A RARE CASE OF BILATERAL URINARY TUBERCULOSIS - A CASE REPORT

Tuberculosis infliction of extrapulmonary sites occurs in 10 percent of all cases diagnosed with tuberculosis. Genitourinary Tuberculosis accounts for 30 to 40 percent of all extrapulmonary tuberculosis, second only to lymphonodal affection. In developed countries, urogenital tuberculosis occurs in 2 to 10 percent of cases of pulmonary tuberculosis, while in developing countries it occurs in as many as 15 to 20 percent of cases. Bilateral urinary tuberculosis is a rare occurrence in less than 5 percent of all cases of urinary tuberculosis. Tuberculous ureteric stricture leading to obstructive nephropathy is a rare event in the present era of anti-tuberculosis multidrug therapy. Ileal ureteric replacement for ureteric stricture described nearly half a century ago seems to be the last resort in cases of multiple long segment tuberculous ureteric strictures. We report a case of 33 year old lady with bilateral urinary tuberculosis with bilateral salvageable kidneys and pipe stem ureters. Ileal replacement of the right ureter and internal stenting of the left ureter was performed with successful outcome. We report this case for the rarity of the procedure of ileal replacement of ureter in the present era of multidrug anti-tuberculosis therapy.