[Surgical urinary and male genital tuberculosis]

A total of 209 and 188 patients with urogenital tuberculosis were operated on in 1985-1987 (Period 1) and in 2005-2007 (Period 2), respectively. The mean age of patients with nephrotuberculosis has increased by 10 years in the past 20 years. The total number of operations has retained as before: organ-removing operations have decreased from 61.1 to 27.3% and reconstructive plastic ones increased from 9.7 to 23%. Epididymectomy remains to be a major intervention for genital tuberculosis, with thrice-fold reduction in their number. The specific features of the course of tuberculosis of the kidney and upper urinary tract were studied in 158 patients. The disease complicated by obstructive uropathy takes a more severe course than the uncomplicated disease, which causes a rise in the number of nephrectomies from 25 to 40.5%.