Document Type
Article
Department
Urology; Medicine
Abstract
Objective: To outline the pattern and trends in major cases of genito-urinary tuberculosis (GUTB) which require hospital treatment.
Method: We retrospectively reviewed 55 patients with proven GUTB who were treated as in-patients in a major referral hospital in Pakistan.
Results: The male/female ratio was 3:1. Prevailing symptoms were lower urinary tract symptoms, flank pain, gross hematuria and fever. A urine culture was positive for tuberculosis (TB) in 57%, bladder biopsies in 54%. For renal TB, intravenous urogram (IVU) and ultrasound were suggestive in about 50% of cases. Ultrasound was very helpful in the diagnosis of testicular TB. Patients underwent surgery in 36% of cases. In contrast to the general trend reported worldwide, surgery was mainly ablative rather than re-constructive. Patient compliance in clinical follow-up and drug therapy was poor.
Conclusion: Surgery for GUTB in Pakistan is still mainly ablative, probably due to a high number of complicated and progressed cases. To date, therapy of GUTB is mainly based on anti-tuberculosis chemotherapy (ATT). However, huge efforts will be required to improve patient compliance without which every therapeutic approach will remain futile.
Publication ( Name of Journal)
Journal of the Pakistan Medical Association
Recommended Citation
Buchholz, N. P.,
Salahuddin, S.,
Haque, R.
(2000). Genitourinary tuberculosis: A profile of 55 in-patients. Journal of the Pakistan Medical Association, 50(8), 265-269.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_surg_urol/113