Clinical Observation on the Renal Tuberculosis.
- Author:
Jong Hack LEE
1
;
Dae Soo CHANG
Author Information
1. Department of Urology, School of Medicine, Soon-Chun-Hyaing College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
renal tuberculosis
- MeSH:
Cystitis;
Female;
Fibrosis;
Flank Pain;
Hematuria;
Humans;
Hydronephrosis;
Incidence;
Kidney;
Male;
Nephrectomy;
Nocturia;
Proteinuria;
Pyuria;
Replantation;
Tuberculosis, Pulmonary;
Tuberculosis, Renal*;
Ureter;
Ureterostomy;
Urinary Bladder;
Urination;
Urology
- From:Korean Journal of Urology
1982;23(6):759-764
- CountryRepublic of Korea
- Language:Korean
-
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.
