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A case of extensive genitourinary tuberculosis: combined augmentation ileo-cystoplasty, ureteric ileal replacement and buccal mucosal graft urethroplasty

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Abstract

Genitourinary tuberculosis (GUTB) is the second most common form of extrapulmonary TB after lymph nodes. Advanced GUTB leading to strictures of ureters and urethra, and bladder contracture frequently need surgical management. These are usually treated by ileal replacement of ureter, substitution urethroplasty using buccal mucosal graft (BMG) and augmentation ileo-cystoplasty, respectively. These procedures have been well demonstrated individually but all these three procedures have never been combined as single procedure in the same patient. We report a case of advanced GUTB with ureteric and urethral strictures, and bladder contracture which was treated by the ileal replacement of ureter, aug¬mentation ileo-cystoplasty combined with BMG substitution urethroplasty in a single sitting.

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  1. Onkar Singh

    Present address: VPO-Sangowal, Tehsil-Nakodar, District-Jalandhar, Punjab, 144041, India

Authors and Affiliations

  1. Department of Urology, Bhopal Memorial Hospital and Research Centre, Bhopal, 462038, India

    Onkar Singh, Shilpi Singh Gupta & Nand Kishore Arvind

Authors
  1. Onkar Singh
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  2. Shilpi Singh Gupta
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  3. Nand Kishore Arvind
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Correspondence to Onkar Singh.

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Singh, O., Gupta, S.S. & Arvind, N.K. A case of extensive genitourinary tuberculosis: combined augmentation ileo-cystoplasty, ureteric ileal replacement and buccal mucosal graft urethroplasty. Updates Surg 65, 245–248 (2013). https://doi.org/10.1007/s13304-012-0141-8

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  • DOI: https://doi.org/10.1007/s13304-012-0141-8

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