HOW PROSTATE TUBERCULOSIS IS DIAGNOSED
https://doi.org/10.21886/2308-6424-2017-5-2-28-33
Abstract
Introduction. Prostate tuberculosis is not rare, but often overlooked disease: 77% of patients died from tuberculosis any localization had prostate tuberculosis and mostly it was not diagnosed alive; in 25% of patients with pulmonary tuberculosis prostate tuberculosis was revealed by biopsy.
Material and Methods.History cases of out-patients with prostate tuberculosis who was under observation in the Novosibirsk tuberculous dispensary in 2010-2015 years were analyzed retrospectively with purpose to estimate the ways of the diagnosis of prostate tuberculosis. Results. More often (41.7%) reason to suppose prostate tuberculosis was chronic prostatitis resistant to standard therapy. In 18.1% the disease was accidental finding after surgery due to benign prostatic hyperplasia (5.6%) or in time of examination patients with pulmonary tuberculosis (12.5%), who had no prostate-specific symptoms.
Conclusion. Prostate tuberculosis may have non-specific symptoms and may be asymptomatic – in this case the disease is diagnosed accidentally. The frequency of prostate tuberculosis hiding under the mask of chronic prostatitis is high. Urogenital infections resistant to standard therapy are suspicious on tuberculosis.
About the Authors
S. Yu. Shevchenko
Novosibirsk Tuberculosis Research Institute; Novosibirsk State Medical University
Russian Federation
Russian Federation
V. V. Potapov
Novosibirsk State Medical University
Russian Federation
Russian Federation
References
1. Global tuberculosis report 2016. WHO/HTM/TB/2016.13. World Health Organization Geneva 2016. Available at: http://www.who.int/tb/publicaƟ ons/global_report/en/ Accessed March 4, 2017.
2. Kulchavenya EV, Krasnov VA, Mordyk AV Al’manakh vnelegochnogo tuberkuleza. Novosibirsk: Sibprint; 2015.
3. Kulchavenya EV, Koveshnikova EYu, Zhukova II. The clinical and epidemiological features of modern-day tuberculous spondylitis. Tuberkulez i bolezni legkikh. 2013;1:41- 45. (in Russ.)
4. Kulchavenya E, Zhukova I, Kholtobin D. Spectrum of Urogenital Tuberculosis. J Infect Chemother. 2013;19(5):880- 883. doi: 10.1007/s10156-013-0586-9
5. Kulchavenya EV, Khomyakov VT. Tuberkulez vnelegochnoy lokalizatsii v Zapadnoy Sibiri. Tuberkulez i bolezni legkikh. 2003;80(4):13-15. (in Russ.)
6. Kulchavenya EV. Kontrol’ vnelegochnogo tuberkuleza v Sibiri i na Dal’nem Vostoke. Problemy tuberkuleza i bolezney legkikh. 2008;85(9):16-19. (in Russ.).
7. Kulchavenya EV. Terapiya ex juvanti bus v diff erentsial’noy diagnostike tuberkuleza mochepolovoy sistemy. Tuberkulez i bolezni legkikh. 2001;78(2):29-32. 9in Russ.)
8. Osadchiy AV, Kulchavenya EV, Reykhrud TA, Naryshkina SL, Kozhevnikova EV et al. Sociodemographic characterisƟ cs of patients with pulmonary and extrapulmonary tuberculosis. Tuberkulez i bolezni legkikh. 2015;(2):46-48. (in Russ.)
9. Nakane K, Yasuda M, Deguchi T, Takahashi S, Tanaka K, et al. Nationwide survey of urogenital tuberculosis in Japan. Int J Urol. 2014;21(11):1171-7. doi: 10.1111/iju.12549.
10. Stepanov PI. Actual issues of pathogenesis of genital tuberculosis in men. Urologiya. 2014;(2):36-39. (in Russ.)
11. Kulchavenya E, Khomyakov V. Male Genital Tuberculosis in Siberians. World Journal of Urology. 2006;24(1):74-78. doi: 10.1007/s00345-005-0048-9
12. Sánchez Sánchez E, Fernández González I, Ruiz Rubio JL, Herrero Payo A, Romero Cajigal I, et al. Transrectal echography in tuberculous prostatitis. Arch Esp Urol. 1994;47(10):1016-8.
13. Ludwig M, Velcovsky HG, Weidner W. Tuberculous epididymo-orchitis and prostatitis: a case report. Andrologia. 2008;40(2):81-3. doi: 10.1111/j.1439- 0272.2007.00824.x
14. Brizhatyuk E, Baranchukova A, Kulchavenya E. Transrectal ultrasound guided biopsies in diagnostics of prostate tuberculosis. Europ Resp J. 2008;52(32):abs. 2446.
15. Kholtobin D., Kulchavenya E., Brizhatyuk E. Prostate biopsy for diagnosis of prostate tuberculosis. ERS annual Congress, Amsterdam. 2011:496s – P2692.
16. Kamyshan IS. Tuberkulez predstatel’noy zhelezy. Urologiya i nefrologiya. 1986;(2):65-71.
17. Miletic B, Morovic M, Tomic Z, Ticac B. Tuberculous orchiepididymitis and CNS complication. Aktuelle Urol. 2006;37(1):67-8.
18. Kamyshan IS, Byazrov ST, Pogrebinskiy VI. Rol’ biopsii predstatel’noy zhelezy u bol’nykh tuberkulezom organov mochepolovoy sistemy. Urologiya i nefrologiya. 1988;(2):12-15.
19. Donahue T, Moul J. Diagnostic accuracy of prostate needle biopsy. Curr Urol Rep. 2002;3(3):215-21.
20. Shkuratov SI. Diagnostika i lechenie tuberkuleza polovykh organov u muzhchin: Avtoref. diss.k.m.n. –Moskva, 1987.
21. Kuksin VM. Diff erentsial’naya diagnostika tuberkuleza predstatel’noy zhelezy: Avtoref. diss.k.m.n. – Novosibirsk, 2002.
22. Shcherban’ MN, Kulchavenya EV, Brizhatyuk EV. The diagnosis, prevention, and treatment of reproductive function in males with pulmonary tuberculosis. Tuberkulez i bolezni legkikh. 2010;87(10):31-36. (in Russ.).
Review
For citations:
Shevchenko S.Yu., Potapov V.V. HOW PROSTATE TUBERCULOSIS IS DIAGNOSED. Urology Herald. 2017;5(2):28-33. (In Russ.) https://doi.org/10.21886/2308-6424-2017-5-2-28-33
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