genitourinary disorders
Chronic Pyelonephritis
Treatment of Chronic Pyelonephritis
Correction of the obstruction Long-term antibiotic therapy Sometimes nephrectomy, sometimes followed by renal transplantation ) is useful and may be required indefinitely. Complications of uremia or Hypertensive Emergencies must be treated appropriately. For xanthogranulomatous pyelonephritis, an initial course of antibiotics should be given to control local infection, followed by en bloc nephrectomy with removal of all involved tissue. Patients undergoing Kidney Transplantation who have chronic pyelonephritis may require nephrectomy before the transplant. 