The management of genito-urinary tuberculosis--a review.

The problem of genito-urinary tuberculosis particularly for developing countries is stressed. The clinical presentation is outlined and investigations discussed, special mention being made of the importance of the high dose intravenous pyelogram and the limited use of retrograde pyelogram, cystography and arteriography. The most important part of the article is the chemotherapeutic treatment; and the significance of the short course regimen which should now be the standard practice. The reasoning of this method of treatment is discussed and toxicity is briefly mentioned. Surgical treatment is presented within the context of modern short course chemotherapy and is discussed under two headings "Excision of diseased tissue" and "Reconstructive surgery".