RECENT TREND OF URINARY TUBERCULOSIS IN THE HOKURIKU AREA
1977 Volume 68 Issue 10 Pages 972-982
Details
1977 Volume 68 Issue 10 Pages 972-982
This report is compiled from a study of 226 patients with urinary tuberculosis treated at the 18 urological clinics in the Hokuriku Area during the 6-year-period from 1970 to 1975.
The results obtained were as follows:
1) The incidence of urinary tuberculosis in urological outpatients has slightly decreased yearly.
2) The incidence as to age has gradually changed and shifted towards the population aged over 41, especially 41-50 years of age.
Sex ratio (male to female) was 1:0.78.
3) The patients with bladder symptom have decreased and asymptomatic cases have increased gradually. However bladder symptom was still the most frequent chief complaint (45.6%).
4) The right kidney was involved in 95 cases, the left in 95 cases and the both in 34 cases.
5) The patients with negative urinalysis have gradually increased.
6) Tuberculous bacilli in urine were detected at rates of 28.8 and 62.0% by microscopic and cultural examinations respectively.
7) Two hundred cases were classified into 5 groups according to the roentgenographic classification by J. K. Lattimer, the decreasing order of frequency being group 4 (55.5%), 1 (15.5%), 2 (13.0%), 3 (10.5%), 0 (5.5%).
8) The typical cystoscopic findings of the patients complicated with tuberculous cystitis were not so frequent.
9) There were only 5 cases with renal failure with BUN over 40mg/dl.
10) There were 53 cases (30.3%) with accelerated ESR over 41mm (1 hour).
11) Tuberculin skin test was positive in 20 of 24 cases tested (83.3%).
12) The majority (66.4%) of chemotherapeutic regimens used were the combination of streptomycin, PAS and isoniazid.
13) Nephrectomy has been done for 131 cases in addition to chemotherapy.
14) Eight cases died for this period because of 2 renal failure, each heart failure, acute pneumonia, cerebral infarct, carcinoma of rectum and 2 unknown causes.
