Abstract
1. 1. Where a tuberculous lesion has advanced to the renal pelvis or collecting tubules, renal tuberculosis never completely heals because of the handicap of hindered drainage and back-pressure, due to tuberculous changes in the ureteral wall; that is to say that, aside from other possible reasons, a tuberculous kidney excreting tubercle bacilli cannot recover because an incurably strictured ureter interferes with normal drainage and peristalsis. 2. 2. When complete healing does occur, the tuberculous process is limited to the cortex, i.e., it has never extended to a pyramid or collecting tubules. 3. 3. Until the tuberculous process has extended to a calyx or the collecting tubules, pus and tubercle bacilli of renal origin will not be found in the urine, and therefore, up to this time, renal tuberculosis may not be said to be “clinically established.”
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