During 5 years from January 1995 to December 1999, in the Department of Urology of B×nh D©n hospital, we have treated 193 cases of urogenital tuberculosis coming from South Vietnam in which there were 86 cases (44.55%) with complication of ureteral stenosis in many different forms and degrees. The most common stenotic lesions were pelvic and juxtavesical stenosis (61.62%), the mid-ureteral stenosis and uretero - pelvic stenosis were rare (8.13% and 1.16%, respectively), or segmental stenosis (20.93%). In 86 cases of ureteral stenosis, there were 13 cases (15.115) with concomitant deterioration of the ipsilateral kidney. Treatment for this specific complication of the disease usually faces many difficulties, because of many internal and external causes.
Urethral Diseases ; Tuberculosis, Urogenital ; therapeutics

Next to lymphatic involvement, genitourinary tuberculosis is considered the second most common manifestation of extrapulmonary tuberculosis worldwide. However, testicular and spermatic cord involvement is uncommon. We report here on a case of testicular and spermatic cord tuberculosis that masqueraded as testicular cancer. A 25-year-old man was admitted to our hospital with painless right scrotal swelling for past 2 months. The abdominal CT scan showed a heterogenous testicular mass that was suspicious for being malignancy. He underwent right radical orchiectomy; testicular and spermatic cord tuberculosis was revealed on histopathological examination. This case highlights the importance of taking a thoughtful diagnostic approach for testicular and spermatic cord tuberculosis, including fine needle aspiration before performing surgical exploration.
Adult ; Biopsy, Fine-Needle ; Humans ; Spermatic Cord ; Testicular Neoplasms ; Tuberculosis ; Tuberculosis, Urogenital ; Urogenital Neoplasms

These days, genitourinary tuberculosis (GUTB) rarely occurs in conjunction with pulmonary tuberculosis. Reconstructive surgery for GUTB has also decreased but may still be done in case of a grossly distorted genitourinary anatomy and dysfunction that are unlikely to regress with chemotherapy alone. Reconstructive bladder surgery for GUTB is a well-established procedure. The various complications associated with the reconstructive surgery have also been well documented. We present a case of an uncommon complication after ileocystoplasty.
Drug Therapy ; Tuberculosis* ; Tuberculosis, Pulmonary ; Tuberculosis, Urogenital ; Urinary Bladder* ; Urinary Diversion

Extrapulmonary tuberculosis usually involves the pleura, central nervous system, lymphatic system, genitourinary system and bone with joint. There are few reports about pulmonary tuberculosis involving the endometrium and muscle. A 32-year-old woman who had intact immunity visited hospital due to menorrhagia, and was diagnosed with endometrial tuberculosis. The patient also had a painless abdominal mass about for 1 year before she came to the hospital. She was diagnosed with rectus abdominis muscle tuberculosis, endometrial tuberculosis, and pulmonary tuberculosis at the same time. We report a case of endometrial tuberculosis accompanied with rectus abdominis muscle and pulmonary tuberculosis in a non-immunosuppressed person.
Adult ; Central Nervous System ; Endometrium* ; Female ; Humans ; Joints ; Lung* ; Lymphatic System ; Menorrhagia ; Pleura ; Rectus Abdominis* ; Tuberculosis* ; Tuberculosis, Pulmonary ; Urogenital System

PURPOSE: This study was conducted to analyze the clinical characteristics and treatments of patients with genitourinary tuberculosis (GUTB) over the past 10 years. MATERIALS AND METHODS: The study population comprised 101 patients who were diagnosed with GUTB and hospitalized from January 2000 to December 2009. Acid-fast bacilli (AFB) smear, urine tuberculosis culture, urine tuberculosis polymerase chain reaction (PCR), intravenous urography, cystoscopy, and histopathologic findings were used for patient selection. Yearly proportion, gender, patient distribution according to age, history of tuberculosis, and presence of other organ tuberculosis were analyzed. RESULTS: The patients hospitalized with GUTB counted for 0.9% of all patients admitted to the department of urology. The sex ratio was 1:1.53 (male:female), and the patients' mean age was 45.57+/-12.55 years (range, 19-81 years). Among the patients, there was one immunocompromised patient. A total of 22 patients (21.8%) had a medical history of tuberculosis, mostly pulmonary tuberculosis (90.9%). The sensitivity of AFB stain, tuberculosis culture, and PCR was 41.6%, 55.4%, 33.7%, respectively. A total of 54 patients required additional surgical treatment: 30 cases of nephrectomy, 8 cases of epididymectomy, 8 cases of ureteral stent, 5 cases of nephrostomy, 1 case of ureterectomy, 1 case of augmentation cystoplasty, and 1 case of transurethral resection of prostate. CONCLUSIONS: The frequency of GUTB tended to decrease progressively. However, GUTB is still a threat to public health. There was no previous history of tuberculosis in two-thirds of the cases of GUTB and more than half of them required further surgical treatment.
Cystoscopy ; Humans ; Immunocompromised Host ; Nephrectomy ; Patient Selection ; Polymerase Chain Reaction ; Prevalence ; Public Health ; Sex Ratio ; Stents ; Tuberculosis ; Tuberculosis, Pulmonary ; Tuberculosis, Urogenital ; Ureter ; Urography ; Urology

