Conservative management of renal tuberculosis

Br J Urol. 1975 Oct;47(5):481-7. doi: 10.1111/j.1464-410x.1975.tb06242.x.

Abstract

The conservative management of 60 patients suffering from renal tuberculosis is reported. Following chemotherapy, bacteriological conversion to negative was obtained in all patients. 2 patients (3-3%) relapsed due to failure to take adequate treatment. Evidence of ureteric obstruction was obtained in 30 patients (50%)--23 at the time of diagnosis, 6 during treatment and 1 at the time of relapse. Following corticosteroid treatment relief of obstruction was obtained in 72%. Nephrectomy was carried out in 4 patients (6-7%) but in only 1 of these was the operation carried out for reasons which we now consider valid.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aminosalicylic Acids / therapeutic use
  • Child
  • Female
  • Humans
  • Isoniazid / therapeutic use
  • Male
  • Middle Aged
  • Nephrectomy
  • Prednisolone / therapeutic use*
  • Streptomycin / therapeutic use
  • Tuberculosis, Renal / complications
  • Tuberculosis, Renal / drug therapy*
  • Tuberculosis, Renal / surgery
  • Ureteral Obstruction / drug therapy
  • Ureteral Obstruction / etiology
  • Ureteral Obstruction / surgery

Substances

  • Aminosalicylic Acids
  • Prednisolone
  • Isoniazid
  • Streptomycin