The document discusses reasons for late diagnosis of nephrotuberculosis. It found that the majority (93.4%) of patients had a chronic disease with symptoms for an average of 27.3 months before diagnosis. Most patients (62.2%) had cavernas visible on x-ray rather than papillitis (37.8%). The treatment outcomes were optimal in only around half of patients (49.7% and 24.7% respectively), with the majority having nonoptimal outcomes (75.3% and 20.3%).