rifampin and Ureteral-Diseases

On the basis of a series of 86 cases of urogenital tuberculosis and a review of literature, a detailed study of the different therapeutic methods of this affection is done. Today, with the tuberculostatic agents, the medical treatment alone is frequently sufficient and ablative surgery is less often mandatory than reconstructive. Different types of short course chemotherapy and the role of associated steroids are reviewed. Finally, the authors stress the indications of ablative surgery and review the different procedures of reconstructive surgery in order to clearly define a logical therapeutic approach.

Topics: Adolescent; Adrenal Cortex Hormones; Adult; Aged; Aged, 80 and over; Antitubercular Agents; Constriction, Pathologic; Endoscopy; Female; Humans; Isoniazid; Male; Middle Aged; Nephrectomy; Pyrazinamide; Rifampin; Streptomycin; Tuberculosis, Urogenital; Ureter; Ureteral Diseases; Ureteroscopy

A 23-year-old woman developed progressive obstructive uropathy due to multiple renal infundibular and ureteral strictures while on drug treatment for renal tuberculosis. Communication between isolated upper and mid-pole calyces, and the ureter, was established by percutaneous guidewire manipulation. The strictures were successfully managed using percutaneous balloon catheter dilatation and ureteral stenting without the need for open surgical exploration. Kidney function was preserved at one year follow-up.

Topics: Adult; Antitubercular Agents; Catheterization; Constriction, Pathologic; Female; Follow-Up Studies; Humans; Isoniazid; Kidney Calices; Kidney Pelvis; Nephrostomy, Percutaneous; Pyridoxine; Rifampin; Stents; Tuberculosis, Renal; Ureteral Diseases

The authors report a series of 40 cases of genitourinary tuberculosis diagnosed and treated in the department of urology "B" of Avicenne hospital over a 7-year period. The objective of this study is to define the various diagnostic and therapeutic aspects of this disease. The patients were predominantly males (62.5%) with a mean age of 40 years. 25% of cases reported a history of extra-urinary tuberculosis. The very polymorphous clinical presentation is dominated by signs of cystitis (45%). Intravenous urography is frequently suggestive of the diagnosis based on the appearance and multiplicity of the lesions. The radiological lesions most frequently encountered were silent kidney (19 cases) and small tuberculous bladder (11 cases). The definitive diagnosis was established by pathological examination in 38 cases (biopsies, operative specimens, prostatic resection chips) and/or by demonstration of AFB in 2 cases (urine, pus). Tuberculostatic treatment was administered to all patients, either alone (5 cases) or, more usually, in combination with surgical and/or endo-urological treatment (35 cases), reflecting the magnitude and severity of the destructive and scar lesions.

Topics: Adolescent; Adult; Aged; Antibiotics, Antitubercular; Antitubercular Agents; Biopsy; Combined Modality Therapy; Constriction, Pathologic; Cystitis; Female; Humans; Isoniazid; Male; Middle Aged; Mycobacterium tuberculosis; Nephrectomy; Prostatic Diseases; Pyrazinamide; Rifampin; Stents; Tuberculosis, Male Genital; Tuberculosis, Renal; Tuberculosis, Spinal; Tuberculosis, Urogenital; Ureteral Diseases; Urinary Bladder Diseases; Urography

Topics: Adult; Drug Evaluation; Drug Therapy, Combination; Ethambutol; Humans; Kidney; Middle Aged; Preoperative Care; Rifampin; Tuberculosis, Renal; Ureteral Diseases

Topics: Adult; Antitubercular Agents; Cortisone; Ethambutol; Female; Humans; Isoniazid; Methods; Middle Aged; Rifampin; Tuberculosis, Urogenital; Ureteral Diseases; Ureteral Obstruction

Topics: Female; Humans; Male; Nephrectomy; Prognosis; Rifampin; Transaminases; Tuberculosis, Renal; Tuberculosis, Urogenital; Ureteral Diseases; Urinary Bladder Diseases

Topics: Aminosalicylic Acids; Drug Resistance, Microbial; Female; Humans; Hypertension, Renal; Isoniazid; Male; Nephrectomy; Rifampin; Streptomycin; Tuberculosis, Renal; Tuberculosis, Urogenital; Ureter; Ureteral Diseases; Urinary Bladder