ABSTRACT
The purpose of study was to diagnose and treat genitourinary tuberculosis in the Pakistani population and to save the organs before they were irreversibly damaged. Patient and methods: A total number of 45 cases were included in the two year study. All the cases were treated as out patients unless some surgery was required. Diagnosis was based on positive urine cultures for tuberculosis, typical histological findings or both. In few cases diagnosis was presumptive and subject to response to empirically given anti-tuberculosis therapy, was diagnostic. Chemotherapy was given for 6 months. Of the forty five cases 29 were males and 16 females. The commonest clinical presentation were non-specific bladder symptoms. Low grade pyrexia was not very common. Pyuria was present in 78% of cases, and of these 49% had sterile pyuria. In 47% urine stain for AFB was possible while urine culture for AFB was positive in 38% cases. Genitourinary tuberculosis should be suspected in presence of sterile pyuria, chronic cystitis, epididymitis, haemospermia and chronic discharging scrotal sinuses