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Published on: November 22, 2019

[The results of surgery on HIV carriers with urinary system disease]

Wei-guo Huang1, Le-shen Yao, Rong Yang

  • 1Department of Urology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medicine College, Nanjing, Jiangsu 210008, China.

Zhonghua Nan Ke Xue = National Journal of Andrology
|November 12, 2005
PubMed

Insights

Surgery on HIV carriers with urinary diseases requires careful timing based on CD4+ T lymphocyte counts. Highly active antiretroviral therapy (HAART) is crucial before and after operations to manage human immunodeficiency virus (HIV) and improve outcomes.

Area of Science:

  • Urology
  • Infectious Diseases
  • Surgical Oncology

Context:

  • Surgical management of urinary system diseases in human immunodeficiency virus (HIV) infected individuals presents unique challenges.
  • Optimal timing and therapeutic strategies are critical for successful surgical outcomes in this patient population.

Purpose:

  • To evaluate surgical outcomes and identify key characteristics for performing operations on HIV carriers with urinary system diseases.
  • To summarize surgical experiences with 41 HIV-positive patients undergoing urological procedures.

Summary:

  • Forty-one HIV carriers with urinary diseases underwent surgery after receiving highly active antiretroviral therapy (HAART).
  • Thirty-one patients recovered well, while four died of acquired immunodeficiency syndrome (AIDS), particularly those with low CD4+ T lymphocyte counts (<0.2 x 10(9)/L) undergoing major resections.
  • Endourologic surgery and laparoscopy are recommended; careful monitoring of CD4+ T lymphocyte counts is essential for perioperative management.

Impact:

  • Highlights the importance of HAART and CD4+ T lymphocyte monitoring for optimizing surgical interventions in HIV-positive patients.
  • Emphasizes the need for precautions against occupational infections among healthcare workers during procedures on HIV carriers.
  • Informs surgical decision-making and patient selection for urological procedures in the context of HIV infection.
Abstract

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