I have been studying the problems related to the pathology, diagnosis and treatment of chronic renal tuberculosis for more than a quarter of a century and, in preparing this paper, have gathered together the experience gained during these last thirty years. I have reviewed my records of the last fifteen years with considerable care and have used the data gathered in more than 300 cases.
The recognition of tuberculosis of the kidney as a surgical condition has been a development of comparatively recent years. Under the influence of some of the leaders of French urology, the surgical treatment of renal tuberculosis was somewhat delayed; but at the present time chronic surgical tuberculosis limited to one kidney is universally considered as belonging in the realm of surgical therapeutic endeavor.
With the development of the cystoscope and more accurate methods of diagnosis, together with the accumulated experience of clinical observation of the