Clinical Observation on the Renal Tuberculosis

Lee, Jong Hack; Chang, Dae Soo

Abstract

A clinical observation was made on 54 cases of renal tuberculosis who were admitted to the Department of Urology, Soon-Chun-Hyaing College Hospital during the period from January, 1977 to December, 1981. The following results were obtained. 1. The incidence of renal tuberculosis was 7.5% of all urological in-patients. 2. The most common age group was 20-49 years (68.5%) and male to female ratio was 1.8:1. 3. Both kidneys were affected in 8 cases (14.8%), while 26 cases (48.2%) in right and 20 cases (37%) were in left kidney. 4. The most frequent subjective complaints was frequency in 62.9% and hematuria in 40.7%, flank pain in 38.9%, painful urination in 29.6%, nocturia in 27.8% in order of their frequency. 5. Eleven (20.4%) of 54 cases were associated with pulmonary tuberculosis. 6. Urinary findings revealed pyuria in 68.5%, proteinuria in 66.7% and hematuria in 53.7%. 7. On the intravenous pyelogram, non-visualization of the kidney was found in 31.5%, hydronephrosis in 24.1%and destruction of calices in 20.4%. 8.Cystoscopic findings showed active lesions of cystitis in 47.9%, fibrosis with trabeculation in 20.8%, deformed ureteral orifice in 18.8% and contracted bladder in 14.6%. 9. Nephrectomy was done in 26 cases (48.1%), ureteric reimplantation in 2 cases. cutaneous ureterostomy in 1case and nephrostomy in 1 case.