title: Recent changes in the assessment of urogenital tuberculosis.
abstract: The urogenital tuberculosis has undergone a change in form and clinical assessment. The absolute proportion of urogenital tuberculosis cases has fallen off sharply since 1967. The nmber of surgical interventions is also remarkably reduced. The cases exhibiting a milder stage have significantly increased, while the severe cases have decreased. This change of tuberculosis has made a conservative therapy favorable; therefore the current operative indication is somewhat different than 15 years ago. The time of release from the stationary treatment depends first on the animal experiment and bacterial findings; furthermore, tests are necessary to determine the status of immunity. It was revealed with urogenital tuberculosis, through regular examination of the menstrual blood of women, that the number of positive cases among women was considerably higher, than among men. In contracted bladder a surgical intervention is often necessary due to intense pain and incontinence. We prefer the rectal bladder with sigmoid pull-through inside the sphincter ani, whereby excellent success can be achieved. The study shows that the clinical assessment of tuberculosis is somewhat different today than is was earlier. Tuberculosis underwent a change in form that must be taken into consideration with respect to operative indication.
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D005860:Germany, West; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography; D012737:Sex Factors; D014384:Tuberculosis, Female Genital; D014389:Tuberculosis, Male Genital; D014398:Tuberculosis, Renal; D014401:Tuberculosis, Urogenital / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D001743:Urinary Bladder / Q000000981:diagnostic imaging