Effect of Anti-tuberculous Chemotherapy in Renal Tuberculosis.
- Author:
Young Kyoon KIM
- Publication Type:Case Report
- Keywords:
Anti-tuberculous chemotherapy;
renal tuberculosis
- MeSH:
Drug Therapy*;
Humans;
Kidney;
Nephrectomy;
Rehabilitation;
Tuberculosis, Renal*;
Ureterostomy;
Urinary Bladder;
Urinary Diversion;
Urinary Tract
- From:Korean Journal of Urology
1976;17(1):1-6
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Unnecessary extirpative surgical procedure should be avoided for renal tuberculosis but patients refractory to or intolerant of chemotherapy and patients unable to stay on long-term chemotherapy for any reason may still require nephrectomy. Cure of patients is more important than cure of the disease in terms of rehabilitation. The author divided therapeutic principles of the renal tuberculosis into six categories as follows and representing case of each was evaluated. Category 1: anti-tuberculous chemotherapy only Category 2: anti-tuberculous chemotherapy and renal surgery Category 3: anti-tuberculous chemotherapy and permanent urinary tract diversion such as cutaneous ureterostomy Category 4: anti-tuberculous chemotherapy and restoration of urinary tract patency following urinary diversion Category 5: anti-tuberculous chemotherapy and enlargement of contracted bladder Category 6: anti-tuberculous chemotherapy and removal of clinically healed kidney because of failure of rehabilitation.
