尿路結核のきのう・きょう・あす (シンポジウム: 尿路性器結核の昨日・今日・明日 第22回日本泌尿器科中部連合地方会 )

Abstract

History of genito-urinary tuberculosis and its research in Japan was reviewed. Recent trend of urinary tuberculosis in Japan may be summarized as follows: 1) Marked decrease of urinary tuberculosis both in the urban and non-urban areas. 2) There is no preponderance age group, with the highest incidence in the fifth decade. 3) No sex difference in incidence. 4) Low incidence of positive acid-fast bacilli in urine. 5) Alteration of the clinical features. a) Cases without typical symptoms are increasing. b) Cases with vesical symptoms and findings are decreasing. 6) Cases with non-functioning kidney either due to cavity or to obstruction are still frequent, therefore nephrectomy is often chosen as a treatment. The present state of genito-urinary tuberculosis may prevent us from the early diagnosis which enables the chemotherapeutic cure, and tuberculosis will remain as one of the important urological diseases.