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[Aspects of evolving urogenital tuberculosis. 60 cases]
A Mnif1, H Loussaief, L Ben Hassine
1Service d'Urologie, Hôpital Charles Nicolle, Tunis.
Annales D'Urologie
|November 25, 1998
Summary
Urogenital tuberculosis is a serious condition, predominantly affecting males, often presenting with cystitis and back pain. Delayed diagnosis significantly impacts patient outcomes, highlighting the need for earlier detection and treatment.
Area of Science:
- Urology
- Infectious Diseases
- Public Health
Background:
- Urogenital tuberculosis (UTB) remains a significant health concern despite global control efforts.
- Delayed diagnosis is a primary driver of severe disease and poor outcomes in UTB.
Purpose of the Study:
- To review the clinical features, diagnostic findings, and treatment outcomes of urogenital tuberculosis.
- To emphasize the impact of delayed diagnosis on the severity and management of UTB.
Main Methods:
- Retrospective study of 60 patients treated between 1984 and 1994.
- Analysis of clinical presentation, diagnostic imaging (Intravenous Urography - IVU), urine cultures, treatment regimens, and surgical interventions.
Main Results:
- Male predominance (65%) with a mean age of 48 years.
- Common symptoms include cystitis and low back pain; IVU revealed pathology in 98.3% of cases.
- High rates of serious disease, including renal destruction (43 cases) and renal failure (4 cases); 91% clinical improvement post-surgery.
Conclusions:
- Urogenital tuberculosis presents with distinct clinical features and often severe pathology.
- Effective treatment involves multi-agent tuberculostatic therapy and often surgical intervention.
- Delayed diagnosis remains a critical challenge, underscoring the need for increased awareness and prompt diagnostic measures.