Nephrotuberculosis(renal tuberculosis) questions and answers

Health Description
Health Consultation Description: i have been diagnosed renal tuberclosis five months back, i am on akt4 since 5months, my urologist tried to put dj stent but the procudure was failure. my hb is 7.3 since the time i have started that akt4. and recently i am having problems with urine i cannot control my urine i pass urine while i am sleeping with out my knowledge.


Expert Reply

Condition analysis:
Tuberculosis of kidney is a disease that can spread to bladder and urethra. In medical literature, TB in bladder can cause significant decrease in bladder volume and that can cause loss of control of urine. Remember that this is due to the fibrosis and reaction of the lining of the urinary tract to TB and not due to active TB bacteria. I suppose that was the reason for not being able to insert the DJ stent. You may seek help of your doctor and take guidance regarding bladder control exercises.

Instructions:
Treatment and prognosis: Multi-drug treatment is essential, however despite treatment, stricturing can progress. The role of nephrectomy is controversial and depends on the degree of renal impairment, bilateral vs unilateral disease and the status of the lower urinary tract. Nephrectomy, partial nephrectomy or cavernostomy can be performed both open and endoscopically.



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