1. Diagnosis and Treatment for Male
Genital TB
E. Kulchavenya Novosibirsk, Russia, e-mail: ku_ekaterina@mail.ru
Material: 42patients with TB of scrotal organs and 58 with
prostate TB.
Methods: Urinary cultures, urinalysis, 3-glass test, and
investigation of the prostate secretion as well as prostate biopsies.
Chemotherapy with liposome forms of drugs.
Results: 33.6% had relapse of TB. In 61.9% KTB was diagnosed
alongside with an orchiepididymitis. In 30.9% bilateral
epididymorchitis was diagnosed. MBT+ was present in 38.1%.
Scrotal fistula were found in 11.9%. In 66.7% - acute onset. 50%
of the patients with prostate TB had dysuria; 39.6% had perineal
pain; 58.6% had flank pain. Biopsy was positive in 26.7%.
Liposomal forms of anti-TB drugs were more effective.
Fluorquinolons and PAS are necessary in the therapy for male
genital TB, duration not less then 8 months.
Conclusions: MGTB has no specific
pathognomonic signs. A special algorithm,
including 3-glass test, is recommended for
patients with prostatitis or epididymitis.
Therapy should be liposomal.