Abstract
Extrapulmonary tuberculosis (EPTB) is an important component of tuberculosis (TB) taken as a whole, but it is often underestimated. Before we can make a reliable estimation of the epidemiology of EPTB, and particularly urogenital tuberculosis (UGTB), unification of the terminology is necessary. The term “Urogenital tuberculosis” is obviously preferable to “Genitourinary tuberculosis”. Some authors understand the term “Extrapulmonary tuberculosis” as specific TB lesions of all organs, excluding bronchus, lungs, pleura and intrathoracic broncho-pulmonal lymph nodes. Others consider pleural TB as one form of EPTB – which is a reason why different authors conclude very different proportions in the spectrum of EPTB. Enigmatic tendencies were revealed also in the distribution of patients–in neighbouring regions the incidence rate may differ significantly. Many forms of EPTB are underdiagnosed: in fact, about 25 % of patients with pulmonary (PTB) and 77 % of those who died from all localizations of TB, had prostate TB – mostly having been overlooked for a lifetime. Absence of unique terms and classifications make it difficult to formulate an accurate picture of EPTB.
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