharma VK, Sethy PK, Dogra PN et al (2011) Primary tuberculosis of glans penis after intravesical Bacillus Calmette Guerin. Indian J Dermatol Venereol Leprol 77(1):47–50
Singh V, Sinha RJ, Sankhwar SN, Sinha SM (2011) Reconstructive surgery for tuberculous contracted bladder: experience of a center in northern India. Int Urol Nephrol 43(2):423–430
Stasinou T, Bourdoumis A, Owegie P, Kachrilas S, Buchholz N, Masood J (2015) Calcification of the vas deferens and seminal vesicles: a review. Can J Urol 22(1):7594–7598
Stockamp NW, Paul S, Sharma S, Libke RD, Boswell JS, Nassar NN (2013) Cutaneous tuberculosis of the penis in an HIV-infected adult. Int J STD AIDS 24:57–58. [Epub ahead of print]
Suárez-Grau JM, Bellido-Luque JA, Pastrana-Mejía A, Gómez-Menchero J, García-Moreno JL, Durán-Ferreras I, Guadalajara-Jurado JF (2012) Laparoscopic surgery of an enterovesical fistula of tuberculous origin (terminal ileum and sigmoid colon). Rev Esp Enferm Dig 104(7):391–392
Toledo-Pastrana T, Ferrándiz L, Pichardo AR, Muniaín Ezcurra MA, Camacho Martínez FM (2012) Tuberculosis: an unusual cause of genital ulcer. Sex Transm Dis 39(8):643–644. doi:10.1097/OLQ.0b013e318251577b
WHO (2014) Fact sheet N°104. Reviewed March 2014. Available on http://www.who.int/mediacentre/factsheets/fs104/en/
Wildbolz H (1937) Ueber urogenical tuberkulose. Schweiz Med Wochenschr 67:1125
Yonemura S, Fujikawa S, Su JS, Ohnishi T, Arima K, Sugimura Y (2004) Tuberculid of the penis with a scab on the nodule. Int J Uro 11(10):931–933
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Kulchavenya, E. (2016). Urogenital Tuberculosis – Definition and Classification. In: Current Therapy and Surgery for Urogenital Tuberculosis. Springer, Cham. https://doi.org/10.1007/978-3-319-28290-9_3
Download citation
DOI: https://doi.org/10.1007/978-3-319-28290-9_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-28288-6
Online ISBN: 978-3-319-28290-9
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)