• Roman Zachoval, Petr Nencka, Martina Vasakova, Emilie Kopecka, Vladimir Borovička, Jiri Wallenfels, and Pavel Cermak.
• Department of Urology, Thomayer Hospital, Videnska 800, 140 59 Prague 4, Czech Republic; Department of Urology, 1st Faculty of Medicine, Charles University, Prague, Czech Republic; Department of Urology, 3rd Faculty of Medicine of Charles University and University Hospital, Kralovske Vinohrady, Srobarova 1150/50, 100 34 Prague 10, Czech Republic. Electronic address: roman.zachoval@ftn.cz.
• J Infect Public Health. 2018 Mar 1; 11 (2): 243-245.

AbstractThe aim of our study was to determine whether patients with pulmonary tuberculosis may have subclinical forms of urogenital tuberculosis. Between 2011 and 2012, a prospective study was conducted. Basic demographic parameters were recorded and the following investigations were performed: direct bacilloscopy of sputum, evaluation of affected lung fields and presence of cavities on chest X-ray, Mantoux tuberculin skin test II, and interferon gamma release assay. Culture and molecular methods for Mycobacterium tuberculosis in urine were performed. In cases with a positive urine test, an ultrasound examination, computed tomography scan of the abdomen, and endoscopy of the urinary tract were performed. A total of 102 patients (75 men and 27 women) were included in the study, with a median age of 46.8 years. Subclinical forms of urogenital TB were detected in 7 patients; 5 by molecular methods, 1 by urine culture, and 1 with both methods The presence of subclinical forms of genitourinary TB was found in 4 patients without and 3 patients with findings on imaging methods corresponding to TB. A significant number of patients with pulmonary tuberculosis may simultaneously have subclinical forms of urogenital TB.Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

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