Clinical Study on the Urinary Tract Tuberculosis

Youm, Young Hak; Han, Young Tek

Abstract

A clinical and statistical study was made on 196 cases of urinary tract tuberculosis seen during the period from January 1972 to December 1976. The results are summarized as follows: 1) Of the 196 patients, the most frequent age group was 21-40 years old, giving ratio of 64.8% 2) Sex distribution of male to female was 1.3 : 1. 3) The most frequent finding of urine was pyuria(88. 5%), in order of hematuria(79.6%) and proteinuria(82. 2%). The most common symptom was frequency, in order of dysuria, flank pain and scrotal pain. 4) By acid-fast stain and culture of urine, tubercle bacilli were demonstrated in 52.6% cases. 5) According to the result of urinary finding during chemotherapy, tubercle bacilli were not detected in 64.3% after chemotherapy for 6 months, and in 80 % after chemotherapy over 6 months. 6) The involved genitourinary tuberculosis were kidney(76. 9%). ureter(26.9%) and epididymis (11. 5%). 7) Tuberculosis in other organ combined with G-U tract Tb were 42.3%, such as pulmonary tuberculosis(30. 7%), pleura(6.4%) and lymph-node(2.6%) and pulmonary tuberculosis with urinary tuberculosis patients were 7.2%. 8) The positive roentogenographic finding in positive urine AFB was 75.6% and negative urine AFB was 86.5%.