Renal tuberculosis refers to the kidney lesion caused by the infection of tuberculosis bacillus in the kidney, and its treatment includes drug treatment and surgery. 1. Drug treatment: mainly refers to anti-tuberculosis drug treatment, the purpose is to kill and inhibit the growth of tuberculosis bacilli, and treat tuberculosis from the cause, the commonly used drugs include isoniazid, rifampicin, pyrazinamide, streptomycin, and ethambutol, etc. The treatment includes the following types of total nephrectomy, which aims to remove the non-functioning kidney. 2. Surgical treatment: It mainly includes the following types of total nephrectomy, aiming at removing non-functional kidneys, eradicating symptoms such as frequent urination and urgency, and reducing the possibility of recurrence. (1) Removal of renal lesions, aiming at removing tuberculous abscesses on the surface of renal tissues. (2) Ureteral end-to-end anastomosis, aimed at relieving the narrowing of the ureter and alleviating hydronephrosis. (3) Bowel bladder enlargement, for patients with renal tuberculosis complicated by bladder contracture. Medication is usually required throughout the course of the treatment and needs to be used under the supervision of a doctor, complementing the surgical treatment. When the kidney, ureter and bladder are structurally damaged or need to be reconstructed, surgery is the treatment of choice. To summarize, patients diagnosed with renal tuberculosis need to go to the hospital in time and follow the doctor’s advice to choose the appropriate treatment.