[Advanced tubercular disease of urogenital tract].
OBJECTIVE
The genitourinary tract is one of the most common sites of extrapulmonary tuberculosis (30%-33%), followed by the lymphatic tissue, skeletal system and gut. Due to the diagnostic methods and therapeutic modalities currently available, it is infrequent to find advanced tuberculosis with extensive genitourinary involvement.


RESULTS
Herein we describe a patient with advanced genitourinary tuberculosis characterized by loss of right renal unit, left hydronephrosis due to ureterovesical junction stricture, contracted bladder, prostatic caseation and urethral stricture. Right nephrectomy and bladder substitution ileocystoplasty were performed. The clinical features, diagnostic and therapeutic aspects are discussed and the literature briefly reviewed.


CONCLUSIONS
Extensive genitourinary tuberculosis is uncommon. The importance of early diagnosis and treatment is emphasized in order to avoid the irreversible sequelae.
Pereira Arias
J G
JG
Servicio de Urología, Hospital de Galdakao, Vizcaya, España.
Gallego Sánchez
J A
JA
Larrinaga Simón
J
J
Prieto Ugidos
N
N
González Ibarluzea
J
J
Bernuy Malfaz
C
C
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D008297:Male; D009392:Nephrectomy; D011472:Prostatitis / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D011704:Pyelonephritis / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D014389:Tuberculosis, Male Genital / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D014525:Urethral Stricture / Q000209:etiology; D014547:Urinary Diversion
D000995:Antitubercular Agents