Tuberculosis of the genitourinary system treatment of men and women, symptoms

Inflammation in the pelvic organs can be caused by various reasons. Often, doctors see tuberculosis of the genitourinary system, which for a long time does not manifest particular symptoms. Tuberculous lesions of the genital and urinary system in women and men while injured any internal organ. In rare instances tuberculosis of the genitourinary system occurs in children and guys who are not yet sexually Mature. The disease often is diagnosed at the age from 20 to 50 years.

General information

Tuberculous disease in the urogenital system is different from other infectious diseases. Tuberculosis has an undulating course and often passes into the chronic form. For tuberculosis of the urogenital system are characterized by periods of exacerbation and remission, which often alternate with each other. Pathology can have many different symptoms and occur without much symptoms.


Tuberculosis of the urinary organs requires timely detection and proper treatment. The disease in medicine is called urogenital tuberculosis, and subdivide the pathologic process in several types, depending on which organ is infected and injured. Tuberculosis may occur in such organs:

  • kidneys;
  • the ureter;
  • bladder;
  • urethra;
  • prostate;
  • the testicles and their appendages.


Illness originates from kidney. Tuberculosis initially occurs in the cortical substance, and over time, the pathology spreads to the kidney tissue. As the tide of tuberculosis infection infects the ureter. Is the disruption and increasing the pressure therein, which leads to the destruction of the kidneys. If the TB passed the ureter, the pathology spreads to the bladder that causes ulcerative damage.

In men due to tuberculosis in the bladder occurs pathology of the prostate and the epididymis.

Stage of the process

Physicians distinguish between diseases of the genitourinary system and depending on the degree of activity. The pathological process may be in the active stage, which is characterized by the initial emergence of TB or a relapse. Distinguish between the chronic stage and the period of remission. The last stages of the pathology are posttuberculosis and cured form. Each stage manifests particular symptoms.

Ways of infection

Tuberculosis of the genitourinary system is widespread and dangerous, as is transmitted in various ways, including through airborne droplets. Contracting the disease through food, if not to wash or drink contaminated water. This method of infection called alimentary. When you contact infected infections are transmitted through the skin. Tuberculosis of the urogenital tract can be transmitted from mother to child in utero. In medicine, this method of transfer is called transplacentary or in utero.

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The main reasons

The main cause of illness is penetration of mycobacteria (intracellular parasite) in the body. The propagation of tuberculosis mycobacteria is slow, so the pathology is not revealed for a long time. If a person has a strong immune system, the bacteria will not survive and will die. Causes that lead to TB infection:

  • hypothermia, especially of the pelvic organs;
  • diseases in the chronic form;
  • special anatomical structure of blood vessels and internal organs.

Often tuberculous infection occurs when a person moved just before the acute illness. Most often, tuberculosis occurs in the kidneys. This infection quickly spreads to the urinary tract and genitals. It happens that pathology is formed only in the bladder when bacteria gets into the blood vessels. Infection occurs and lymphogenous way, if the infection gets into other organs through the lymphatic vessels. Genital TB is not sexually transmitted, but people who have many sexual partners and practice unprotected sex are at risk.

Symptoms of tuberculosis of the genitourinary system

Usually, for a long time genitourinary tuberculosis is not shown. The first signs indicate a complicated course of the disease. First and foremost, the patient begins to notice that he was more likely to go to the toilet, with urine may be blood and pus. Experiencing pain in the kidneys. Often the symptoms among the genders differs.

Symptoms in women

In the female body the infection is, in most cases through the bladder. First injured the fallopian tube and endometrium. Observed purulent discharge from the vagina, often noticed blood in urine. A patient plagued by pain in the pubic area. During sexual intercourse there is discomfort. When this fails, and menstrual disorders. The pathological process leads to the fact that the girl is not able to conceive a child or there is a failure of pregnancy.

