EAU guidelines for the management of genitourinary tuberculosis

Mete Cek, Severin Lenk, Kurt G Naber, Michael C Bishop, Truls E Bjerklund Johansen, Henry Botto, Magnus Grabe, Bernard Lobel, Juan Palou Redorta, Peter Tenke
European Urology 2005, 48 (3): 353-62
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.

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