Bilharziasis of the urinary tract in Zambia. (Observation on 100 consecutive cases)

Cystoscopic, urographic and histological observations on 100 consecutive cases of urinary bilharziasis are presented. 35 patients had calcification of the urinary tract whilst I.V.U. of 40 patients were abnormal. Abnormal urograms were more often observed in patients with reduced bladder capacity than with vesical calcification. Surgery to the urinary tract was considered necessary in 19 patients. There were 3 deaths and all were secondary to schistosomiasis. Our observations indicate that urinary bilharziasis in Zambia is associated with a high morbidity and a significant mortality.