Demographic and clinical peculiarities of urogenital tuberculosis at the present stage

Аннотация

With the purpose of investigation of patients with urogenital tuberculosis we have analyzed medical records of 131 the first time diagnosed patients of Novosibirsk Tuberculosis Dispensary from 2009 till 2011. The leading form in the urotuberculosis structure was nephrotuberculosis, which was diagnosed in 75% patients, and more than a half of these cases distributed destructive forms of the disease. women suffered from isolated tuberculosis more often (56.8%). Asymptomatic nephrotuberculosis course was noticed at 17% patients, every third complained of a lumbar pain and frequent painful urination (35.2 and 39.8% accordingly), intoxication symptoms were registered at 17%, renal colic - at 9.1%, macrohematuria - at 7.9%. Mycobacteriuria by isolated nephrotuberculosis was detected in 31.8% cases. Tuberculous orchiepididymitis developed acute at 35.7% patients. Main complains by prostatic tuberculosis were ache in perineal region (31.6%), frequent painful urination (also 31.6%), hemospermia (26.3%). Mycobacteria were found out in 10.5% cases. We have concluded that urogenital tuberculosis has no pathognomonic symptoms; the most alarming are the long urination disorder, erythrocyturia, hemospermia.