Tuberculosis and other urogenital infections as sexually transmitted diseases
https://doi.org/10.21886/2308-6424-2023-11-1-177-183
Abstract
The analysis of domestic and foreign literature on the epidemiology, etiology, and possible sexual transmission of urinary tract infections (UTI) was carried out. It has been established that more than 30 pathogens are currently classified as sexually transmitted infections (STI). The molecular genetic method has shown the identity of uropathogenic Escherichia coli in familial cases of UTI, which confirms the sexual route of infection transmission, which was not previously classified as a classic STI. Several works are cited that undoubtedly testify to the possible sexual transmission of Mycobacterium tuberculosis. Up to date, few reports of sexual transmission of UTI have been published, although tuberculosis is one of the most common infectious diseases worldwide. Perhaps because the partner of a patient with genital tuberculosis or other UTI is not actively evaluated. Thus, the possibility of sexual transmission may be underestimated. Sexual transmission of M. tuberculosis as well as uropathogenic E. coli is unlikely, but possible.
About the Author
E. V. Kulchavenya
Novosibirsk State Medical University;
Privolzhsky Research Medical University;
Avicenna Medical Center
Russian Federation
Russian Federation
Ekaterina V. Kulchavenya — M.D., Dr.Sc.(Med), Full Prof.; Prof., Dept. of Tuberculosis Pulmonology,
Prof., Dept. of Urology,
Scientific Adviser, Urology Division,
Novosibirsk
References
1. Kolman KB. Cystitis and Pyelonephritis: Diagnosis, Treatment, and Prevention. Prim Care. 2019;46(2):191-202. DOI: 10.1016/j.pop.2019.01.001
2. Barea BM, Veeratterapillay R, Harding C. Nonantibiotic treatments for urinary cystitis: an update. Curr Opin Urol. 2020;30(6):845-852. DOI: 10.1097/MOU.0000000000000821
3. Kaur R, Kaur R. Symptoms, risk factors, diagnosis and treatment of urinary tract infections. Postgrad Med J. 2021;97(1154):803-812. DOI: 10.1136/postgradmedj-2020-139090
4. Wagenlehner FM, Brockmeyer NH, Discher T, Friese K, Wichelhaus TA. The Presentation, Diagnosis, and Treatment of Sexually Transmitted Infections. Dtsch Arztebl Int. 2016;113(1-02):11-22. DOI: 10.3238/arztebl.2016.0011
5. WHO: Sexually transmitted infections (STIs) 2022. Key Facts. Accessed on March 2, 2023. https://www.who.int/ru/news-room/fact-sheets/detail/ sexually-transmitted-infections-(stis)
6. Olin SJ, Bartges JW. Urinary tract infections: treatment/ comparative therapeutics. Vet Clin North Am Small Anim Pract. 2015;45(4):721-46. DOI: 10.1016/j.cvsm.2015.02.005.
7. Ibishev Kh.S., Lapteva T.O., Krakhotkin D.V., Ryabenchenko N.N. The role of human papillomavirus infection in the development of recurrent infection of the lower urinary tract. Urologiia. 2019;5:136-139. (In Russian). DOI: 10.18565/urology.2019.5.136-139
8. Ibishev Kh.S., Krakhotkin D.V., Mamedov V.K., Paleny A.I. Efficiency of Alloferon in the complex therapy of chronic recurrent papillomavirus cystitis. Urologiia. 2021;4:35-40. (In Russian). DOI: 10.18565/urology.2021.4.35-40
9. Kovaleva Yu.S., Motasem Abdalkhalim M.A., Neimark A.I., Neimark B.A. The effectiveness of the treatment of chronic cystitis in women against the background of urogenital infection. Vestnik SurGU. The medicine. 2022;1(51):36-41. (In Russian). DOI 10.34822/2304-9448-2022-1-36-41
10. al-Wali W, Hamilton-Miller JM, Joshi S, Brumfitt W. A case of recurrently sexually transmitted urinary tract infection. Genitourin Med. 1989;65(6):397-8. DOI: 10.1136/sti.65.6.397
11. Dan M, Gottesman T, Schwartz O, Tsivian A, Gophna U, Rokney A. Sexually transmitted Escherichia coli urethritis and orchiepididymitis. Sex Transm Dis. 2012;39(1):16-7. DOI: 10.1097/OLQ.0b013e31823156a0
12. Foxman B, Manning SD, Tallman P, Bauer R, Zhang L, Koopman JS, Gillespie B, Sobel JD, Marrs CF. Uropathogenic Escherichia coli are more likely than commensal E. coli to be shared between heterosexual sex partners. Am J Epidemiol. 2002;156(12):1133-40. DOI: 10.1093/aje/kwf159.
