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allied
academies
September 20-21, 2017 | Philadelphia, USA
Global summit on
TUBERCULOSIS AND LUNG DISEASE
Int J Respir Med 2017 Volume 2 Issue 2
Introduction:
Urogenital tuberculosis (UGTB) is one of the
most common forms of tuberculosis (TB) after pulmonary
TB.
Material & Methods:
With purpose to estimate clinical
features of UGTB we analyzed history cases of 131 patients
who were under supervision in Novosibirsk anti-TB
dispensary in 2008-2011 years.
Results:
Among 131 pts with UGTB 88 (67.2%) had isolated
kidney TB (KTB): 10 pts (10.2%) – TB of parenchyma, 35
pts (39.8%) – papillitis, 22 pts (22.4%) - cavernous KTB,
21 pts (21.4%) - polycavernous KTB; in 10 pts alongside
with polycavernous KTB male genital TB (MGTB) was
diagnosed. In 33 pts (25.2) MGTB only was revealed: in 14
– orchiepidydidimitis, and in 19 – prostate TB. Main clinical
features were pain (flank or perineal), dysuria, hematuria,
hemospermia, toxicity, but their frequency varied from
0 till 60.0% in different groups. Among all cohort of UGTB
asymptomatic course was in 12.2%, among kidney TB - in
15.9%. Every third patient complained of flank pain and
dysuria (accordingly 35.2% and 39.8%), 17% presented
toxicity symptoms, 9.1% - renal colic, 7.9% - gross-hematuria.
MBT was found in 31.8% in isolated kidney TB as whole.
Sterile pyuria was in 25%. The onset of TB orchiepidydydmitis
was in 35.7%, hemospermia - in 7.1%, dysuria - in 35.7%.
Most common complaints for prostate TB were perineal pain
(31.6%), dysuria (also 31.6%), hemospermia (26.3%). MBT in
prostate secretion / ejaculate was revealed in this group in
10.5%.
Conclusion:
UGTB is multivariant disease, and standard
unified approach is impossible. Join term “UGTB” has
insufficient information in order to estimate therapy, surgery
and prognosis – as well as to evaluate the epidemiology.
Using clinical classification will improve the efficiency of the
therapy of UGTB.
e:
ku_ekaterina@mail.ruClinical features of Urogenital tuberculosis
Ekaterina Kulchavenya
Russia