Clinical Study on the Renal Tuberculosis

Ko, Kwang Hoo

Abstract

A clinical and statistical study was made on 34 cases of renal tuberculosis seen during the period from January, 1970 to August, 1972. The results are summarized as follows; l. The incidence of the renal tuberculosis is 1.2% of all urological patients. 2. Age and sex distribution show that 20 cases (58.8%) were male and I4 cases (4l.2%) were female, 14 cases (41. 2%) were in 30~39 years and 10 cases (29.4%) were in 20~29 years. 3. The initial symptoms were mostly those of vesical symptoms. frequency in 61.8%. hematuria in 32.4%, pain on urination in 23.5%. 4. 26.5% of the patients consulted within one year to five years after the onset of symptoms. 5. In 21 cases (6l.7%), had past history of tuberculous diseases or present other tuberculous 1esions, of which 52.4% had pulmonary tuberculosis, 23. 8% had tuberculous epididymitis. 6. 9 cases (25.5%) were affected in both sides, 14 cases were affected in right side and 11 cases were affected in left side. 7. The pyelogram showed that all kidneys were in far advanced. 8. Urinalysis revealed hematuria in 76.5%, pyuria in 73.5%, proteinuria in 67. 6% and tubercle bacilli were found by staining in 41. 2%. 9. Patients were treated with SM, INAH, and PAS. The patients who had an autonephrectomized kidney were treated by nephroureterectomy, in 2 cases of them sigmoidocystoplasty was performed.