A clinical study was made on 74 cases of genitourinary tuberculosis who had 1
been admitted to the Department of Urology, College of Medicine, Ewha Womans University during the period from April 1976 to August 1983, and following resu-Its were obtained.
1) There were 74 cases of genitourinary tuberculosis, 4.3% of total 1709 patients who were hospitalized during the period, and there was a tendency of decreasing annual incidence of genitourinary tuberculosis.
2) The age distribution showed the peak incidence in the young adult group (56.7%) and the male to female ratio was 1;1.3.
8) Bilateral urinary tracts _were affected in 9 cases(14.8%) among 61 cases, while only right urinary tract was involved in 24 cases(39.3a/c) and left one 28 cases ´ (45.9%)
4) The initial chief complaints were frequency(59.5%), hematuria(32.4%), flank pain(29.7%),painful urination (27.0a/o) and scrotal swelling (17.6 %), in the order of frequency,
5) Twenty´ four cases(32.40/0)´-were consulted 6 months through one year after onset of symptoms.
6). Tuberculous disease other than genitourinary tract was noted in 32 cases (5275%), of which 15 cases(24.6 %) had pulmonary tuberculosis.
1) Urinalysis revealed hematuria in 54.0% of all cases, pyuria in 47.3% and proteinuria in 39.2%, and Acidfast ´ stain was positive in 27.0%.
8) On excretory urogram, nonvisualization of the kidney was found in 33.8% of all cases, delayed visualization in 27.0%, calyectasis in 20.3% and ureteral def-
ormity in 16.20/0.
9) Among 60 operated cases, 39 cases(52.70/0) were managed with nephroureterectoiny, 11 cases(14.9%) with epididymectomy and 6 cases with urinary diversion after contralateral nephroureterectomy.
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