Clinical Observation on In-patient of Genitourinary Tract Tuberculosis

Oh, Sung Kwang; Kim, Han Jin

Abstract

A clinical observation was made on 60 cases of genitourinary tract tuberculosis who were admitted to National Medical Center during the period from January 1976 through December 1980. Following results were obtained 1. Incidence of genitourinary tract tuberculosis was 6% of all in patients. 2. Most frequent symptoms was those of vesical symptoms such as frequency (53.3%), hematuria (55%) and dysuria (28.3%). 3. Tuberculosis in other combined with genitourinary tract tuberculosis were such as pulmonary tuberculosis (38.3%), pleurisy (5%), spine tuberculosis (3.3%) and tuberculous intestinal fistula (3.3%). 4. Tuberculous epididymitis without radiographic evidence of tuberculous invasion were 12 cases among the patients. 5. The most frequent finding of urine was pyuria (45%) , hematuria (45%) and proteinuria (33.3%). 6. Tubercle bacilli were demonstrated by staining in 26.6%. 7. Excretory urographic findings in 60 cases of renal tuberculosis were non visualization (50%). calyectasis (26.6%). delayed visualization (21.6%), ureteral abnormality (21%) and contracted bladder (15%). 8. Patients were managed by chemotherapy only in 20%, chemotherapy with nephrectomy in 38.3% and chemotherapy with reconstructive surgery in 20%.