title: A case of extensive genitourinary tuberculosis: combined augmentation ileo-cystoplasty, ureteric ileal replacement and buccal mucosal graft urethroplasty.
abstract: Genitourinary tuberculosis (GUTB) is the second most common form of extrapulmonary TB after lymph nodes. Advanced GUTB leading to strictures of ureters and urethra, and bladder contracture frequently need surgical management. These are usually treated by ileal replacement of ureter, substitution urethroplasty using buccal mucosal graft (BMG) and augmentation ileo-cystoplasty, respectively. These procedures have been well demonstrated individually but all these three procedures have never been combined as single procedure in the same patient. We report a case of advanced GUTB with ureteric and urethral strictures, and bladder contracture which was treated by the ileal replacement of ureter, augmentation ileo-cystoplasty combined with BMG substitution urethroplasty in a single sitting.
authors.affiliation: Department of Urology, Bhopal Memorial Hospital and Research Centre, Bhopal, 462038, India, dronkarsingh@gmail.com.
authors.forename: Onkar
authors.initials: O
authors.lastname: Singh
authors.forename: Shilpi Singh
authors.initials: SS
authors.lastname: Gupta
authors.forename: Nand Kishore
authors.initials: NK
authors.lastname: Arvind
mesh_terms: D000328:Adult; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D014401:Tuberculosis, Urogenital / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014521:Urethra / Q000601:surgery; D014525:Urethral Stricture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*; D014567:Urography; D013521:Urologic Surgical Procedures, Male / Q000379:methods*