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. 2017 Sep;11(9):PC01-PC05.
doi: 10.7860/JCDR/2017/25882.10557. Epub 2017 Sep 1.

Aspects of Evolving Genito Urinary Tuberculosis-A Profile of Genito Urinary Tuberculosis (GUTB) in 110 Patients

Sriram Krishnamoorthy  1 , Velmurugan Palaniyandi  2 , Natarajan Kumaresan  1 , Sivasankar Govindaraju  3 , Jayaganesh Rajasekaran  4 , Ilangovan Murugappan  3 , Venkat Ramanan  1 , Muthulatha Navaneetha Krishnan  5
Affiliations

Aspects of Evolving Genito Urinary Tuberculosis-A Profile of Genito Urinary Tuberculosis (GUTB) in 110 Patients

Sriram Krishnamoorthy et al. J Clin Diagn Res. 2017 Sep.

Abstract

Introduction: Genito Urinary Tuberculosis (GUTB) is a widespread disease seen in urology practice. The true incidence and prevalence of GUTB is difficult to estimate because a large number of patients remain asymptomatic.

Aim: To recognize typical and atypical clinical and radiological features of tuberculosis and to emphasize the need for diagnosing GUTB early.

Materials and methods: This was a retrospective study conducted in 110 cases of GUTB diagnosed and treated in two teaching institutions over a period of three years, from July 2002 to June 2005. A detailed history, thorough clinical examination, urine examination, culture for tubercle bacillus, imaging studies, cystoscopy and histological and serological examination were done to arrive at a diagnosis.

Results: Fifty six patients (51%) were in the age group of 21-40 years. The male: female ratio was 1.4: 1. Loin pain was the most common symptom observed in 27% of the patients. Intravenous Urogram (IVU) revealed non-visulalised kidney in 25 patients (23%), hydronephrosis or hydrouretero nephrosis in 34 patients (31%) and distortion, cavitation or scarring of the calyces in 16 patients (14.5%). Five of them had thimble bladder. In 14 patients, IVU appeared normal. About 28 patients (25%) were treated conservatively with anti tuberculosis therapy. Twenty one of them (19%) underwent Nephrectomy and 10 patients had reconstructive procedures.

Conclusion: A peculiarity of most of our patients was a late presentation with advanced disease. Most patients were asymptomatic or ignorant. Slow but continuous infection causes a destruction of renal parenchyma and the healing process leads to renal parenchymal loss. If identified early and treated appropriately, GUTB is a curable condition.

Keywords: Acid fast bacilli; Hydronephrosis; Nephrectomy; Tubercle bacillus; Tuberculoma.

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Figures

[Table/Fig-5]:
[Table/Fig-5]:
Radiological findings of a poorly functioning right kidney.
[Table/Fig-6]:
[Table/Fig-6]:
Classical Boari flap reconstruction in progress.
[Table/Fig-7]:
[Table/Fig-7]:
Augmentation cystoplasty in progress.
[Table/Fig-8]:
[Table/Fig-8]:
Pre and post treatment images of TB penis.
See this image and copyright information in PMC

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