Can renal tuberculosis be cured?

Renal tuberculosis can be treated, especially now that medical technology is relatively advanced. It is best to detect it early and take treatment measures as early as possible to minimize the risk. Systemic treatment includes the use of medications, some auxiliary treatment methods in life, and focusing on rest and sleep.

1. Systemic treatment Systemic treatment includes proper rest and medical sports activities as well as adequate nutrition and necessary drug treatment (including treatment measures for other tuberculosis lesions in the body besides renal tuberculosis).

2. Drug treatment: Since the scope and degree of destruction of local lesions of renal tuberculosis vary greatly, the treatment of local lesions is also different in each case. Before the discovery of anti-tuberculosis drugs such as streptomycin, once the diagnosis of renal tuberculosis was established clinically, the only treatment was nephrectomy. After the 1940s, streptomycin and aminosalic acid came out one after another, and many clinical cases of renal tuberculosis could be cured by drug treatment alone. After the 1950s, the emergence of highly effective, low-toxic and inexpensive isoniazid and the adoption of combination therapy have greatly improved the efficacy of treating renal tuberculosis and can almost cure all early tuberculosis lesions. Rifampicin was first used clinically in 1966. Because of its significant effect and few side effects, it was used together with other drugs to further improve the efficacy of treating renal tuberculosis. Currently, the number of cases requiring nephrectomy due to renal tuberculosis has been greatly reduced. However, in some areas with poor sanitary conditions and inadequate medical conditions, renal tuberculosis still occurs, and even some patients in the late stage have been found to have it. For patients diagnosed with renal tuberculosis, regardless of the severity of the lesion or whether or not surgical intervention is required, anti-tuberculosis drugs must be taken according to a certain regimen.

3. Indications for the use of anti-tuberculosis drugs

(1) Preclinical renal tuberculosis.

(2) Unilateral or bilateral renal tuberculosis confined to a group of large renal calyces.

(3) Renal tuberculosis of solitary kidney.

(4) Patients with active tuberculosis in other parts of the body who are temporarily not suitable for renal tuberculosis surgery.

(5) Patients with severe bilateral renal tuberculosis who are not suitable for surgery.

(6) Patients with renal tuberculosis and other serious diseases who are temporarily not suitable for surgery.