Genito-urinary tuberculosis revisited - 13 years' experience of a single centre.
Article
in En
| IMSEAR
| ID: sea-159916
ABSTRACT
Background:
Tuberculosis had been declared by the World Health Organization (WHO) as ‘public health emergency’ in 1993. Extra pulmonary tuberculosis (E.P.T.B.) comprises 20-25% total burden of the disease in which genitourinary tuberculosis (G.U.T.B.) is 4%. Timely diagnosis and treatment will prevent the sequelae of this disease.Aims:
To know the varied clinical presentations, diagnostic modalities and management of G.U.T.B.Methods:
During a 13-year-period, 117 retrospective cases of GUTB were admitted in the tertiary care centre. They were analyzed for clinical presentation, diagnostic modalities and management.Results:
Young patients mainly in third decade of life were commonly affected with higher incidence in females. In our study, the most common presentation was irritative voiding symptoms (66.47%) followed by haematuria (47.60%). Although it can affect the entire organ in genito-urinary system but, in the present study, kidney was the most affected organ (64.9%) following ureter (27.35%), urinary bladder (17.09%), prostate (3.4%) and epididymis (5.19%). In this study, we had not encountered any case of testicular and penile tuberculosis. Among the different diagnostic modalities in this study, the diagnostic positivity rate was 41.6% for the urine AFB test, 55.4% for the urine M. tuberculosis culture test and 67.7% for PCR. Chest x-ray was positive in 25.6% (30). ESR was raised in 62.5% and Mantoux test was positive in 61.2% patients.Conclusion:
A high index of suspicion and a wide range of investigations may be required to achieve a complete diagnosis of genitourinary tuberculosis. Though short course chemotherapy with four-drug-regimen for sixmonth- duration is the mainstay of treatment, surgical interventions were required in 60% of cases of this study.Key words
Full text:
1
Index:
IMSEAR
Main subject:
Tuberculosis, Urogenital
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Female
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Humans
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Male
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Tuberculin Test
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Diagnostic Imaging
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Sex Factors
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Incidence
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Survival Rate
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Reproducibility of Results
Type of study:
Diagnostic_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
Country/Region as subject:
Asia
Language:
En
Year:
2013
Type:
Article