Intracranial tuberculoma results from hematogenous spread of pulmonary, intestinal or urogenital tuberculosis. However, it might be caused by pulmonary tuberculosis, mainly. Clinically, symptoms of intracranial tuberculoma are headache and seizure, its symptoms are simillar to intracranial tumor. A 25-year-old-unmarried shopgirl was visited to this hospital because of headache, dizziness and visual disturbance for couple weeks in Sep. 1995. She had been treated with anti-tuberculosis agents of miliary tuberculosis during past nine months period. Brain MRI revealed intracranial tuberculoma and brain edema but not involved optic nerve. Ophthalmic examination revealed severe papilledema and splinter hemorrhage with bitemporal hemianopsis and central scotoma. This finding was strongly suggested of optic disc tuberculoma. Her symptoms became much better following repeated retrobulbar steroid injection with continuous anti-tuberculosis agents. We report a interesting case with intracranial tuberculoma and optic disc tuberculoma associated by miliary tuberculosis during anti-tuberculous treatment.
Brain ; Brain Edema ; Dizziness ; Headache ; Hemorrhage ; Magnetic Resonance Imaging ; Optic Nerve ; Papilledema ; Scotoma ; Seizures ; Tuberculoma* ; Tuberculoma, Intracranial* ; Tuberculosis, Miliary* ; Tuberculosis, Pulmonary ; Tuberculosis, Urogenital

A clinical observation was made on the pediatric patients (under 16 years of age) visited the Department of Urology, Kyungpook National University Hospital during the last l0 years from 1963 to 1972. The results obtained were as follows; 1) of 12,752 total urologic patients, 1,127 were pediatric outpatients (8.8%),and pediatric inpatients were 122 of 1,O54 total urologic inpatients (11.5%) 2) The annual average number of pediatric outpatients was 113, and it revealed the tendency that the pediatric urologic patients had been on the increase yearly since 1967. 3) The proportion of male to female pediatric out-patients was 4.2:1. and that of pediatric inpatients was 6. 6:1. 4) The preschool children (1 to 6 years of age) were most frequently seen, and giving a rate of 37.7% of the pediatric outpatients and 36.9% of the pediatric inpatients. 5) The congenital malformations represented phimosis, cryptorchism and hypospadia were most frequent (26.2%). followed by the non-specific infections of urogenital tract (21.7%), the hydroceles (16.5%). and the diseases of mioturition disturbance (10.5%) in the pediatric outpatients. 6) The congenital malformations were also seen most frequently (29.0%). followed by the injuries to the urogenital tract (21.0%). the hydroceles (15.9%). the urolithiases (10.1%). the urogenital tumors (10.1 %), and the urogenital tuberculoses (8.7%) in the pediatric inpatients. 7) One hundred and five operation were performed in 96 of 122 pediatric inpatients. Orchiopexies were most frequently performed (17.1%). and hydocelectomies (15.2%), nephrectomies (12.4%), urethroplasties (11.4%), chordeectomies (9.5%), and orchitctomies (4.8%) followed in order.
Child, Preschool ; Cryptorchidism ; Female ; Gyeongsangbuk-do ; Humans ; Hypospadias ; Inpatients ; Male ; Nephrectomy ; Orchiopexy ; Outpatients ; Phimosis ; Tuberculosis, Urogenital ; Urology*

