Erschienen in:
01.09.2013 | Case Report
A case of extensive genitourinary tuberculosis: combined augmentation ileo-cystoplasty, ureteric ileal replacement and buccal mucosal graft urethroplasty
verfasst von:
Onkar Singh, Shilpi Singh Gupta, Nand Kishore Arvind
Erschienen in:
Updates in Surgery
|
Ausgabe 3/2013
Einloggen, um Zugang zu erhalten
Abstract
Genitourinary tuberculosis (GUTB) is the second most common form of extrapulmonary TB after lymph nodes. Advanced GUTB leading to strictures of ureters and urethra, and bladder contracture frequently need surgical management. These are usually treated by ileal replacement of ureter, substitution urethroplasty using buccal mucosal graft (BMG) and augmentation ileo-cystoplasty, respectively. These procedures have been well demonstrated individually but all these three procedures have never been combined as single procedure in the same patient. We report a case of advanced GUTB with ureteric and urethral strictures, and bladder contracture which was treated by the ileal replacement of ureter, aug¬mentation ileo-cystoplasty combined with BMG substitution urethroplasty in a single sitting.