Related Experiment Videos
[Characteristics on diagnosis and treatment of renal tuberculosis]
Yu Gong1, Gen-sheng Lu, Bo Song
1Department of Urology, Southwest Hospital, Third Military Medical University, Chongqing 400038, China.
Objective:
To study the new characteristics on diagnosis and treatment of renal tuberculosis (RT).
Methods:
Eighty-seven patients with renal tuberculosis were retrospectively reviewed; their diagnosis was established by standard microbiological and histological techniques.
Results:
Atypical RT was diagnosed by various examinations, including urinary analysis, polymerase chain reaction of tuberculosis (PCR-TB), ultrasonography, intravenous urography (i.v.U), and computerized tomography (CT). Treatment consisted of antituberculous chemotherapy in all patients, in combination with nephrectomy (62.5%) or enterocystoplasty (4.6%).
Conclusions:
The differential diagnosis of RT should be emphasized, especially for atypical RT, provided a much more specific diagnosis in clinical suspicion of RT. i.v.U can not be regarded as a specific examination for RT. Computerised tomography (CT) can be used for early diagnosis of RT. Surgery for RT is still ablative.