Tuberculosis of the urinary bladder: a literature review. Part 2

Protoshchak V.V., Chibirov K.Kh., Karpushchenko E.G., Paronnikov M.V., Babkin P.A., Kushnirenko N.P., Gorelova A.A., Galyuk D.A.

1) S.M. Kirov Military Medical Academy, Ministry of Defence of the Russian Federation, Saint Petersburg, Russia; 2) Saint Petersburg State University, Saint Petersburg, Russia

Issues of etiology, pathogenesis, and diagnostics of tuberculous bladder lesions were discussed in the first part of the review. The presence of a “small contracted” bladder, regardless of etiology, is an indication for surgical treatment, including tuberculous microcystis. The surgeon’s main task is to select the optimal surgical approach in each case. An ileal segment is considered the best material for urinary reservoir reconstruction. Supratrigonal cystectomy with augmentation and radical cystectomy with orthotopic reconstruction are the most common procedures for tuberculous microcystis. In the postoperative period, assessment of quality of life and urodynamic parameters are key factors for successful outcomes. To summarize current data on surgical treatment of tuberculous bladder microcystis and to evaluate quality of life and urodynamic parameters after surgery, the publications from Elibrary.ru, PubMed, and Google Scholar were reviewed. This second part of the review highlights surgical treatment options for tuberculous microcystis and presents available data on quality of life and urodynamic outcomes after surgery.

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About the Authors

Corresponding author: D.A. Galyuk – resident at the S.M. Kirov Military Medical Academy, Ministry of Defence of the Russian Federation, Saint Petersburg, Russia; e-mail: galiukurolog@mail.ru

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