Effects of TB on Different Organs of Genito-Urinary Tract
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KIDNEY AND URETER
- Can be long-standing nature with minimal symptoms.
- The patient could be asymptomatic or have sterile pyuria
- Actual haematuria in only 10% but microscopic presence in 50% cases
- Rare to see acute renal pain
- Chronic dull ache may be present
- Intravenous urography shows stricture in lower ureteric area
- Cystogram shows thimble bladder with vesicoureric reflux
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URINARY BLADDER
- Bladder involvement secondary to renal infection-seen in one-third patients
- In acute phase there are Irritative voiding symptoms
- Increased frequency of micturition
- Urinary incontinence
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PROSTATE, PENIS & URETHRA
- Uncommonly involved.
- Causes “beefy redness”, external ulcerations, dilatation of prostatic urethra
- Prostate shows nodularity on rectal examination like a malignancy
- Penis may manifest as ulcer as in sexually transmitted diseases or tumor.
- Penis can show with cold abscess, impotence or penile deformity
- Urethral involvement leading to stricture formation
- Hematospermia seen in upto 11% cases
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EPIDIDYMIS & TESTES
- Infection starting from Globus minor
- Presenting as painful swelling of scrotal mass
- Difficult to distinguish clinically from epididymo-orchitis
- Leads to vassal obstruction and infertility
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PELVIC DISEASE IN FEMALES
- Presents as infertility
- Chronic pelvic pain
- Changes in menstrual pattern
- Amenorrhea
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ADRENAL GLANDS
- Adrenocortical insufficiency seen in involvement of adrenal glands
- Bilateral involvement causes complete necrosis
- TB is inactive in classic Addison’s disease, results in partially calcified granulomas
- When TB reactivated, results in symptoms of TB, causing adrenal insufficiency