Abstract
Specific urinary tract infections are defined by the presence of granulomatous inflammation. They are rare.
The causative agent of urogenital tuberculosis is Mycobacterium tuberculosis. The course is asymptomatic or imitates symptoms of nonspecific inflammation.
Typical are weight loss, night sweats, leucocyturia, acidic pH of urine, sometimes hematuria and negative culture tests. TB causes ureteral stricture and reduces bladder capacity with subsequent obstruction and renal failure.
In men it can cause painless orchiepididymitis and prostatitis. The development of infection occurs 10 or more years after primary infection.
Diagnosis is difficult, therapy is conservative and surgical, but always with the long-term application of therapeutic regimens. TB infections subject to mandatory reporting.
Genitourinary actinomycosis is caused by actinomycetes. The course can be asymptomatic or it creates renointestinal or vesicouterine fistula, retroperitoneal and intratesticular abscess, pelvic infections and infection of bladder, prostate and urethra.
Yellow pigmentation of micro colonies and hematogenous spread is typical. Always we combine long-term antibiotic therapy and surgical treatment.
Healing has a progressive nature in the form of scars and adhesions.