Evaluation of 31 Cases with Urogenital Tuberculosis

Abstract

Introduction: The present study evaluated the cases followed up and treated for urogenital tuberculosis in our hospital.

Materials and Methods: Demographic and clinical characteristics, as well as laboratory data and treatment outcomes of 31 cases diagnosed as urogenital tuberculosis between January 2005 and January 2014 were retrospectively evaluated.

Results: Of the 31 cases diagnosed with urogenital tuberculosis, nine (29%) had kidney, seven (22.5%) had bladder, nine (29%) had prostate, four (13%) had epididymis, and two (6.5%) had testicular involvement. History of contact with tuberculosis bacillus was present in five (16%) cases. Diabetes mellitus accompanied five (16%) and malignancy accompanied three (10%) cases. The most common complaints were dysuria (68%) and high fever (55%). Histopathological examination demonstrated tuberculosis bacillus in twenty cases (64.5%); whereas, Mycobacterium tuberculosis was isolated in the urine cultures of fifteen cases (48.4%) and acid-fast bacilli were detected in the urine samples of ten cases (32.3). It was determined that all cases had received quadruple anti-tuberculosis therapy for the first two months followed by dualanti-tuberculosis therapy for 4 to 10 months based on the site of involvement. One of the cases had undergone prostatectomy, one had undergone nephrectomy, one had undergone nephrectomy with ileocystoplasty in the same session, and one had undergone orchiectomy over the course of treatment with anti-tuberculosis drugs. It was determined that eight of the cases were lost on follow upafter anti-tuberculosis therapy was started and remaining cases recovered without complication.

Conclusion: Tuberculosis is a chronic infectious disease that is difficult to diagnose and able to involve all systems and organs, and it remains important in developing countries like Turkey. We conclude that urogenital tuberculosis should be considered in patients with urogenital complaints that continuing for a long time period and do not respond to classical medical therapy.