Urogenital tuberculosis: patient classification in seven different groups according to clinical and radiological presentation

Abstract

Purpose: To describe and classify 80 cases of urogenital tuberculosis in seven groups of similar clinical and radiological presentation. Materials and Methods: 80 patients (56 males, 70%; median age 34 years; age range 12 to 75) with urogenital tuberculosis were retrospectively reviewed. The patients were divided in seven groups: 1) Bilateral parenchymatous renal lesions; 2) No or minimal changes on radiographic examination; 3) Unilateral renal tuberculosis; 4) Contracted bladder; 5) Contracted bladder with renal failure; 6) Tuberculosis on a transplanted kidney; 7) Isolated genital tuberculosis. Results: 1) Seven (8.8%) patients had multiple bilateral parenchymatous renal lesions with fever and malaise, characteristic of miliary tuberculosis. Three of these patients had AIDS. 2) Six (7.5%) cases had an early diagnosis, with minimal or no radiographic lesions. Two did not have any urologic symptoms. 3) Twelve (15%) patients had unilateral renal tuberculosis with partial (1 case) or total non-function kidney. 4) Thirty-seven (46.3%) patients had contracted bladder associated with unilateral partial (1 case) or total non-function kidney. 5) Ten (12.5%) patients had end stage renal disease due to tuberculosis with contracted bladder. 6) Four (5.0%) patients had tuberculosis on a transplanted kidney, with graft loss in half the cases. 7) Four (5.0%) patients had prostate or epididymis tuberculosis without associated renal lesion. Conclusions: Urogenital tuberculosis is a destructive disease of the urogenital tract with variable clinical and radiographic is the only prevention of the most severe forms.

Isolated tuberculous epididymo-orchitis: an unusual presentation of tuberculosis

“…Bilateral epididymal involvement and concomitant testicular lesion strongly suggest tubercular etiology, especially in patients with tubercular foci elsewhere in the body and failure to respond to conventional antibiotic therapy [4]. Male genital tuberculosis usually is associated with renal tuberculosis in 60% to 65% of cases or with pulmonary tuberculosis in approximately 34% of cases [5]. No renal or pulmonary involvement was seen in our patient considering the lack of symptoms and negative findings on the chest radiograph and ultrasonography of the abdomen.…”

“…In India, the incidence of genital TB is nearly about 18% [4]. Urogenital tuberculosis affects all age ranges, with predominance of males between the ages of 30 and 50 years [5]. Our patient was a 38-year-old male.…”

Association of GUTB and Tubercular inguinal lymphadenopathy - A rare co-occurrence.

“…Urogenital tuberculosis affects all age ranges, with predominance of males between the ages of 30 and 50 years [4]. Our patient was a 55y old male.…”

Isolated tuberculosis of tunica albuginea and tunica vaginalis presenting as acute hydrocoele: a diagnostic dilemma

“…TB remains a great health concern all over the world, and especially so in developing countries 8 9. Worldwide it is among top 10 causes of death, killing approximately 2 million people annually 2.…”