1 0 0 0 OA 両側単純性精巣囊胞の1例
- 著者
- 西村 泰司 渡辺 晃秀 森川 泰如 李 哲洙 一ノ瀬 義雄 栗田 晋 近藤 幸尋
- 出版者
- 日本外科系連合学会
- 雑誌
- 日本外科系連合学会誌 (ISSN:03857883)
- 巻号頁・発行日
- vol.43, no.2, pp.265-268, 2018 (Released:2019-04-30)
- 参考文献数
- 8
精巣囊胞は稀な疾患である.症例は74歳男性透析患者で血便と下腹部痛の精査中に施行したCTで偶然に両側精巣囊胞を指摘され当科を受診した.超音波検査では単純性精巣囊胞に特徴的な,辺縁が整で明瞭,内部エコーはなく均一に低エコーであり,腫瘍マーカーは陰性で,burned-out tumorに特徴的な転移性腫瘍を認めなかったため両側単純性精巣囊胞と診断し,穿刺や精巣摘除術は施行せず経過観察となった.本邦における単純性精巣囊胞は自験例を含め24例のみの報告であったため,貴重な症例と思われたので若干の文献的考察を加えて報告する.
1 0 0 0 OA 高齢男性における下部尿路症状LUTSとは?
- 著者
- 鈴木 康友 齋藤 友香 近藤 幸尋
- 出版者
- 日本医科大学医学会
- 雑誌
- 日本医科大学医学会雑誌 (ISSN:13498975)
- 巻号頁・発行日
- vol.6, no.3, pp.130-134, 2010 (Released:2010-06-28)
- 参考文献数
- 5
The lower urinary tract symptoms in elderly men are composed of from voiding symptoms and storage symptoms. The representative disease with voiding symptoms is benign prostatic hyperplasia, and the representative syndrome with storage symptoms is overactive bladder and nocturia. Diagnosis by asking questions that use International Prostate Symptom Score and the overactive bladder symptom score is important. The first-line drugs for the treatment of the lower urinary tract symptoms are α1-blockers. Behavior therapy and anticholinergic drugs are also useful for treating storage symptoms.
1 0 0 0 OA 腹腔鏡下手術を施行した膀胱子宮内膜症―診断と治療のポイント
- 著者
- 峯 克也 明樂 重夫 近藤 幸尋 竹下 俊行
- 出版者
- 日本医科大学医学会
- 雑誌
- 日本医科大学医学会雑誌 (ISSN:13498975)
- 巻号頁・発行日
- vol.6, no.3, pp.147-151, 2010 (Released:2010-06-28)
- 参考文献数
- 5
A 33-year-old woman was referred to us by the department of urology because of cyclic bladder pain during menstruation. Cystoscopy showed a 3.5-cm-diameter tumor in the bladder mucosa, and a biopsy showed chronic cystitis. Transvaginal ultrasound and pelvic magnetic resonance imaging revealed a left endometrial ovarian cyst. Although a biopsy did not prove bladder endometriosis, we diagnosed bladder endometriosis on the basis of the characteristic clinical findings. Laparoscopic partial cystectomy for bladder endometriosis and left ovarian endometrial cyst resection were performed. The bladder was closed in one layer using Z sutures with #3-0 polyglactin 910. Indigo carmine dye was then used to check for any leakage. The procedure lasted 4 hours, and the estimated blood loss was 10mL. There were no technique problems or complications. The Foley catheter was removed after 7 days. The symptoms had resolved by 4 weeks after surgery, and the patient was released to routine follow-up. The patient had complete resolution of bladder symptoms and cyclic pelvic pain and was delighted with the absence of pain and the cosmetic result.
- 著者
- 木全 亮二 近藤 幸尋
- 出版者
- 医学図書出版
- 雑誌
- Prostate journal (ISSN:21884978)
- 巻号頁・発行日
- vol.5, no.2, pp.251-254, 2018-10
