[Obstructive uropathy in nephrotuberculosis and the results of its surgical correction].

Abstract

In 2000 to 2006, one hundred and fifty-eight patients with active nephrotuberculosis, including 24 without obstructive uropathy, 70 with obstruction at the level of the upper ureter third, and 64 with that at the level of the lower ureter third, were examined. It was shown that papillites, pyonephroses, and specific paranephritis were prevalent when a specific process extended to the upper ureter third. Involvement of the lower ureter third resulted in the most significant renal destruction that was bilateral in 75% of cases with a large proportion (51.4%) of complete organ destruction and complications of the underlying disease. The effectiveness of organ-removing operations was higher in ureteritis of the upper third of the ureter and that of reconstructive operations was higher in ureteritis of the lower third. Surgical treatment for nephrotuberculosis in distal obstruction induced no regression of renal failure in 24% of cases, its progression being observed in 8%. Every five patients were reoperated on; more than 29% of the patients underwent bilateral operations; the proportion of organ-removing interventions turn to be highest.