Clinical Observation on the Renal Tuberculosis / 대한비뇨기과학회지

ABSTRACT

Renal tuberculosis has been one of the most frequent disease in the urological field of Korea for a long period of time. A clinical observation of renal tuberculosis was made on 71 patients admitted to the Department of Urology, Han-Il Hospital from January 1972 to December 1981. The results were summerized as follows l. These 71 patients (79 kidneys)stood for 6.7% of the total inpatients. 2. Positive urine AFB were demonstrated in 41 (57.7%)of 71 patients on direct smear and 9 (42.9%)of 21 patients on culture. 3. The excretory urograms of 75 tuberculous kidneys (67 patients)revealed absence of visualization in 28.0% and delayed visualization in 24.0%. The classification based on Lattimer (1953)with 67 IVPs and 30 RGPs was 6.7% in Group 1, 41.3% in Group 2, 22.7% in Group 3, 29.3% in Group 4 and absent in Group 0. 4. Nephrectomy was performed in 30.4% (24 patients)of 71 patients. 5. One of 3 hypertensive patients was significantly decreased blood pressure after nephrectomy.