Genitourinary tuberculosis

GENITOURINARY TUBERCULOSIS

accounts for 30% to 40% of all extrapulmonary TB.
In developed countries, urogenital tuberculosis occurs in 2% to 10% of cases of pulmonary tuberculosis, while in developing countries it occurs in as many as 15% to 20% of cases.

WORK UP

Urinalysis and Culture.
Mantoux Test.
PCR.
Radiography and Endoscopy:
Plain Radiograph
Intravenous Urography (IVU)
Computed Tomography
Ultrasonography


WORK UP
Retrograde Pyelogram and Antegrade Pyelogram.
Cystoscopy and Ureteroscopy

Treatment

Antituberculous Drugs.
Surgical Therapy:
Nephrectomy
Ureteropelvic and Ureteral Surgery
Bladder Surgery
epididymectomy


INDICATIONS OF NEPHRECTOMY
1-dest kid.despite Rx.
2- coexist malig.
3-HTN.
4-calcified non funct. Kid.

URINARY BILHAR.

S. mansoni

S. japonicum

S. haematobium
n Southwest Asia, the disease is found
in Southern Yemen, Yemen, Saudi Arabia, Lebanon, Syria, Turkey,
Iraq, and Iran

Clinical Manifestations

fever, lymphadenopathy, splenomegaly, eosinophilia, urticaria, and othemanifestations of a serum sickness–like disease.
3 to 9 weeks after infection.
Chronic Schistosomiasis
Hematuria
Pain
Irritative voiding symptoms
Incontinence
anemia

DIAGNOSIS

Eggs in urine
Serological tests AB
IVU
CT
cystoscope

TREATMENT

Medical Management.
Praziquantel is the drug of choice for all schistosoma species
Surgical Management.
COMPLICATIONS
Infection
Malignancy
stones

Hydatid Disease

renal hydatids occur in only about 2% of cases
The hydatid is the larval form of Echinococcus granulosus,whose definitive host is the dog, and whose principal intermediate host is the sheep.

presentation

Asymp.
Flankpain
Backache
Palpable loin mass

diagnosis

Serology
Plain X-ray
U/S
CT
Rx
Nephrectomy
Albendazol pre-op.