Clinical Observation on Renal Tuberculosis and Its Urinary Tract Complications Treated by Surgery

Cho, Yong Hyun; Lim, Soo Kil

Abstract

The clinical observation was made on 117 operated cases of renal tuberculosis in Department of Urology, Catholic Medical College, during the period from 1970 to l979. The results were as follows: 1. Among 117 cases of the renal tuberculosis, 91 (77.8%) were unilateral and 26 (22.2%) were bilateral renal tuberculosis. Among 81 cases of the ureteral stricture complicated by renal tuberculosis, 55 (60.4%) were unilateral and 26 (39.6%) were bilateral renal tuberculosis. Contracted bladder was represented in 42 cases (35.9%). 2. Ureteral reimplantation was performed in 13 cases. Among 7 cases of the anti-reflux method, 2 cases were failed, 1 case of Boari operation was dead, but 5 cases of direct method were all successful. 3. Among 5 cases of the ileocystoplasty, 4 were in good result but 1 case had small amount of residual urine. Among 6 cases of the ureteroileocystoplasy, 1 case was dead and 1 case was performed secondary nephrectomy after previous operation. One of 2 cases of the ileal substitution of the ureter was dead. 4. There was no complication in 65 cases of simple nephrectomy and 2 cases of partial nephrectomy. 5. Of 50 cases of the total patients, except 65 cases of simple nephrectomy only and 2 cases of partial nephrectomy, 5 cases were complicated and 1 cases were dead. The complications were ureteral strictures at the site of reimplantation in 6, urinary fistulas in 2 and wound infection in 1. The causes of death were sepsis in 2, uremia with sepsis in 1 and acute renal failure in 1.