A clinical observation was made on the pediatric patients (under 16 years of age) visited the Department of Urology, Kyungpook National University Hospital during the last l0 years from 1963 to 1972. The results obtained were as follows; 1) of 12,752 total urologic patients, 1,127 were pediatric outpatients (8.8%),and pediatric inpatients were 122 of 1,O54 total urologic inpatients (11.5%) 2) The annual average number of pediatric outpatients was 113, and it revealed the tendency that the pediatric urologic patients had been on the increase yearly since 1967. 3) The proportion of male to female pediatric out-patients was 4.2:1. and that of pediatric inpatients was 6. 6:1. 4) The preschool children (1 to 6 years of age) were most frequently seen, and giving a rate of 37.7% of the pediatric outpatients and 36.9% of the pediatric inpatients. 5) The congenital malformations represented phimosis, cryptorchism and hypospadia were most frequent (26.2%). followed by the non-specific infections of urogenital tract (21.7%), the hydroceles (16.5%). and the diseases of mioturition disturbance (10.5%) in the pediatric outpatients. 6) The congenital malformations were also seen most frequently (29.0%). followed by the injuries to the urogenital tract (21.0%). the hydroceles (15.9%). the urolithiases (10.1%). the urogenital tumors (10.1 %), and the urogenital tuberculoses (8.7%) in the pediatric inpatients. 7) One hundred and five operation were performed in 96 of 122 pediatric inpatients. Orchiopexies were most frequently performed (17.1%). and hydocelectomies (15.2%), nephrectomies (12.4%), urethroplasties (11.4%), chordeectomies (9.5%), and orchitctomies (4.8%) followed in order.
Child, Preschool ; Cryptorchidism ; Female ; Gyeongsangbuk-do ; Humans ; Hypospadias ; Inpatients ; Male ; Nephrectomy ; Orchiopexy ; Outpatients ; Phimosis ; Tuberculosis, Urogenital ; Urology*

PURPOSE: To evaluate the feasibility of the interferon-gamma release assay (IGRA) as a supplementary diagnostic tool for the diagnosis of genitourinary tuberculosis (GUTB). MATERIALS AND METHODS: Fifty-seven patients who were tested with the IGRA to diagnose GUTB were included. All patients had clinical or radiologic features suspicious for GUTB. Signs and symptoms included chronic dysuria with long-standing sterile pyuria, renal calcification with distorted renal calyces and contracted renal pelvis, and chronic epididymitis. Patients who had a history of tuberculosis in other organs were excluded. Tests including IGRA, urine acid-fast bacilli (AFB) stain and culture, urine tuberculosis polymerase chain reaction (UT-PCR), and radiological examinations were performed to confirm GUTB. The medical records of the patients were reviewed retrospectively. RESULTS: The IGRA result was positive in 30 patients (52.6%). The results of the urine AFB stain and culture were positive in 5 patients (8.8%) and 7 patients (12.2%), respectively. The results of UT-PCR were positive in 9 patients (15.8%). The 7 patients who showed positive results in the urine AFB stain and culture also had positive results on the IGRA. A UT-PCR-negative patient was diagnosed with GUTB by positive results on both the IGRA and AFB stain and culture. CONCLUSIONS: The IGRA might feasibly be used as a supplementary or screening tool for the diagnosis of GUTB in addition to urine AFB stain and culture. Further studies for statistical evaluation of its sensitivity, specificity, and efficacy are needed.
Contracts ; Dysuria ; Epididymitis ; Humans ; Interferon-gamma ; Interferon-gamma Release Tests ; Kidney Pelvis ; Male ; Mass Screening ; Medical Records ; Polymerase Chain Reaction ; Pyuria ; Sensitivity and Specificity ; Tuberculosis ; Tuberculosis, Urogenital

Tuberculous epididymitis is a rare urological disease difficult to diagnose. The conventional methods for diagnosis are often time-consuming and invasive. The combined use of scrotal magnetic resonance imaging (MRI) and urinary polymerase chain reaction (PCR)-based assay for mycobacterial DNA (the latter because of its high sensitivity and specificity to demonstrate mycobacterial DNA) is a valuable method for rapid diagnosis of tuberculous epididymitis. We report a 79-year-old man who was admitted with the chief complaints of bilateral scrotal swelling and pain. The combined use of scrotal MRI and urinary PCR allowed prompt diagnosis of tuberculous epididymitis and adequate antituberculous therapy.
Aged ; DNA, Bacterial ; genetics ; Epididymitis ; diagnosis ; microbiology ; Humans ; Magnetic Resonance Imaging ; Male ; Mycobacterium tuberculosis ; genetics ; isolation & purification ; Polymerase Chain Reaction ; Sensitivity and Specificity ; Tuberculosis, Urogenital ; diagnosis ; microbiology