[Perestroika in the surgery of renal tuberculosis and its scientific substantiation]

Based on vast experimental studies and many-years personal experience on the conservative and surgical treatment of tuberculosis of the kidneys the author has made a conclusion of a necessary change of all the work for the detection and treatment of nephrotuberculosis. Of primary importance is the organisation of early diagnostics of focal tuberculosis of the renal parenchyma and its radical-prophylactic surgical treatment, preventing the development of spreaded and neglected forms of the disease. To organize this work it is necessary to accept the new pathogenetically substantiated evolutionary classification of tuberculosis of the kidneys dividing the development of the disease into 4 stages.