The Place of Surgery in the Diagnosis of Genitourinary Tuberculosis
https://doi.org/10.58838/2075-1230-2025-103-1-79-83
Abstract
The objective: to determine the place of surgery in the diagnosis of genitourinary tuberculosis (GUTB).
Subjects and Methods. We retrospectively analyzed the surgical protocols and medical records of 174 patients who underwent surgery in Extrapulmonary Department of Clinic no. 2, Moscow Research and Clinical Center for Tuberculosis Control of the Moscow Government Department of Health from 2018 to 2021. Of them 112 patients were suspected of having genitourinary tuberculosis.
Results. It was found that after diagnostic and treatment surgery, genitourinary tuberculosis was confirmed in 47/112 (42.0%) people. The test with tuberculous recombinant allergen (TRA) demonstrated low sensitivity for genitourinary tuberculosis. Only
5/36 (13.9%) patients with isolated genitourinary tuberculosis responded positively to this test. The result of urine PCR test for M. tuberculosis was negative in all 47 patients. Signs such as HIV infection, persistent and intermittent erythrocyturia, statistically significantly correlated with the diagnosis of genitourinary tuberculosis (p <0.05).
Conclusions. Genitourinary tuberculosis remains a difficult form of extrapulmonary tuberculosis to diagnose. Treatment and diagnostic surgery with pathomorphological verification of suspected genitourinary tuberculosis are often the only diagnostic method.
About the Authors
M. P. Korchagin
Moscow Research and Clinical Center for Tuberculosis Control of the Moscow Government Department of Health; Russian University of Medicine, Russian Ministry of Health
Russian Federation
Russian Federation
Mikhail P. Korchagin - Assistant, Resident Physician of the Russian University of Medicine
10 Stromynka St., Moscow, 107014 Phone: + 7 (499) 268-00-05
M. A. Prokopovich
Moscow Research and Clinical Center for Tuberculosis Control of the Moscow Government Department of Health
Russian Federation
Russian Federation
Maksim A. Prokopovich - Candidate of Medical Sciences, Head of Extrapulmonary Tuberculosis Department
10 Stromynka St., Moscow, 107014 Phone: + 7 (499) 268-00-05
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Review
For citations:
Korchagin M.P., Prokopovich M.A. The Place of Surgery in the Diagnosis of Genitourinary Tuberculosis. Tuberculosis and Lung Diseases. 2025;103(1):79-83. (In Russ.) https://doi.org/10.58838/2075-1230-2025-103-1-79-83
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