Genito-urinary tuberculosis : experience with 52 urology inpatients
| dc.contributor.author | Allen, F. J. | en_ZA |
| dc.contributor.author | De Kock, M. L. S. | en_ZA |
| dc.date.accessioned | 2011-03-18T14:59:32Z | |
| dc.date.accessioned | 2011-03-18T14:59:32Z | |
| dc.date.available | 2011-03-18T14:59:32Z | |
| dc.date.available | 2011-03-18T14:59:32Z | |
| dc.date.issued | 1993 | |
| dc.description | CITATION: Allen, F. J. & De Kock, M. L. S. 1993. Genito-urinary tuberculosis : experience with 52 urology inpatients. South African Medical Journal, 83:903-907. | |
| dc.description | The original publication is available at http://www.samj.org.za | |
| dc.description.abstract | The current trend in South African health services is toward primary care. Pulmonary tuberculosis is well understood by the majority of primary care doctors and nurses, whereas genito-urinary tuberculosis may not be as easy to diagnose and treat. We reviewed our experience with this condition in 52 patients, who represented 0,74% of urology admissions between 1986 and 1991. There was a 3:2 male/female ratio, the age range was 7-76 years (mean 43 years), and the disease was more common among blacks and coloureds than among whites. Multiple sites of involvement were fairly common. Seventy-five per cent of patients had renal involvement and 17% epididymal involvement. The commonest presenting complaints were urinary frequency and haematuria, although flank and scrotal pain were also reported by a number of patients. Physical examination seldom helped to suggest the diagnosis. On microscopic examination and culture of the urine, sterile pyuria was present in only 50% of our patients and 29% had positive cultures for a 'normal' coliform organism. Fifty patients underwent excretory urography and the findings were very varied. Patients were treated primarily with antituberculosis drugs, but 58% also required some form of surgery; nephrectomy was the commonest operation. Ureteral strictures developed in over 50% of cases with renal involvement. We conclude that the diagnosis of genito-urinary tuberculosis is not simple, and that treatment must include regular follow-up at a specialist institution. | |
| dc.description.version | Publisher’s version | |
| dc.format.extent | 5 pages | |
| dc.identifier.issn | 2078-5135 (online) | |
| dc.identifier.issn | 0256-9574 (print) | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/7893 | |
| dc.language.iso | en | |
| dc.publisher | Health & Medical Publishing Group | |
| dc.rights.holder | South African Medical Journal | |
| dc.subject | Tuberculosis | en_ZA |
| dc.title | Genito-urinary tuberculosis : experience with 52 urology inpatients | en_ZA |
| dc.type | Article |
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