Abstract:

Urological tuberculosis has an insidious onset and lacks specificity in clinical manifestations, which often leads to delayed diagnosis, resulting in decline in renal function or even end-stage renal failure. Treatment of urological tuberculosis includes systemic anti-tuberculosis drug therapy combined with local therapy, surgical intervention, and integrated traditional Chinese and Western medicine, etc. The selection of appropriate treatment methods is essential to maximize the preservation of renal function and improve the prognosis of the patients. At present, there is a lack of relevant and reasonable guiding documents for the diagnosis and treatment program of urological tuberculosis in China. To standardize the diagnosis and treatment of urological tuberculosis and improve the level of clinicians so that the patients can be cured early and damage to renal function can be reduced, Senior Department of Tuberculosis, the Eighth Medical Center of the Chinese People’s Liberation Army General Hospital, the Editorial Board of Chinese Journal of Antituberculosis, and Basic and Clinical Specialty Committees of Tuberculosis Control Branch of China International Exchange and Promotive Association for Medical and Health Care jointly organized experts to formulate the “Expert consensus on the diagnosis and treatment of urological tuberculosis”, based on the experience and methods of diagnosis and treatment of urological tuberculosis in China, as well as the relevant research achievements in diagnosis and treatment abroad. This consensus integrates China’s diagnostic and therapeutic experience and methods with international research achievements in the diagnosis and treatment of urological tuberculosis. This consensus outlines the epidemiological characteristics, pathophysiological process, main clinical manifestations, and common examination methods of urological tuberculosis, puts forward the diagnostic criteria and differential diagnosis, and gives specific treatment suggestions on the program and indications for systemic anti-tuberculosis drug therapy, local treatment, and surgical intervention of this disease. It aims to provide clinicians with a scientific and practical reference for accurate diagnosis and rational treatment of the patients with urological tuberculosis.

Key words: Tuberculosis, urogenital, Diagnosis, Therapeutics, Consensus development conferences as topic