Tuberculosis of urinary system

Cystoscopy. In most cases, spreading the ureter into the bladder disease process causing his wall changes, most pronounced in the area of the mouth of the ureter of the affected kidney or appropriate half of the bubble. Absolutely specific for TB is TB tubercles. They have the form of yellowish-grey Providna formations with red rim around the periphery and are often located at the site of bifurcation of small vessels (Fig. 80). Usually tubercles are located on the mucous membrane in separate groups. For TB bumps can be mistaken elements granular (follicular) cystitis (see, RIS). Last, but larger, color them more gray with matte finish, wall rougher around them no inflammatory red rim.
With the collapse of the bumps on the mucous membrane formed ulceration (Fig. 81). Sometimes in the area of the mouth of the ureter meets bullous edema or granulation expansion of pretending to papilloma. In such cases, the issue is solved by indonesiennes biopsy. With advanced tuberculosis ureter his mouth drawn back, createrootpane gaping or scar narrowed (Fig. 82), or even obliterirutego, so to see him fail.
Tuberculosis of the kidneys perform urethral catheterization, which gives the opportunity to explore urine from each kidney separately, and also to make the retrograde pyelography. Urine from the kidneys to explore the content of protein cells and the presence of Mycobacterium tuberculosis to determine whether one or bilateral renal injury.
Cystoscopy should be combined with the definition of renal function using indigocarmina samples. In the presence of TB disease in kidney allocation of Indigo Carmine is delayed or paint not outstanding.


Fig. 80. TB bumps on the mucosa of the bladder. Cystoscopy.

Fig. 81. TB sores on the mucosa of the bladder.
tuberculosis left kidney and ureter
Fig. 82. Tuberculosis left kidney and ureter. The mouth of the ureter crater forms, yawning, his wounded. Around the mouth bullous edema, places TB tubercles.