Genitourinary tuberculosis

The genitourinary tract is involved in 3-5% of cases of tuberculosis. 6 The genital and urinary tracts are often involved together as a result of miliary spread.

The commonest presenting complaints are dysuria and frequency, which can be severe. Other symptoms include strangury when the bladder is severely affected, loin pain and haematuria. Routine urine culture shows sterile pyuria.

Diagnosis is made on specific culture for mycobacterium, or biopsy of bladder lesions or the typical X-

ray appearance of distorted calyces and medullary calcification. Treatment is with antituberculosis drugs.

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