泌尿生殖道结核ppt课件
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Chest film Plain film of abdomen Excretory urograms:
1) “moth-eaten” 2) obliteration of calyces 3) dilatation of calyces 4) abscess cavities 5) ureteral strictures, shortening and straightening 6) absence of functional kidney Retrograde urography
Prostate Seminal Vesicles Epidydimis and Testis
Clinical Findings 1
Chronic cystitis refuses to respond to therapy.
Pyuria without bacteria. Hematuria A nontender, enlarged epidydimis A chronic draining scrotal sinus Induration or nodulation of prostate and
Nonspecific epididymitis Renal stones Urologic tumor
Complications
Perinephric abscess Renal stones Hydronephrosis Uremia
Treatment 1
Antituberculosis drugs
thickening seminal vesicles
Clinical Findings 2
Symptoms Vesical irritabillity: burning, frequency,
urgency, nocturia, hematuria. Flank pain: dull ache or colic Painless swelling of the epididymis or
Imaging 2
Ultrasonography CT MRI
Instrumental examination
Cystoscopy “golf-hole” Biopsy
Differential diagnosis
Chronic nonspecific cystitis and pyelonephritis
chronic draining sinus. Nonspecific complaints: persistent fever,
night sweats.
Clinical Findings 3
Signs Enlargement or tenderness of kidney. External genitalla Prostate
Pathogenesis & Pathology 2
Bladder The mucosa may be inflamed. Tubercles Ulcerate Fibrosed and Contracted Ureteral refluxor Stenosis
Pathogenesis & Pathology 3
Treatment 2
Chemotherapy 1
Treatment 3
Chemotherapy 2
Treatment 4
Surgical management Nephrectomy Partial nephrectomy Epididymectomy
Reconstructive surgery Ureteral stricture Augmentation cystopla; Pathology 1
Kidney & Ureter
The tubercle bacilli hits the renal cortex. Pathological TB. Clinical TB.
TB granulomatous Casceation (cheesy Material), Calcification Pelvis, calyces, and ureter--- thickend, ulceration Hydronephrosis Autonephrectomy “golf hole” (gaping)
Tuberculois
of The Genitourinary Tract
Hongshun Ma Department of Urology Tianjin First Central Hospital
Tubercle bacilli may invade one or more of the organs of genitourinary tract and cause a chronic granulomatous infection that shows the same characteristic as TB in other
Prognosis
Laboratory Findings
Persistent pyuria Tubercle bacilli cultures Blood count Erythrocyte sedimentation rate Renal function Tuberculin test
Imaging 1
1) “moth-eaten” 2) obliteration of calyces 3) dilatation of calyces 4) abscess cavities 5) ureteral strictures, shortening and straightening 6) absence of functional kidney Retrograde urography
Prostate Seminal Vesicles Epidydimis and Testis
Clinical Findings 1
Chronic cystitis refuses to respond to therapy.
Pyuria without bacteria. Hematuria A nontender, enlarged epidydimis A chronic draining scrotal sinus Induration or nodulation of prostate and
Nonspecific epididymitis Renal stones Urologic tumor
Complications
Perinephric abscess Renal stones Hydronephrosis Uremia
Treatment 1
Antituberculosis drugs
thickening seminal vesicles
Clinical Findings 2
Symptoms Vesical irritabillity: burning, frequency,
urgency, nocturia, hematuria. Flank pain: dull ache or colic Painless swelling of the epididymis or
Imaging 2
Ultrasonography CT MRI
Instrumental examination
Cystoscopy “golf-hole” Biopsy
Differential diagnosis
Chronic nonspecific cystitis and pyelonephritis
chronic draining sinus. Nonspecific complaints: persistent fever,
night sweats.
Clinical Findings 3
Signs Enlargement or tenderness of kidney. External genitalla Prostate
Pathogenesis & Pathology 2
Bladder The mucosa may be inflamed. Tubercles Ulcerate Fibrosed and Contracted Ureteral refluxor Stenosis
Pathogenesis & Pathology 3
Treatment 2
Chemotherapy 1
Treatment 3
Chemotherapy 2
Treatment 4
Surgical management Nephrectomy Partial nephrectomy Epididymectomy
Reconstructive surgery Ureteral stricture Augmentation cystopla; Pathology 1
Kidney & Ureter
The tubercle bacilli hits the renal cortex. Pathological TB. Clinical TB.
TB granulomatous Casceation (cheesy Material), Calcification Pelvis, calyces, and ureter--- thickend, ulceration Hydronephrosis Autonephrectomy “golf hole” (gaping)
Tuberculois
of The Genitourinary Tract
Hongshun Ma Department of Urology Tianjin First Central Hospital
Tubercle bacilli may invade one or more of the organs of genitourinary tract and cause a chronic granulomatous infection that shows the same characteristic as TB in other
Prognosis
Laboratory Findings
Persistent pyuria Tubercle bacilli cultures Blood count Erythrocyte sedimentation rate Renal function Tuberculin test
Imaging 1