The Analysis of Urological Morbidity in HIV-Infected Patients of the Vladivostok City District

HIV infection, the disease that develops as a result of infection with the human immunodeficiencyvirus, has moved from the category of fatal diseases to indolent manageable infections. Urologic diseases are a commoncomplication observed already in the early stages of HIV infection, and the prevalence of kidney disease in HIVpatients ranges from 5% to 30%. Our objective was to analyze urological morbidity in HIV-infected patients hospitalizedfor emergency and planned indications in the Urology Department of Vladivostok Clinical Hospital No. 2 (VCB No. 2)and to identify the main nosological forms of urological pathology in this cohort. Methods: For the analysis of epidemiological,immunological and virological characteristics of 91 HIV-infected patients admitted to the Urology Departmentfrom June 2016 to December 2019 we reviewed inpatient and outpatient medical histories, structured HIV-infectedpatients by urological nosologies, assessed stages of HIV infection and values of viral load and CD4+ T-lymphocytes,and established the presence of coinfections. Results: The analysis revealed the prevalence of acute infectious and inflammatorydiseases of the urinary system (pyelonephritis, prostatitis, orchiepidymitis, kidney abscess) and urolithiasis,which in some cases required the immediate initiation of empirical antibiotic therapy and emergency drainage of therenal cavity system. Our findings are consistent with the results of studies previously conducted on a different populationof HIV-infected patients. Conclusions: Since the Urology Department of Vladivostok Clinical Hospital No. 2 isthe main hospital that provides both emergency and planned urology care, our data fully reflect urological morbidityof HIV-infected patients in the city district and can be used for optimization of medical care for this cohort of patients.