A Clinical Study of Genitourinary Tuberculosis

A clinical study was made on 74 cases of genitourinary tuberculosis who had been admitted to the Department of Urology, College of Medicine, Ewha Womans University during the period from April 1976 to August 1983, and following results were obtained.

1) There were 74 cases of genitourinary tuberculosis, 4.3% of total 1709 patients who were hospitalized during the period, and there was a tendency of decreasing annual incidence of genitourinary tuberculosis.

2) The age distribution showed the peak incidence in the young-adult group(56.7%) and the male to female ratio was 1:1.3.

3) Bilateral urinary tracts were affected in 9 cases(14.8%) among 61 cases, while only right urinary tract was involved in 24 cases(39.3%) and left one 28 cases(45.9%).

4) The initial chief complaints were frequency(59.5%), hematuria(32.4%), flank pain(29.7%), painful urination(27.0%) and scrotal swelling(17.6%), in the order of frequency.

5) Twenty four cases(32.4%) were consulted 6 months through one year after onset of symptoms.

6) Tuberculous disease other than genitourinary tract was noted in 32 cases(52.5%), of which 15 cases(24.6%) had pulmonary tuberculosis.

7) Urinalysis revealed hematuria in 54.0% of all cases, pyuria in 47.3% and proteinuria in 39.2%, and Acid-fast stain was positive in 27.0%.

8) On excretory urogram, non-visualization of the kidney was found in 33.8% of all cases, delayed visualization in 27.0%, calyectasis in 20.3% and ureteral deformity in 16.2%.

9) Among 60 operated cases, 39 cases(52.7%) were managed with nephroureterectomy, 11 cases(14.9%) with epididymectomy and 6 cases with urinary diversion after contralateral nephroureterectomy.