• Lalu Shaktisila Fatrahady RSUD Praya


Tuberculosis (TB) is an infectious disease caused by the bacteria MTB (Mycobacterium Tuberculosis). TB can affect all organs, especially the lungs as primary infection site, and outside the lungs (extra-pulmonary TB) such as the skin, lymph nodes, bones, urinary tract (kidneys, ureters, and bladder), testes, and the membranes of the brain. TB is transmitted through infectious droplets inhaled by healthy people. Renal tuberculosis usually originates from hematogenous spread from the lungs, although sometimes it can originate from the gastrointestinal tract or bone. Tuberculosis of the ureters and bladder occurs secondary to the flow of urine from the kidneys. TB can also occur in the urethra, but it is rare. Clinical manifestations of urinary tract TB can be fever, hematuria, low back pain or pyuria. Complications of urinary tract TB can occur urinary tract obstruction due to strictures, urosepsis, and kidney failure, both acute and chronic. Treatment for urinary tract tuberculosis is same as for pulmonary tuberculosis. Surgery treatment is required if there is obstruction of the urinary tract.


1. Chang, A.H. et.al. Tuberculosis and Parasitic Infections of the Genitourinary Tract in: Campbell-Walsh Urology Vol 1 11th Edition. Philadephia: Elsevier. 2016 Page 421-432
2. Tanagho E, Kane C. Spesific Infections of the Genitourinary Tract. In : Smith General Urology 18th Edition Chapter 14. New York: Mc Graw Hill. 2013 Page : 219-225
3. Purnomo, B.P. Tuberkulosis Genitourinaria dalam Dasar-Dasar Urologi. Jakarta: Sagung Seto. 2011 Page 67-74.
4. Brooks, G.F., Butel, J.S., Morse, S.A. Mikrobiologi Kedokteran Jawetz, Melnick & Adelberg, edisi 27. EGC : Jakarta. 2014.
5. Caesarina, Ika. Resistensi Mycobacterium Tuberculosis Terhadap Obat Anti Tuberkulosis Rifampisin Pada Pasien Gagal dan Putus Berobat di wilayah Mataram.2011.
6. Departemen Farmakologi dan Terapeutik Fakultas Kedokteran Universitas Indonesia. Farmakologi dan Terapi, edisi 5. Balai Penerbit FKUI: Jakarta. 2007.
7. Kemeterian Kesehatan Republik Indonesia. Permenkes RI No 67 Th 2016 Tentang Penanggulangan Tuberkulosis. 2016 Available from : http://hukor.kemkes.go.id/uploads/produk_hukum/PMK_No._67_ttg_Penanggulangan_Tuberkolosis_.pdf
8. Kemeterian Kesehatan Republik Indonesia. Infodatin Pusat Data Dan Informasi Kementrian Kesehatan RI : Tuberkulosis Obati Sampai Sembuh. 2015. Available from : https://www.kemkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin_tb.pdf
9. Sudoyo, A.W., et al. Buku Ajar Ilmu Penyakit Dalam. Edisi VI. Jakarta; Pusat Penerbitan Departeman Ilmu penyakit Dalam Fakultas Kedokteran Indonesia. 2014.
10. WHO. Global Tuberculosis Report. 2020. Available from : https://apps.who.int/iris/rest/bitstreams/1312164/retrieve. Accessed : 15 Desember, 2020)
11. Muttarak, M et al. Tuberculous Epydidimitis and Epididimo-orchitis sonographic appearance. 2001. Available at: https://www.ajronline.org/doi/10.2214/ajr.176.6.1761459 Accessed at 02/12/2020
12. El feky, M. Scrotal Tuberculosis. 2016. Available at: https://radiopaedia.org/articles/scrotal-tuberculosis
13. Jha, SK. et. al. Genitourinary Tuberculosis. 2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557558/