THE SIGNIFICANCE OF PATHOMORPHOLOGICAL INVESTIGATION IN THE DIAGNOSIS OF PROSTATE TUBERCULOSIS

Introduction. Tuberculosis of the prostate is difficult for diagnosis, especially in the early stages.Material and methods. In an open prospective cohort study 84 patients with clinical and laboratory manifestations of chronic prostatitis were included.Purpose of the study. Тo estimate the most sign...

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Main Authors: V. V. Potapov, E. V. Brizhatuk
Format: Article
Language:Russian
Published: Ministry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional Education 2018-07-01
Series:Вестник урологии
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Online Access:https://www.urovest.ru/jour/article/view/202
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author V. V. Potapov
E. V. Brizhatuk
author_facet V. V. Potapov
E. V. Brizhatuk
author_sort V. V. Potapov
collection DOAJ
description Introduction. Tuberculosis of the prostate is difficult for diagnosis, especially in the early stages.Material and methods. In an open prospective cohort study 84 patients with clinical and laboratory manifestations of chronic prostatitis were included.Purpose of the study. Тo estimate the most significant diagnostic criteria for prostate tuberculosis; role of prostate biopsy in differential diagnosis.Results. In 45 patients (53.6%) prostate tuberculosis was diagnosed, and in 39 patients (46.4%) chronic bacterial prostatitis was diagnosed. The diagnosis of prostate tuberculosis was confirmed microbiologically in 33.3% of patients, radiologically - in 24.4% of patients. A prostate biopsy followed by histological, bacteriological and molecular-genetic examination of the biopsy specimen confirmed the diagnosis in 20% of patients.Conclusion. The most informative in the differential diagnosis of tuberculosis and chronic prostatitis is the identification of M. tuberculosis; verification of diagnosis radiographically is possible only with the development of destruction of the parenchyma. The biopsy of the prostate should be examined not only pathologically, but also by molecular genetic methods.Disclosure: The study did not have sponsorship. The authors have declared no conflicts of interest.
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spelling doaj-art-9f9e9e4804e34ebe86c5b42466c4c5d52025-08-20T03:35:52ZrusMinistry of Health of Russian Federation, Rostov State Medical University, State Budget Educational Institute of Higher Professional EducationВестник урологии2308-64242018-07-0162212910.21886/2308-6424-2018-6-2-21-29157THE SIGNIFICANCE OF PATHOMORPHOLOGICAL INVESTIGATION IN THE DIAGNOSIS OF PROSTATE TUBERCULOSISV. V. Potapov0E. V. Brizhatuk1Novosibirsk State Medical UniversityNovosibirsk Research TB InstituteIntroduction. Tuberculosis of the prostate is difficult for diagnosis, especially in the early stages.Material and methods. In an open prospective cohort study 84 patients with clinical and laboratory manifestations of chronic prostatitis were included.Purpose of the study. Тo estimate the most significant diagnostic criteria for prostate tuberculosis; role of prostate biopsy in differential diagnosis.Results. In 45 patients (53.6%) prostate tuberculosis was diagnosed, and in 39 patients (46.4%) chronic bacterial prostatitis was diagnosed. The diagnosis of prostate tuberculosis was confirmed microbiologically in 33.3% of patients, radiologically - in 24.4% of patients. A prostate biopsy followed by histological, bacteriological and molecular-genetic examination of the biopsy specimen confirmed the diagnosis in 20% of patients.Conclusion. The most informative in the differential diagnosis of tuberculosis and chronic prostatitis is the identification of M. tuberculosis; verification of diagnosis radiographically is possible only with the development of destruction of the parenchyma. The biopsy of the prostate should be examined not only pathologically, but also by molecular genetic methods.Disclosure: The study did not have sponsorship. The authors have declared no conflicts of interest.https://www.urovest.ru/jour/article/view/202urogenital tuberculosisprostateprostatic tuberculosischronic prostatitisdiagnosis
spellingShingle V. V. Potapov
E. V. Brizhatuk
THE SIGNIFICANCE OF PATHOMORPHOLOGICAL INVESTIGATION IN THE DIAGNOSIS OF PROSTATE TUBERCULOSIS
Вестник урологии
urogenital tuberculosis
prostate
prostatic tuberculosis
chronic prostatitis
diagnosis
title THE SIGNIFICANCE OF PATHOMORPHOLOGICAL INVESTIGATION IN THE DIAGNOSIS OF PROSTATE TUBERCULOSIS
title_full THE SIGNIFICANCE OF PATHOMORPHOLOGICAL INVESTIGATION IN THE DIAGNOSIS OF PROSTATE TUBERCULOSIS
title_fullStr THE SIGNIFICANCE OF PATHOMORPHOLOGICAL INVESTIGATION IN THE DIAGNOSIS OF PROSTATE TUBERCULOSIS
title_full_unstemmed THE SIGNIFICANCE OF PATHOMORPHOLOGICAL INVESTIGATION IN THE DIAGNOSIS OF PROSTATE TUBERCULOSIS
title_short THE SIGNIFICANCE OF PATHOMORPHOLOGICAL INVESTIGATION IN THE DIAGNOSIS OF PROSTATE TUBERCULOSIS
title_sort significance of pathomorphological investigation in the diagnosis of prostate tuberculosis
topic urogenital tuberculosis
prostate
prostatic tuberculosis
chronic prostatitis
diagnosis
url https://www.urovest.ru/jour/article/view/202
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