Clinical Observation on the Renal Tuberculosis

Lee, Young Sung

Abstract

A clinical observation was made on 78 cases of renal tuberculosis, admitted to the Department of Urology, Hanil Hospital during the period of 10 years from Jan 1, 1968 to December 31 1977. The results were summarized as follows. 1. During this period, the total number of in-patients were 907 among which 78 cases had renal tuberculosis, giving a rate of 8.6 % to total in-patients. 2. The most common age groups showed that 83.3 % of the cases in 11 to 40 years of age, and male to female ratio was 1.2: 1. 3. The site of the lesion showed right to left ratio of 48.7 % to 42.3 % and bilateral in 9.0 %. 4. Common symptoms were gross hematuria in 48.7 %, frequent urination in 46.2 %, painful urination in 35.9 %, flank pain in 34.6 % and scrotal swelling in 9.0 %. 5. 56.4 % of the cases admitted to in one month to one year period after onset of the symptoms. 6. The most common complication was pul tbc in 36 %. 7. Laboratory findings were as follows : acid urine in 83.3 %, proteinuria in 91.0 %, microscopic hematuria in 73.1 %, pyuria in 74.4 % and increased ESR in 67.9 %. 8. Urine AFB Positive findings were 25.7% in smear and 35% in culture. 9. Of blood nitrogen level of 30 patients, over 60% of cases showed normal level, and the highest level was shown by a bilateral renal tuberculosis case. 10. The excretory urographic changes in 50 cases of renal tuberculosis were nonvisualization in 44%, delayed visualization in 32%, caliectasis in 26%, narrowing or dilatation of ureter in 18% and contracted bladder in 4%. 11. Cystoscopic findings were active lesion of cystitis in 48.7% and fibrosis with trabeculation of bladder wall in 20.5%. 12. Method of treatment include chemotherapy only in 55.1%, nephrectomy in 38.5%, nephrostomy in 1.3%, cutaneous uretrostomy in 1.3% and untreated in 3.8%.