Department of Urology, Bhopal Memorial Hospital and Research Centre, Bhopal, 462038, India,
Updates Surg. 2013 Sep;65(3):245-8. doi: 10.1007/s13304-012-0141-8. Epub 2012 Mar 11.
Genitourinary tuberculosis (GUTB) is the second most common form of extrapulmonary TB after lymph nodes. Advanced GUTB leading to strictures of ureters and urethra, and bladder contracture frequently need surgical management. These are usually treated by ileal replacement of ureter, substitution urethroplasty using buccal mucosal graft (BMG) and augmentation ileo-cystoplasty, respectively. These procedures have been well demonstrated individually but all these three procedures have never been combined as single procedure in the same patient. We report a case of advanced GUTB with ureteric and urethral strictures, and bladder contracture which was treated by the ileal replacement of ureter, augmentation ileo-cystoplasty combined with BMG substitution urethroplasty in a single sitting.
泌尿生殖系统结核（GUTB）是继淋巴结之后第二常见的肺外结核形式。输尿管和尿道狭窄以及膀胱挛缩等晚期 GUTB 常需要手术治疗。这些情况通常分别采用回肠替代输尿管、颊黏膜移植物（BMG）替代尿道成形术和回肠膀胱扩大术来治疗。这些手术已经得到了很好的证明，但在同一患者中，这三种手术从未作为单一手术联合进行过。我们报告了一例晚期 GUTB 合并输尿管和尿道狭窄以及膀胱挛缩的病例，该患者在一次手术中同时接受了回肠替代输尿管术、回肠膀胱扩大术联合 BMG 替代尿道成形术的治疗。
