Can TB cause urinary tract infections?

Genitourinary tuberculosis (GUTB) usually involves the urinary tract or genital organs due to the hematogenous spread of chronic latent pulmonary tuberculosis. The diagnosis of GUTB is often delayed due to symptoms and signs often being masked by another disease, usually a urinary tract infection (UTI).

How does TB affect the urinary system?

Lower urinary symptoms occur whenever the disease spreads down to the ureters and bladder. Urinary symptoms suggestive of urinary tract infection, accompanied by pyuria and hematuria with no bacterial growth, suggest UTTB [7, 21, 34]. Pyuria and/or microscopic hematuria are present in more than 90% of cases.

What are the symptoms of urinary TB?

Symptoms of genitourinary TB may include flank pain, dysuria, and frequent urination. In men, genital TB may manifest as a painful scrotal mass, prostatitis, orchitis, or epididymitis. In women, genital TB may mimic pelvic inflammatory disease.

How do you get urinary tract tuberculosis?

Bladder TB can arise from urinary spread of Mtb from the upper urinary tract or from retrograde spread from the prostate or testicles. TB cystitis should be considered in the differential diagnosis when patients are investigated for bladder cancer or granulomatous diseases in the bladder.

Can TB be detected in urine?

Urine-based TB diagnostics have the potential to reduce missed TB diagnoses and reduce mortality in patients with advanced HIV disease. Urine is easily obtainable and can be tested using either a lateral flow assay (LFA) for TB-lipoarabinomannan (TB-LAM) or the Xpert MTB/RIF assay (Xpert; Cepheid, Sunnyvale, CA).

Can TB affect bladder?

Bladder TB (BTB) is one of the most serious complications of renal TB, and it is diagnosed in 45.6% among urogenital tuberculosis (UGTB). Inadequate treatment of BTB resulted in severe complications (shrinkage of the bladder).