el Khader K, el Fassi J, Karmouni T, Tazi K, Ibnattya A, Hachimi M, Lakrissa A
Service d'Urologie' B, Hôpital Avicenne, Rabat, Maroc.
Ann Urol (Paris). 1997;31(6-7):339-43.
The authors report a series of 40 cases of genitourinary tuberculosis diagnosed and treated in the department of urology "B" of Avicenne hospital over a 7-year period. The objective of this study is to define the various diagnostic and therapeutic aspects of this disease. The patients were predominantly males (62.5%) with a mean age of 40 years. 25% of cases reported a history of extra-urinary tuberculosis. The very polymorphous clinical presentation is dominated by signs of cystitis (45%). Intravenous urography is frequently suggestive of the diagnosis based on the appearance and multiplicity of the lesions. The radiological lesions most frequently encountered were silent kidney (19 cases) and small tuberculous bladder (11 cases). The definitive diagnosis was established by pathological examination in 38 cases (biopsies, operative specimens, prostatic resection chips) and/or by demonstration of AFB in 2 cases (urine, pus). Tuberculostatic treatment was administered to all patients, either alone (5 cases) or, more usually, in combination with surgical and/or endo-urological treatment (35 cases), reflecting the magnitude and severity of the destructive and scar lesions.
作者报告了在阿维森纳医院泌尿外科“B”在7年期间诊断和治疗的40例泌尿生殖系统结核病例。本研究的目的是明确该疾病的各种诊断和治疗方面。患者以男性为主（62.5%），平均年龄40岁。25%的病例有泌尿外结核病史。临床表现非常多样，以膀胱炎症状为主（45%）。静脉尿路造影常根据病变的外观和多发性提示诊断。最常遇到的放射学病变是无功能肾（19例）和小结核性膀胱（11例）。38例通过病理检查（活检、手术标本、前列腺切除碎片）和/或2例通过抗酸杆菌检测（尿液、脓液）确诊。所有患者均接受了抗结核治疗，单独治疗（5例），或更常见的是与手术和/或腔内泌尿外科治疗联合（35例），这反映了破坏性和瘢痕性病变的程度和严重性。
