Urogenital tuberculosis
Encyclopedia
Urogenital tuberculosis is a form of tuberculosis
Tuberculosis
Tuberculosis, MTB, or TB is a common, and in many cases lethal, infectious disease caused by various strains of mycobacteria, usually Mycobacterium tuberculosis. Tuberculosis usually attacks the lungs but can also affect other parts of the body...

 that affects the urogenital system.

Epidemiology

It usually strikes young adults with tuberculosis in other places of the body as well. It is common in Asia, but less common in sub-Saharan Africa.

Symptoms

  • Persistent cystitis
    Cystitis
    Cystitis is a term that refers to urinary bladder inflammation that results from any one of a number of distinct syndromes. It is most commonly caused by a bacterial infection in which case it is referred to as a urinary tract infection.-Signs and symptoms:...

    , unresponsive to antibiotics.
  • Urinary frequency
  • Dysuria
    Dysuria
    In medicine, specifically urology, dysuria refers to painful urination.Difficult urination is also sometimes described as dysuria.It is one of a constellation of irritative bladder symptoms, which includes urinary frequency and haematuria....

  • Loin discomfort
  • Malaise and general symptoms of tuberculosis
    Tuberculosis
    Tuberculosis, MTB, or TB is a common, and in many cases lethal, infectious disease caused by various strains of mycobacteria, usually Mycobacterium tuberculosis. Tuberculosis usually attacks the lungs but can also affect other parts of the body...



However, the infection arises insidiously, going long time without symptoms.

Other signs

  • Pus cells and red cells in the urine, but no bacterial growth on routine bacterial culture
  • Painless intermittent microscopic haematuria
  • A painless, non-tender, irregular, and sometimes fluctuating mass on one side of the scrotum
    Scrotum
    In some male mammals the scrotum is a dual-chambered protuberance of skin and muscle containing the testicles and divided by a septum. It is an extension of the perineum, and is located between the penis and anus. In humans and some other mammals, the base of the scrotum becomes covered with curly...

    .

Pathogenesis

The infection may affect the kidneys, ureter and bladder and may cause significant damage to each.

Complications

Urogenital tuberculosis may cause strictures of the ureter, which, however, may heal when infection is treated.
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