Long-term results of surgical and conservative treatment of chronic renal tuberculosis

The discovery and successful introduction of anti-tuberculosis antibiotics and chemotherapy drugs (streptomycin, PASK, ftivazide, tibon, saluside, etc.) into urological practice affected the methods and results of treatment of urinary tuberculosis. If before the streptomycin era nephrectomy was considered the only method of treating unilateral tuberculosis of the kidney, then over the past 10 years, due to the widespread use of antibiotics and anti-tuberculosis chemotherapy drugs, it has become possible to successfully perform organ-preserving operations - resection of the kidney pole (A. P. Frumkin), cavernotomy (V. E. Milovidov). These operations can be performed even on a single kidney. Indications for the removal of a kidney affected by tuberculosis (with a one-sided process) currently should be considered only pyonephrosis of tuberculous etiology, a multiple-cavernous form of kidney tuberculosis. This operation is also shown in those. cases when anti-tuberculosis therapy is ineffective, and the destruction foci located in the middle part of the kidney cannot be resected.