T10-O-14 Male genital tuberculosis in Siberians

Abstract

Objectives To study the epidemiology and the clinical picture of male genital tuberculosis in Siberia, Russia. Material 514 patients with genitourinary tuberculosis were enrolled in the study: 414 had kidney tuberculosis only, 100 had genital involvement. The clinical picture and structure of genital tuberculosis were investigated: 42 had tuberculosis of scrotal organs and 58 had tuberculosis of the prostate. Methods Urinary cultures, urinalysis, 3-glass test, and investigation of the prostate secretion, Mycobacteria culture and susceptibility testing were performed in all 514 patients. Results 33.6% of all patients earlier suffered from pulmonary or extrapulmonary tuberculosis and were successfully cured. In 61.9% nephrotuberculosis was diagnosed alongside with an orchiepididymitis. In 30.9% of patients bilateral epididymorchitis was diagnosed. Mycobacteriuria was present in 16 (38.1%) in pts with orchiepididymitis, all strains drug-sensitive; and in 21 (36,2%) pts with TB of the prostate, 2 strains drug-resistance. Scrotal fistula were found in 11.9%. In 66.7% the symptoms appeared acutely. Half of the patients with prostate tuberculosis complained of dysuria; 23 (39.6%) had perineal pain; 34 (58.6%) had flank pain. Leucocytes in urine were present in 49 (84.5%) patients, and in prostatic secretion in 45 (77.6%) patients. Erythrocytes in urine were present in 31 (53,4%) patients, and in prostatic secretions in 17 (29.3%) patients. Conclusions Male genital tuberculosis has no specific pathognomonic signs. Using a special algorithm for the management of patients with prostatitis or epididymitis is recommended.