Boccon-Gibod L, Delmas V, Baron J C
Service d'Urologie, Hôpital Bichat, Paris, France.
Ann Urol (Paris). 1989;23(3):173-7.
The frequency of urological manifestations of AIDS appears to be increasing at the present time: between 1985 and 1988, 38 HIV1 seropositive patients were examined in the Urology department. In seven cases, the positive serology was discovered during investigation of a urogenital infection and 21 patients suffered from declared AIDS. The reasons for admission to hospital were: urogenital infection: 14 cases, dominated by epididymitis (7) and prostatitis (5), characterized by their frequent progression towards abscess formation; tumours: 6 cases, including 5 Kaposi sarcomas of the penis; and, lastly, neurological manifestations, chronic renal failure and urological diseases unrelated to AIDS. This study indicates that serology should be performed routinely in cases with a known risk factor and/or with an atypical urogenital condition, particularly infectious. The adoption of aseptic techniques and rigorous protection of the entire surgical team is now absolutely necessary.
目前，艾滋病泌尿系统表现的发生率似乎在上升：1985年至1988年期间，泌尿外科对38例HIV-1血清学阳性患者进行了检查。其中7例在泌尿生殖系统感染调查中发现血清学阳性，21例患有确诊的艾滋病。入院原因如下：泌尿生殖系统感染：14例，以附睾炎（7例）和前列腺炎（5例）为主，其特点是常发展为脓肿形成；肿瘤：6例，包括5例阴茎卡波西肉瘤；最后是神经表现、慢性肾衰竭以及与艾滋病无关的泌尿系统疾病。本研究表明，对于已知有危险因素和/或有非典型泌尿生殖系统疾病（尤其是感染性疾病）的患者，应常规进行血清学检查。现在，采用无菌技术并严格保护整个手术团队是绝对必要的。