13. Foxman B, Zhang L, Tallman P, Andree BC, Geiger AM, Koopman JS, Gillespie BW, Palin KA, Sobel JD, Rode CK, Bloch CA, Marrs CF. Transmission of uropathogens between sex partners. J Infect Dis. 1997;175(4):989-92. DOI: 10.1086/514007
14. Ulleryd P, Sandberg T, Scheutz F, Clabots C, Johnston BD, Thuras P, Johnson JR. Colonization with Escherichia coli Strains among Female Sex Partners of Men with Febrile Urinary Tract Infection. J Clin Microbiol. 2015;53(6):1947-50. DOI: 10.1128/JCM.00579-15
15. Ashby J, Smith A. A case of sexual transmission of Escherichia coli leading to urine infections in a male homosexual couple? Int J STD AIDS. 2010;21(9):660-1. DOI: 10.1258/ijsa.2010.010211
16. Herrström P. Aven heterosexuella män kan få urinvägsinfektion av analsex [Also heterosexual men can get urinary tract infection via anal sex]. Lakartidningen. 2009;106(6):369. (In Swedish)/ PMID: 19297815.
17. Angulo Cuesta J, Larrinaga Izaguirre J, Unda Urzaiz M, Iriarte I, Flores Corral N. Infección urinaria recurrente del varón transmitida sexualmente [Sexually transmitted recurrent urinary infection of the male]. Arch Esp Urol. 1992;45(6):575-6. (In Spanish). PMID: 1510500
18. Bailey RR, Peddie BA, Swainson CP, Kirkpatrick D. Sexual acquisition of urinary tract infection in a man. Nephron. 1986;44(3):217-8. DOI: 10.1159/000183989
19. Angus BJ, Yates M, Conlon C, Byren I. Cutaneous tuberculosis of the penis and sexual transmission of tuberculosis confirmed by molecular typing. Clin Infect Dis. 2001;33(11):E132-4. DOI: 10.1086/324360
20. Amirzargar MA, Yavangi M, Amirzargar N. Primary tuberculosis of the glans penis in male kidney transplant recipients: a report on two cases. Saudi J Kidney Dis Transpl. 2006;17(2):213-5. PMID: 16903630
21. Konohana A, Noda J, Shoji K, Hanyaku H. Primary tuberculosis of the glans penis. J Am Acad Dermatol. 1992;26(6):1002-3. DOI: 10.1016/s0190-9622(08)80339-8
22. Richards MJ, Angus D. Possible sexual transmission of genitourinary tuberculosis. Int J Tuberc Lung Dis. 1998;2(5):439. PMID: 9613645
23. Gondzik M, Jasiewicz J. Ansteckungsmöglichkeit der Tuberkulose durch Kohabitation im Tierexperiment [Experimental study on the possibility of tuberculosis transmission by coitus]. Z Urol Nephrol. 1979;72(12):911-4. (In German). PMID: 551628.
24. Gondzik M, Jasiewicz Z. Udzielanie sie gruźlicy droga płciowa u świnek morskich w warunkach doświadczalnych [Transmission of tuberculosis by sexual route in guinea pigs under experimental conditions]. Ann Acad Med Stetin. 1979;25:505-21. (In Polish). PMID: 583459.
25. Zajaczkowski T. Genitourinary tuberculosis: historical and basic science review: past and present. Cent European J Urol. 2012;65(4):182-7. DOI: 10.5173/ceju.2012.04.art1
26. Afonin A.V., Peretsmans E.O., Toporkova E.E., Khodakovskii E.P. Tuberculosis is a sexually transmitted infection. Bulletin of Postgraduate Medical Education. 2006;3-4:69-71. (In Russian). eLIBRARY ID: 35294494; EDN: XTWWIH
27. Venyo AK. Tuberculosis of the Penis: A Review of the Literature. Scientifica; 2015. Accessed on Mach 2, 2023. https://www.hindawi.com/journals/scientifica/2015/601624/
28. LEWIS EL. Tuberculosis of the penis; a report of 5 new cases, and a complete review of the literature. J Urol. 1946;56(6):737-45. DOI: 10.1016/S0022-5347(17)69866-5
29. Yadav S, Singh P, Hemal A, Kumar R. Genital tuberculosis: current status of diagnosis and management. Transl Androl Urol. 2017;6(2):222-233. DOI: 10.21037/tau.2016.12.04
30. Sekhon GS, Lal MM, Dhall JC. Tuberculosis of penis. J Indian Med Assoc. 1971;56:316-18.
31. Kimura M, Araoka H, Baba H, Okada C, Murase Y, Takaki A, Mitarai S, Yoneyama A. First case of sexually transmitted asymptomatic female genital tuberculosis from spousal epididymal tuberculosis diagnosed by active screening. Int J Infect Dis. 2018;73:60-62. DOI: 10.1016/j.ijid.2018.05.021
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For citations:
Kulchavenya E.V. Tuberculosis and other urogenital infections as sexually transmitted diseases. Urology Herald. 2023;11(1):177-183. (In Russ.) https://doi.org/10.21886/2308-6424-2023-11-1-177-183
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