TRANSURETHRAL SURGERY IN TUBERCULOSIS OF THE PROSTATE
From 2002 till 2014 30 transurethral resections and 12 incisions of the prostate in tuberculosis lesion were performed. Disease was accompanied by tuberculosis of the kidneys in 24 (57,1%) patients, tuberculous epididymitis - in 30 (76,2%), isolated lesion of the prostate registered in 4 (9,5%). The average age was 58,2 ± 4,2 years. Duration of the preoperative chemotherapy ranged from 3 до 12 months. Prostate volume measured by ultrasonography ranged from 30 to 60 (48,6 ± 5,3) cm3. Reoperation rate marked in 2 (4,8%) cases in early postoperative period and in 10 (23,8%) - in late. Early complications were bleedings (2 - 4,8%), the late ones - urethral strictures (4 - 9,5%) and bladder neck sclerosis (6 - 14,3%). All complications were treated by endoscopy manipulations. The advantages of transurethral surgery of tuberculous lesions of the prostate include: low level of complications, high information value, diagnostic capabilities, technical simplicity, low invasiveness and good patients' tolerability.