Aspects of Evolving Genito Urinary Tuberculosis-A Profile of Genito Urinary Tuberculosis (GUTB) in 110 Patients
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 9
Abstract
Introduction: Genito Urinary Tuberculosis (GUTB) is a widespread disease seen in urology practice. The true incidence and prevalence of GUTB is difficult to estimate because a large number of patients remain asymptomatic. Aim: To recognize typical and atypical clinical and radiological features of tuberculosis and to emphasize the need for diagnosing GUTB early. Materials and Methods: This was a retrospective study conducted in 110 cases of GUTB diagnosed and treated in two teaching institutions over a period of three years, from July 2002 to June 2005. A detailed history, thorough clinical examination, urine examination, culture for tubercle bacillus, imaging studies, cystoscopy and histological and serological examination were done to arrive at a diagnosis. Results: Fifty six patients (51%) were in the age group of 21-40 years. The male: female ratio was 1.4: 1. Loin pain was the most common symptom observed in 27% of the patients. Intravenous Urogram (IVU) revealed non-visulalised kidney in 25 patients (23%), hydronephrosis or hydrouretero nephrosis in 34 patients (31%) and distortion, cavitation or scarring of the calyces in 16 patients (14.5%). Five of them had thimble bladder. In 14 patients, IVU appeared normal. About 28 patients (25%) were treated conservatively with anti tuberculosis therapy. Twenty one of them (19%) underwent Nephrectomy and 10 patients had reconstructive procedures. Conclusion: A peculiarity of most of our patients was a late presentation with advanced disease. Most patients were asymptomatic or ignorant. Slow but continuous infection causes a destruction of renal parenchyma and the healing process leads to renal parenchymal loss. If identified early and treated appropriately, GUTB is a curable condition.
Authors and Affiliations
SRIRAM KRISHNAMOORTHY, VELMURUGAN PALANIYANDI, NATARAJAN KUMARESAN, SIVASANKAR GOVINDARAJU, JAYAGANESH RAJASEKARAN, ILANGOVAN MURUGAPPAN, VENKAT RAMANAN, MUTHULATHA NAVANEETHA KRISHNAN
Keywords
Related Articles
- EP ID EP363040
- DOI 10.7860/JCDR/2017/25882.10557
- Views 57
- Downloads 0
Anti Bacterial Efficacy of Terminalia Chebula, Terminalia Bellirica, Embilica Officinalis and Triphala on Salivary Streptococcus Mutans Count – A Linear Randomized Cross Over Trial
Introduction: From the oral health perspective, it is well established that microorganisms have an important role in caries aetiology. From the dawn of civilization, herbal plants have served an array of roles. Triphala...
Clinicopathological correlation in Chronic Suppurative Otitis Media
Introduction: Chronic Suppurative Otitis Media (CSOM) is one of the main causes for preventable hearing loss and is characterised by permanent perforation of tympanic membrane and ear discharge. Observing histopathologic...
Effectiveness of Cervical Stabilisation Exercises on Respiratory Strength in Chronic Neck Pain Patients with Forward Head Posture- A Pilot Study
ABSTRACT Introduction: Forward Head Posture (FHP) is one of the most common abnormalities associated with chronic neck pain. In FHP the altered rib cage mechanics leads to decrease in thoraco-abdominal mobility, impaired...
Factors Affecting Learning Among Undergraduate Nursing Students: Cross-Sectional Survey
Introduction: Nursing education expects the students to be competent enough to render quality care for their patients in hospital as well as community setting. To reach the level of expected competency, the students must...
Comparison of Neurological Soft Signs between Psychotic and Non Psychotic Patients
Introduction: Neurological Soft Signs (NSS) are a group of nonspecific signs manifested in some psychiatric patients. Till date, most studies have focused on NSS in schizophrenic patients. Aim: In the current study, the...