A clinical observation was made on 23 patients with tuberculous non-functioning kidneys who underwent nephrectomy during the period from February 1986 to June 1992. We reviewed these cases according to primary nephrectomy on tuberculous
non-functioning
kidneys. The following results were obtained. In patholgic findings of the 27 cases in which tuberculous non-functioning kidneys were suspected, 4 cases were no evidence of tuberculosis. Those were xanthogranulomatous pyelonephritis (2 cases) and
chronic pyelonephritis with hydronephrosis (2 cases). Coexisting renal cell carcinoma was found in 1 cases. 4 cases (17.4%) were hypertensive at the time of presentation and 3 cases of them had a decrease in blood pressure after nephrectomy. No
perioperative mortality occurred and perioperative complications (sinus arrhythmia, wound infection, wound dehiscence, ileus) were in 4 cases (17.4%). There was no evidence of recurrence during follow-up periods. (Follow-up mean periods : 18.5
months)
Thus, is is concluded that primary nephrectomy is an important adjunct in the comprehensive management of the unilateral, tuberculous non-funtioning kidneys, for accurate diagnosis, removal of infection source, early control and prevention of
presenting
symptoms.
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