<b>背景：</b>泌尿生殖道结核是肺外结核的最常见形式之一。由于大量的临床表现和诊断方式的差异，患者通常出现较晚，这导致大量的他们需要手术干预。本研究旨在回顾性分析手术在泌尿生殖道结核中的作用。<br><b>患者和方法：</b>2017年10月至2019年9月在我们中心诊断为泌尿生殖道结核的所有患者均纳入研究。呈现的模式，症状持续时间，进行的调查，接受治疗,并进行了后续研究。<br><b>结果：</b>在25例诊断为泌尿生殖系统结核（GUTB）的患者中，有15名(60%)男性和10名(40%)女性。呈现的平均年龄为40.84岁。19例（76%）患者接受了手术干预，许多患者需要一个以上的外科手术。对7例患者进行了重建手术。在12个月的中位随访中，所有病人都做得很好，没有复发。<br><b>结论:</b>手术,除了抗结核治疗，是管理存在结构性损坏的GUTB的关键。然而,手术可以是消融或重建，取决于本研究中讨论的各种因素。这保持或恢复了受分枝杆菌影响的泌尿生殖系统的最佳功能。
<b>Background:</b> Genitourinary tuberculosis is one of the most common forms of extra-pulmonary tuberculosis. Owing to a myriad of clinical presentations and discrepancies in the diagnostic modalities, patients usually present late, which results in a high number of them requiring surgical intervention. The present study aims to retrospectively analyze the role of surgery in genitourinary tuberculosis. <br><b>Patients and method:</b> All patients diagnosed with genitourinary tuberculosis at our centre between October 2017 and September 2019 were included in the study. The mode of presentation, duration of symptoms, investigations performed, treatment received, and follow-up were studied. <br><b>Results:</b> Out of 25 patients diagnosed with genitourinary tuberculosis (GUTB), there were 15 (60%) males and 10 (40%) females. The mean age of presentation was 40.84 years. Nineteen (76%) patients underwent surgical intervention, and many patients required more than one surgical procedure. A reconstructive procedure was carried out in seven patients. At a median follow-up of 12 months, all patients did well, showing no relapse. <br><b>Conclusion:</b> Surgery, along with antitubercular treatment, is the key to the management of GUTB presenting with structural damage. However, surgery can be ablative or reconstructive, depending on various factors discussed in the present study. This preserves or restores the optimal function of the genitourinary system affected by the mycobacterium bacilli.
