title: Urogenital tuberculosis: patient classification in seven different groups according to clinical and radiological presentation.
abstract: OBJECTIVE
  To describe and classify 80 cases of urogenital tuberculosis in seven groups of similar clinical and radiological presentation.
  
  
  METHODS
  80 patients (56 males, 70%; median age 34 years; age range 12 to 75) with urogenital tuberculosis were retrospectively reviewed. The patients were divided in seven groups: 1) Bilateral parenchymatous renal lesions; 2) No or minimal changes on radiographic examination; 3) Unilateral renal tuberculosis; 4) Contracted bladder; 5) Contracted bladder with renal failure; 6) Tuberculosis on a transplanted kidney; 7) Isolated genital tuberculosis.
  
  
  RESULTS
  1) Seven (8.8%) patients had multiple bilateral parenchymatous renal lesions with fever and malaise, characteristic of miliary tuberculosis. Three of these patients had AIDS. 2) Six (7.5%) cases had an early diagnosis, with minimal or no radiographic lesions. Two did not have any urologic symptoms. 3) Twelve (15%) patients had unilateral renal tuberculosis with partial (1 case) or total non-function kidney. 4) Thirty-seven (46.3%) patients had contracted bladder associated with unilateral partial (1 case) or total non-function kidney. 5) Ten (12.5%) patients had end stage renal disease due to tuberculosis with contracted bladder. 6) Four (5.0%) patients had tuberculosis on a transplanted kidney, with graft loss in half the cases. 7) Four (5.0%) patients had prostate or epididymis tuberculosis without associated renal lesion.
  
  
  CONCLUSIONS
  Urogenital tuberculosis is a destructive disease of the urogenital tract with variable clinical and radiographic presentation. A classification according to similar patterns correlating with disease stage is feasible although early diagnosis is the only prevention of the most severe forms.
authors.affiliation: Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil. andreavaresef@gmail.com
authors.forename: Andre A
authors.initials: AA
authors.lastname: Figueiredo
authors.forename: Antonio M
authors.initials: AM
authors.lastname: Lucon
authors.forename: Cristiano M
authors.initials: CM
authors.lastname: Gomes
authors.forename: Miguel
authors.initials: M
authors.lastname: Srougi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D003953:Diagnosis-Related Groups; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014401:Tuberculosis, Urogenital / Q000145:classification* / Q000175:diagnosis / Q000000981:diagnostic imaging; D055815:Young Adult