- Loin dull aching pain
- Renal colic (due to blood clot, caseous material or stone)
- Painless mass (rare).
4- Symptoms related to the urinary bladder - Cystitis (burning micturition, frequency, nocturia)
- Hematuria (gross in 10%- microscopic in 50%)
- Suprapubic pain (due to bladder ulcers)
- Recurrent E. Coli cystitis.
5- Others: - Painless scrotal swelling or sinus
- Haemospermia
- Incidental discovery after TURP
- Swollen painful inguinal lymph node in a tuberculous female may
direct the attention to husband tuberculosis.
Investigations:
Laboratory:
1- Urine: - Persistent pyuria with sterile culture (secondary infection
occurs in 15-20%)- Collection of 3-5 consecutive early morning urine for examination
by ZN staining for detection of the acid fast bacilli (positive in
60% of cases). - Urine culture for tuberculosis
- Animal inoculation.
2- Blood: ESR for assessment of disease activity, serum creatinine and
complete blood picture.
Radiological investigations:
1- Plain X-ray for the abdomen usually shows: