Management of Genitourinary Tuberculosis
Prior to 1946 most patients with advanced renal tuberculosis were dead within 5 years. Therapy had mainly consisted of rest, sunshine, various nostrums and prayer. Where disease seemed to be confined to one kidney, nephrectomy was done. We know now that good, functioning nephrons were also removed with the diseased kidney. When the disease seemed to be confined to an upper or lower pole of the kidney, partial nephrectomy was done. Nephrectomy is now reserved for a diseased kidney not responding to chemotherapy or for severe pain or bleeding. At this hospital no nephrectomy for renal tuberculosis has been done since 1957.
KeywordsDepression Attenuation Corticosteroid Tuberculosis Bacillus
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