Laparoscopic combined nephroureterectomy with transurethral resection of the distal part of the ureter in the treatment of genitourinary tuberculosis

Purpose of the study. To conduct a comparative analysis of the results of laparoscopic and open combined nephroureterectomy with transurethral resection of the orifice (distal part) of the ureter.Materials and methods. The results of surgical treatment of 61 patients for renal tuberculosis were analyzed. 30 patients underwent nephrectomy using laparoscopic access (main group), 31 patients underwent nephrectomy using open access (control group).Results. Removal of a kidney affected by tuberculosis along with the ureter, regardless of the chosen access, leads to a significant leveling of dysuria. The advantages of the laparoscopic method are: reduction in the volume of intraoperative blood loss, a more significant impact on all components of quality of life in comparison with the open technique.