Clinical and Statistical Study of Renal Tuberculosis

Kim, Suck Gun

Abstract

A clinical and statistical study was made on 61 Patients with renal tuberculosis who were admitted to the urological department. Taegu Armed Forces General Hospital during the period from January, 1971 to May, 1975. The results were summarized as follows: 1. The incidence of the renal tuberculosis was 17.1% of all in-patients. 2. Nine cases (14.8%) were affected in both sides, 23 cases (37.7%) in the right and 29 cases (47.5%) in the left side. S. The initial symptoms were mostly those of vesical symptoms. 4. In 39.3% of the cases, past history or present illness of tuberculosis was noted, of which 21.3% had pulmonary tuberculosis and 9.8% pleurisy. 5. The frequent coexisting other genitourinary tract tuberculosis were bladder Tb(37.7%) epididymal Tb(36.2%) and prostatic Tb(19.7%). 6. By acid-fast stain of urine, tubercle bacilli were demonstrated in 50.8% of cases. 7. According to the result of urinary findings during chemotherapy (P. A. S. INAH. and SM), tubercle bacilli were not detected after chemotherapy for 3 months in the cases of minimal and moderate advanced lesion. Pyuria and hematuria disappeared after chemotherapy for 3 months in the cases of minimal and for 6 months in cases of moderate advanced lesion. tubercle bacilli were not detected in most cases and leukocyte and erythrocyte counts were decreased only in a half cases after chemotherapy for 6 months. 8. Tubercle bacilli were not detected after nephrectomy and pyuria and hematuria disappeared within 3 months after operation in most cases.