[The results of surgery on HIV carriers with urinary system disease].
OBJECTIVE
To approach characteristics of performing operation on HIV carriers with urinary system diseases.


METHODS
To summarize author's experiences of surgery on 41 HIV carriers suffering urinary system diseases abroad from April 1996 to May 2004.


RESULTS
The 41 HIV carriers received HAART and were performed with corresponding operations, followed up from 4 to 30 months post-operatively. The 31 carriers have recovered well up to date, while 4 carriers died of AIDS. Among them, 2 patients with penis cancer who received a partial peotomy and a patient with renal tuberculosis receiving left nephrectomy were died of AIDS within 4-8 months after operations whose CD4+ T lymphocyte number was below 0.2 x 10(9)/L.


CONCLUSIONS
Prior to operation, HIV carriers should receive HAART ordinarily to control copy of the virus. The CD4+ T lymphocyte number is important for selecting a proper time for operation and deciding the further after surgery. We also take note to CD4+ T lymphocyte number to monitor progress of the AIDS. For those HIV carriers, endourologic surgery and laparoscopy should be taken so far as possible. Meanwhile, medical stuffs must pay more attention to preventing occupational infection during surgery.
Huang
Wei-guo
WG
Department of Urology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medicine College, Nanjing, Jiangsu 210008, China.
Yao
Le-shen
LS
Yang
Rong
R
D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D018791:CD4 Lymphocyte Count; D005260:Female; D005500:Follow-Up Studies; D006679:HIV Seropositivity / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D017758:Infectious Disease Transmission, Patient-to-Professional / Q000517:prevention & control; D008297:Male; D012189:Retrospective Studies; D014552:Urinary Tract Infections / Q000150:complications / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods