Persistent tuberculous cystitis: the most common indication for nephrectomy in the management of urogenital tuberculosis.
There were 631 patients treated for proven urogenital tuberculosis in 1966-1985. Indications for nephrectomy were retrospectively analyzed in 137 (21.7%) patients operated. A badly damaged or functionless kidney was removed in 85 (62.0%) patients for the early control of persistent tuberculous cystitis; in 18 (13.1%) because of chronic, nonspecific urinary infection, dispersed calcifications with subsequent nephrolithiasis, pain or other discomfort; in 16 (11.7%) due to supposed nephrogenic hypertension, and in 3 (2.2%) because of extrarenal disease. In 15 (10.9%) patients the symptomless kidney was removed preventively. The management of renal tuberculosis by itself did not need nephrectomy.
D000328:Adult; D000368:Aged; D003556:Cystitis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D012189:Retrospective Studies; D014401:Tuberculosis, Urogenital / Q000150:complications / Q000601:surgery*