|
KMID : 0374019920150040389
|
|
Ewha Medical Journal
1992 Volume.15 No. 4 p.389 ~ p.396
|
|
|
Genitourinary Tuberculosis : Experiences Over a Period of 16 Years
|
|
|
|
|
Abstract
|
|
|
One hundred sixty four patients with genitourinary tuberculosis who were seen in the department of Urology of Ewha Womans University Hospital over the 16-year period 1976~1991 were studied. The author analyzed the patient's clinical. Radiological
and
laboratory datas.
@ES The following results were obtained:
@EN 1) The number of admissions under the impression of genitoruinary tuberculosis were 203 which was 4.2% of total number of admissions. In 1970th. it took more than 5%, but in late 1980th. it took less than 3%.
2) The age of patients varied from 11 to 67 and the mean age was 38.8. The patients at ages between20 and 40 took 70.8% of total number. The overall sex ratio of male to female was 1.15 : 1. In patients at the age of less than 40. Male was
predominant
by the ratio of 1.41 : 1. But at the age of over 40. Female was predominant by 1 : 1.5.
3) The frequency of involvement of kidney was the highest by 82.3%(135 cases). and then followed by epididymis 14.6%(24 cases), prostate 1.8% (3 cases). Among 135 cases of renal tuberculosis. 15 cases(11.5%0 occured bilaterally. and 53
cases(39.3%) and
67 cases(49.6%) occured at right side. respectively.
4) Patients who had histories of tuberculosis other than genitourinary tract were 42 cases(25.6%) : 39patients had pulmonary tuberculosis or tuberculous pleurisy.
5) Most of patients had more than two symptoms. The urinary frequency was the most frequent symptom. Which occurred in 52 cases(31.7%) ; and hematuria. Flank pain and dysuria were also commonly seen. In four cases. there were symptoms of fever
and
oliguria.
6) In urinalysis. 55 cases(31.7%) showed both pyuria and hematuria. and 25 cases(15.9%) showed only hematuria. Urinary AFB were seen on the microscope in 58 cases.
7) We could find the mixed type of infection in 26 cases(15.9%) on the urine culture. and E. coli was seen most frequently among these(11 cases. 6.7%).
8) On the excretory urography. there were non-visualized kidney in 57 cases(34.8%). hydronephrosis in 59 cases(36.0%). Caliectasis in 47 cases(28.7%). and associated calcification and stones in 13 cases(7.9%). and most of these were combined.
9) In 43 cases. the treatment that has been used on the patients was INH. EMB. And RFP combination therapy only ; and for 121 cases. anti-tuberculous therapy and surgery were delivered. The most commonly used method of the operation was simple
nephrectomy in 71 cases(43.3%). 23 cases of tuberculous epididymitis. all have been treated with surgical method. For the ureteral stricuture caused by tuberculosis. the endourologic methods of treatment were stent indwelling in 9 cases(5.5%) and
balloon dilation in 7 cases(4.3%). Each of the cystoplasty and simple cystectomy with ileal conduit for contracted bladder caused by tuberculosis was performed in each 1 case.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|