Clinical Statistics on Urinary Tuberculosis

Park, Key Ha; Lee, Hak Song

Abstract

Clinical and statistical observation was made on 358 cases of renal tuberculosis seen during the period from 1954 to 1960. There patients stand for 2.72% of all the urological patients and male to female ratio 54.7%, 45.3%. lateralization, right to left 37.4% to 31.3% and bilateral 18.4%. Age distribution showed that 39.1% of the cases were in 21 to 30 years, 29.0% in 31 to 40 years and 1.1% in below 16 years of age, 24.6% of the patients consulted with the institute within six months to one year after the onset of symptoms, and 10.6% after 5 years. Of subjective complaints, hemato-pyuria, dysuria and frequency were listed in 52.2%. dysuria and frequency in 22.9%. frequency in 7.8%, hematuria in 7.5% and lumbago and flank pain in 32.7%. Bladder lesions were classified into 0. I. II. III. IV, V and VI grades after lnoue and Tada. 32.4 % of the patients showed grade III involvement, mild changes were observed in patients receiving anti-tuberculous agents and marked changes in patients receiving no anti-tuberculous agents. Lesions around the ureteral orifices were observed in 74.0% and at the base in 61.5%. In indigocarmin test, 21.6% of the cases showed excretion within 10 minutes from the diseased side and 11.2 within 5 minutes. Tubercle bacilli were smeared positive in 67.6%; 60.2% in the group treated with anti-tuberculous agents and 72.3% without treatment. In the unilateral kidney lesion, 60.8% showed advanced change and 11.1% primary lesion. Most cases of bilateral kidney tuberculosis showed marked changes. In 6.9%, advanced lesions were involved in both kidney and in 12.0% one side involved markedly and another hydronephrotic. In 32.7% of cases, past history of tuberculosis was noted, of which 63.6% had pleurisy and 22.7 % pulmonary tuberculosis. Period from previous tuberculosis to the onset of kidney tuberculosis was listed as over 10 years in 32.4% and in 23.1% between one and three years. Complications were observed in 18.7% of all cases, epididymitis in 71.8% and prostatitis in 84.2%.