[The place of total nephro-ureterectomy in the treatment of urinary tuberculosis].

Taking into consideration the frequency of urethral lesions in the frame of uro-genital tuberculosis, and their serious effects on the renal tissue it becomes apparent that either conservative or radical surgical therapies should be applied when their extension make it mandatory. Besides prevention of development, or of the maintenance of vesical lesions can be obtained. On the basis of a statistic covering 1 440 cases of renal tuberculosis a total figure of 492 nephrectomies is found and 130 total nephro-uretherectomies. The transperitoneal pathway is suggested, that does not imply any risks and generally characterized by a benign post-operative evolution, which allows also for the simultaneous solution of eventual tuberculous genital lesions, both in men and in women.