title: [Advanced tubercular disease of urogenital tract].
abstract: 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.
authors.affiliation: Servicio de Urología, Hospital de Galdakao, Vizcaya, España.
authors.forename: J G
authors.initials: JG
authors.lastname: Pereira Arias
authors.forename: J A
authors.initials: JA
authors.lastname: Gallego Sánchez
authors.forename: J
authors.initials: J
authors.lastname: Larrinaga Simón
authors.forename: N
authors.initials: N
authors.lastname: Prieto Ugidos
authors.forename: J
authors.initials: J
authors.lastname: González Ibarluzea
authors.forename: C
authors.initials: C
authors.lastname: Bernuy Malfaz
mesh_terms: 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
chemical_list: D000995:Antitubercular Agents