Symptoms in men

Most often men tuberculosis of the urinary tract leading to infection of the prostate, epididymis or seminal vesicles. In some cases the organisms spread immediately to all the organs of the reproductive system. The patient experience the following symptoms:

  • pain and discomfort in the perineum;
  • lack of sex drive;
  • blood in the semen;
  • pain during ejaculation;
  • seal in the scrotum;

In most cases, there is an increase in testicles and appendages.

The patient complains of frequent urination and pain in the suprapubic area. In some cases there is an abscess or lesions of the skin. The man has a disease of the genital organs quickly moves to the bladder, so at the first signs of tuberculosis to seek medical advice.

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To identify the disease using laboratory and instrumental methods of research. When you first access the physician performed a detailed survey of the patient, it turns out, if he had a tubercular disease in the lungs or no contact with tuberculosis patients. For the full picture prescribe such procedures:

  • magnetic resonance imaging;
  • ultrasound examination;
  • computed tomography;
  • cystoscopy;
  • biopsy.

The patient should have blood and urine on the General analysis and conduct a bacteriological culture. Assigned to the analysis, which reveal the tubercle Bacillus in urine. The patient takes a swab of secretions from the vagina (penis for men) and urethra. Often assigned a diagnosis of pelvic organs using x-rays.

Treatment for men and women

Treatment of tuberculosis of the genitourinary system are medication and expeditious way. Treatment after diagnosis and depends on the extent and complexity of the lesion. Whatever the chosen therapy, it should be supported by proper diet and lifestyle. It is important to detect tuberculosis, in order to avoid dangerous complications.


Drug therapy of tuberculosis of the urinary tract involves the intake of anti-TB drugs. This therapeutic method is relevant only in the case where the pathology resides in the initial stage. Drug therapy long enough, the patient takes the drugs at least a year. In most cases the patient takes several drugs, including antibacterial effects. During this period, in the organs formed scar tissue so the patient carry out drainage through a catheter. All this time the patient regularly goes for tests and is undergoing tests to monitor the dynamics of the disease.


The method of treatment used in the last stages of tuberculosis of the urinary tract. The operation involves resection of the kidney or dissection of the cavities, which occurred pathology. If tuberculosis originated the displacement of the bladder, the patient is carried plastic, which increase the internal body. Surgical intervention helps to restore normal function of organs of the urogenital system.

Diet and lifestyle

Tuberculous lesions of any organs serious enough, so the person loses a lot of weight with the disease and is much weaker. Such patients need special diet, which is filled with a large amount of calories. The exception is the tuberculosis of the kidneys, which worsens the functionality of the organs. Patients should be eliminate fried, spicy and heavy food. Strictly forbidden to drink alcohol, strong coffee and tea.

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In all other cases, patients are encouraged to eat as much high-calorie meat boiled. Should be included in the diet of white bread, cereal, and sweets. Patient physicians suggest to drink cranberry juice, which improves kidney function and has beneficial effects on overall health. The patient should keep the peace and avoid fatigue.

The rehabilitation period

Tuberculosis in most cases is not treated completely, so the patient should regularly maintain the health. As rehabilitation the patient is recommended from time to time to visit the Spa on the beach, which carry out prevention for TB patients. During the period of rehabilitation, doctors prescribe physiotherapy which consist of thermal radiation to the lumbar area. The procedure is aimed at creating an unfavorable environment for microorganisms. After antibiotic and chemical therapy will carry out the restoration of the intestinal microflora and digestive organs. The doctor prescribes special reducing tools, and we recommend taking fermented milk products containing beneficial bacteria.


To avoid unpleasant and severe disease in the first place, you should avoid contact with the sick person, since tuberculosis is contagious. Should undergo regular inspection will help to detect the pathology at an early stage. Employees and owners of farms should be more carefully monitor the health and every year to undertake routine inspection, as there is a high probability to become infected from the animals. On the occurrence of tuberculosis is influenced by living conditions and nutrition, so you should follow a proper diet. It is crucial to identify the disease, as delaying treatment or self-treatment leads to death.