T12-O-09 Prostate tuberculosis - new sexually transmitted disease - 27/06/08
Résumé |
Introduction |
In Siberia the cause of prostatitis in 5% is tuberculosis. Inspection of patient with prostatitis rarely includes investigation on tuberculosis that results in late diagnosis and incorrect treatment.
Material and methods |
84 patients with tuberculosis of prostate were involved in study. The diagnosis was verificated by bacteriological or pathomorphological methods. The age was 20 - 68 years. Infiltrative tuberculosis of prostate was in 52, and cavernous tuberculosis - in 32. In 5,9% sexual partners also had genital tuberculosis.
All patients received chemotherapy (Isoniazidum + Streptomycinum + Rifampicinum). 43 patients from them were as control, and 41 were treated with low intensity laser.
The results of treatment estimated by following criteria: sanation of prostate secretion, the termination of growth of Mycobacteria Tuberculosis, local immunological tests, and functional tests.
Results |
Laser Therapy in combination with chemotherapy promotes to increase of Isoniazidum concentration in lesion twice and Rifampicinum concentration - in 6,5 time.
Complex treatment allows to save functional possibilities of genital system and to increase efficiency of therapy on 42,1%. In 80% patients receiving only chemotherapy tuberculous prostatitis became chronic disease, with constant latent inflammation in prostate, and only 20% were cured. Whereas the efficiency in laser group was 62,1%.
Conclusions |
Tuberculous prostatitis is sexually transmitted disease, so both partners should be treated simultaneously. Patients with prostatitis exactly need special examination on tuberculosis. The treatment of tuberculous prostatitis has to include laser therapy.
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Vol 17 - N° S1
P. 163-164 - janvier-mars 2008 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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