Urethral and penile tuberculosis

Introduction to urethra and penis tuberculosis The urethra has strong resistance to tuberculosis. The urethra is doublely invaded by germline tuberculosis and urinary tuberculosis. However, urethra tuberculosis is still rare. Urinary tuberculosis mainly occurs in men, and more complicated with severe tuberculosis. In genitourinary tuberculosis, tuberculosis is a very rare disease with an incidence of less than 1%. Can be caused by the spread of bladder tuberculosis, or can be caused by the formation of cavities in the prostate seminal vesicle tuberculosis. Penile tuberculosis is caused by direct contact between the penis and Mycobacterium tuberculosis. Contact between the penis head and the diseased cervix can also cause tuberculosis. basic knowledge The proportion of illness: 0.14% Susceptible people: male Mode of infection: non-infectious Complications: urethra tuberculosis

Urethral and penile tuberculosis

Can be caused by the spread of bladder tuberculosis, or can be caused by the formation of cavities in the prostate seminal vesicle tuberculosis.

Urethral and penile tuberculosis prevention

1. Early diagnosis and treatment: If you have tuberculosis, you should treat it early to avoid the deterioration of the disease and prevent the spread of germs; patients with tuberculosis can go to any chest and lung clinic for treatment.

2. For those who have had close contact with TB patients: this is mainly for the family members of the patients, including tuberculin test needles and/or lungs for young children, and lung examination for older children and adults.

3. Healthy living: Tuberculosis is caused by the invasion of the body's resistance. Therefore, it is necessary to maintain a healthy life to reduce the chance of disease. This includes:

Moderate exercise, adequate sleep, balanced diet, avoid alcohol and tobacco, breathe fresh air, maintain indoor air circulation, personal hygiene (eg avoid coughing or sneezing towards others).

4. BCG vaccination: The Department of Health's chest and lung department provides BCG vaccination services for all newborn babies in Hong Kong; for children under 15 living in Hong Kong, if they have never been injected with BCG, they are also advised to receive this vaccine.

Urethral and penile tuberculosis complications Complications urethra tuberculosis

Can cause inflammation around the urethra, abscess around the urethra or secondary infection, urethral fistula after rupture, urethra tuberculosis, and more secondary to severe genitourinary tuberculosis, treatment is more difficult, such as urogenital tuberculosis early active treatment recovery, The scope of urethral stricture is smaller, the prognosis is better. The only effective treatment for penile tuberculosis in the past is penile resection. Due to the progress of anti-tuberculosis drugs, as long as the doctor's treatment is actively cooperated, the anti-tuberculosis drugs alone may be cured. It can preserve the integrity of the penis.

Symptoms of urethra and penile tuberculosis Common symptoms Male urinary tingling, hematuria, urethra, weakness, abscess, dysuria, urinary frequency, urinary tract bleeding

1. Urinary tract tuberculosis: urinary tract secretions, frequent urination, dysuria, urethral bleeding or hematuria, urinary tract dysfunction, urinary line thinning, urinary range shortened, urinary weakness, perineal sputum thick, hard strips The urethra can cause inflammation around the urethra, abscess around the urethra or secondary infection, and form urethral fistula after ulceration.

2. Penile tuberculosis: the penis head is indurated, painless, and septic ulcer after rupture. There are cheese necrotic tissue and granulation tissue at the bottom, and the ulcer is not cured for a long time.

Examination of urethra and penile tuberculosis

Urethral tuberculosis

(1) urethral secretions, frequent urination, dysuria, urethral bleeding or hematuria.

(2) difficulty in urinating, thinning of the urinary line, shortening of the urinary range, and weakness of urination.

(3) The perineum is thickened, the urethra is hard and the urethra is formed.

(4) urethral angiography showed urethral stricture.

(5) direct smear of urethral secretions to find tuberculosis can help diagnose.

(6) A biopsy of the urethra can confirm the diagnosis.

2. Penile tuberculosis

(1) Induration and chronic ulcer on the head of the penis.

(2) Direct smear or tuberculosis culture to find Mycobacterium tuberculosis can distinguish between soft squat, hard squat, penile amebiasis and penile cancer.

(3) Pathological biopsy can confirm the diagnosis.

Diagnosis of urethra and penile tuberculosis

Need to identify with kidney infection, cystitis, urethritis, male reproductive system infection, sexually transmitted diseases, genitourinary tuberculosis, kidney transplant-related infections.

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