Role of Early Endourologic Management of Tuberculous Ureteral Strictures

Shin, Ki Y.; Park, Hyun Jun; Lee, Dong Kun; Park, Hae Young; Woo, Young Woon; Lee, Tchun Yong

doi:10.1089/08927790260472917

Cited by 28 publications

(9 citation statements)

References 10 publications

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“…Ureteral stenting in renal tuberculosis, combined with medications usually decrease the likelihood of the renal loss, but may increase the opportunity for later reconstructive surgery. [ 11 ]…”

Section: Discussionmentioning

confidence: 99%

Disseminated tuberculosis following the placement of ureteral stents: a case repot

Salem

2008

Cases Journal

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BackgroundMiliary tuberculosis occurs as a result of hematogenous dissemination of Mycobacerium tuberculosis. This can occur due to progressive primary infection, reactivation of latent focus with subsequent spread, or rarely via iatrogenic origin.Case presentationThis is a case of 21 year-old woman presented with hydronephrosis and hematuria due to unrecognized renal tuberculosis. She underwent bilateral ureteral stent placement which lead to dissemination of the Mycobateria through the blood causing pulmonary tuberculosis and multiple tuberculous abscesses in the paraspinous muscles, pleural space and skin.ConclusionDisseminated tuberculosis due to Mycobacteremia after surgical intervention is a rare complication. Mycobacteria should be considered among other more common microorganisms that can cause post operative bacteremia.

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Section: Discussionmentioning

confidence: 99%

Disseminated tuberculosis following the placement of ureteral stents: a case repot

Salem

2008

Cases Journal

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“…Ureteral strictures may be caused by the disease process prior to treatment, but may also progress during treatment due to scarring and subsequent narrowing of the lumen [ 3 ]. Usually, this is occurring within the first two months of treatment [ 22 ]. Fibrosis of the bladder wall with reduced capacity is seen in 9% of patients [ 16 ].…”

Section: Complications During Treatmentmentioning

confidence: 99%

Medical treatment for urogenital tuberculosis (UGTB)

Wejse

2018

GMS Infectious Diseases; 6:Doc04

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“…Zusätzliche operative Eingriffe [3,4,18,19] [24]. Der am häufigsten durchgeführte operative Eingriff (bei ca.…”

Section: Operative Therapieunclassified

Urogenitaltuberkulose in Deutschland

Lenk¹

2011

Urologe

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Genitourinary tuberculosis (GUTB) usually results from the reactivation of old, dormant tuberculous diseases by pathogens of the Mycobacterium tuberculosis complex. The diagnosis of tuberculosis of the urinary tract is based on the case history, the finding of pyuria in the absence of infection as judged by culture on routine media and by radiological imaging. A positive yellow egg culture and/or histological analysis of biopsy specimens possibly combined with the polymerase chain reaction (PCR) is still required in most patients to establish a definitive diagnosis of GUTB. Antituberculous drug treatment is based on an initial 2 month intensive phase with three or four drugs daily followed by a 4 month continuation phase with only two drugs. Surgery as a treatment option in GUTB might be indicated in complicated urinary tuberculosis. After antituberculous treatment of GUTB a follow-up surveillance over 5 years is recommended. Although the incidence of GUTB in Germany is relatively low, it is still necessary to impart and deepen scientific knowledge of the diagnosis and therapy of GUTB.

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Role of Early Endourologic Management of Tuberculous Ureteral Strictures

Abstract: Early ureteral stenting or PCN in patients with tuberculous ureteral strictures may increase the opportunity for later reconstructive surgery and decrease the likelihood of renal loss.

Cited by 28 publications

References 10 publications

Disseminated tuberculosis following the placement of ureteral stents: a case repot

Disseminated tuberculosis following the placement of ureteral stents: a case repot

Medical treatment for urogenital tuberculosis (UGTB)

Urogenitaltuberkulose in Deutschland

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