Evidence map›Paper›PMID 42096060›Full record

ReviewInternational urogynecology journal2026

Beyond UTI: Chronic Lower Urinary Tract Symptoms as a Manifestation of Genitourinary Tuberculosis: Case Series with Review of Literature.

Nisha N, J B Sharma, Manasi Deoghare, Ashita Aggarwal, Muntaha Khan, Rajesh Kumari

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In one paragraph

Review in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Nisha NDepartment of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi, India.
J B SharmaDepartment of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Manasi DeoghareDepartment of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Ashita AggarwalDepartment of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Muntaha KhanDepartment of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi, India.
Rajesh KumariDepartment of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi, India. drrajeshkumari@yahoo.com.ORCID http://orcid.org/0000-0002-6219-9970

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisGenitourinary tuberculosis (GUTB) is a significant cause of chronic lower urinary tract symptoms (LUTS) in endemic regions, yet it remains underdiagnosed owing to its nonspecific presentation and the frequent absence of bacteriuria. This case series highlights the clinical profile and diagnostic challenges of bladder tuberculosis (TB) in women presenting with chronic LUTS.

methodsA retrospective review of seven female patients diagnosed with GUTB based on urine acid-fast bacilli (AFB) positivity (6 out of 7) between Jan 2024 and Dec 2024 at a tertiary care urogynaecology centre in India. Demographic details, symptom duration, prior TB history, investigation findings, treatment, and follow-up were analysed.

resultsAll patients presented with LUTS, including dysuria, urgency, frequency, nocturia, and incomplete bladder evacuation, with a symptom duration ranging from 1 to 15 years. Urine cultures were sterile in all cases. Urine AFB was positive in six patients; one was diagnosed on clinical-radiological correlation. Imaging findings included cortical scarring, hydronephrosis, bladder wall thickening, and significant post-void residual urine. Two patients had a prior history of urethral dilatation or surgical interventions. All received anti-tubercular therapy (ATT) for 6 months. Five patients reported ≥ 80% symptomatic relief; two had persistent frequency and urgency due to established bladder dysfunction.

conclusionsBladder TB should be considered in women with chronic LUTS, especially in TB-endemic areas and in cases unresponsive to antibiotics with sterile urine cultures. Urine AFB testing and early imaging are essential for timely diagnosis. Prompt ATT initiation may reverse symptoms and reduce the need for invasive procedures.

Indexed as

Lower Urinary Tract SymptomsTuberculosis, Female GenitalTuberculosis, UrogenitalAdultChronic DiseaseFemaleHumansMiddle AgedRetrospective StudiesBladder tuberculosisChronic cystitisGenitourinary tuberculosisLower urinary tract symptomsUrine AFBUrogynaecology

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.