RT Journal Article
SR Electronic
T1 Why do we need a classification of urogenital tuberculosis
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P2637
VO 44
IS Suppl 58
A1 Ekaterina Kulchavenya
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P2637.abstract
AB Introduction. Urogenital tuberculosis (UGTB) remains an important problem. Classification of the disease includes dispersion on forms and stages and definition for each stage, which implies different approach to the management.Material and methods. To estimate the benefit of clinical classification of UGTB (Kulchavenya, 2004) we analyzed history cases of 131 pts with UGTB.Results. Among 131 pts in 67.2% the isolated kidney tuberculosis (KTB) was diagnosed, in 25.2% – genital tuberculosis (MGTB); 7.6% men had generalized UGTB (gUGTB), when both urinary and male genital systems were hurted by tuberculosis; all of them had KTB-4. Thus, KTB was diagnosed in 75% (including 8% of gUGTB). In spectrum of KTB more than half cases were destructive forms (levels 3-4). KTB-3 was diagnosed in 22.4%, isolated KTB-4 - in 21.4%. But as 10 men gUGTB also had KTB-4 too, total share of destructive forms got 54.0%. KTB-1 was diagnosed in 10.2%, KTB-2 – in 39.8%. Clinical features and symptoms significantly varied between different forms of UGTB.KTB 1-2 levels were treated with chemotherapy, KTB-3 required partial nephrectomy, KTB- 4 was indicated for nephrectomy. Stricture of ureter was indicated for reconstructive surgery in KTB 1- 3; KTB-4 with stricture of ureter was indicated for nephrureterectomy. MGTB was treated with chemotherapy; fistula, discharge sinus were indicated for surgery. gUGTB was managed depending on forms of KTB and MGTB.Conclusion. Join term “UGTB” has insufficient information in order to estimate therapy, surgery and prognosis – as well as to evaluate the epidemiology as UGTB is multivariant disease. Using clinical classification will improve the efficiency of the therapy of UGTB.