著者
重村 克巳 結縁 敬治 片岡 頌雄 岩本 孝弘
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.48, no.4, pp.229-230, 2002-04

60歳男.数ヵ月前より頻尿,排尿困難を認めた.胸部,腹部に異常を認めず,直腸診で前立腺肥大を認めた.膀胱造影検査では前立腺の膀胱への軽度突出を認める以外に,膀胱内に異常な陰影欠損を認めた.膀胱異物の可能性を疑い,膀胱鏡検査を施行し,膀胱内に白色浮遊異物を認めた.膀胱内の異物がガムと判明したため鉗子で除去を試みたが摘出が困難であった.冷蔵庫で凍らせた生食水を混ぜて,氷水を作り,環流液として膀胱内に注入したところ,膀胱内のガムが固化し,鉗子で摘出することができた
著者
小林 裕章 金子 剛 西本 紘嗣郎 内田 厚
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.56, no.1, pp.63-65, 2010-01

Penile strangulation is one of the emergent urologic disorders, because immediate release is the critical treatment to prevent penile necrosis, urethral injury, erectile disorder, and other unfavorable events. A 66- year-old man was transferred to the emergency room of our hospital for the penile swelling and pain, occurring by penile insertion to the beverage bottle for masturbation. The penis was completely relieved using an electric plaster cutter without any injury. The strangulation time was four hours and a half, and there were no complications. We recommend an electric plaster cutter as a useful tool for this incident.
著者
入澤 千晶 加藤 弘彰
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.31, no.8, pp.1477-1482, 1985-08

We have experienced 6 cases of fracture of the penis between 1974 and 1984 at our department. The patients were between 19 and 36 years old. The penis was swollen and distorted by a subcutaneous hematoma but no complications, such as urethral bleeding, pain of miction and urinary retention, were seen in any case. Operation was performed on all patients and no sequelae were seen after treatment. We reviewed 282 cases of fracture of the penis reported in the Japanese literature between 1934 and 1984. A brief review on cause, age, symptoms, complications and sequelae were discussed.
著者
仲谷 達也 千住 将明 井関 達男 杉本 俊門 西尾 正一 前川 正信
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.29, no.10, pp.1363-1368, 1983-10

1) 1963年4月の大阪市立大学泌尿器科教室開設以来,1982年10月末までにおける膀胱および尿道異物症例41例を報告した.2)自験例および1982年10月末までの本邦報告例をあわせた計1,272例を集計報告し統計的観察をおこなった.1962年以降は男女別発症頻度の一定化,経尿道性異物と非観血的除去例の増加などの傾向を認めた
著者
能中 陽一 鶴田 敦
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.7, no.7, pp.725-730, 1961-07

In 1873, Englisch reported the first case of Mialer i a n duct cyst at autopsy specimen. Since then. 45 cases was tollected by Moore until 1953. He noted that precis e ly Miillerian duct cysts were only 12 cases, as Many cases of them confused with prostatic cysts or cysts of seminal vesicle. In Japan, only on e case was reported by Shimizu in 1952. A 10-year-old boy visited a urologist in March 1959 because of urinary retention following acute dermatitis in genitalia. Miillerian duct cyst was diagnosed by urethrocystog•aphy and rectal examination. Anomaly of penis and right testicular retention existed as complication . Sex chromatin test was male type. Miillerian duct cyit, w hich histologically looked like vagina, was resected by method of transabdominal cystectomy.
著者
江原 英俊 伊藤 慎一 泉 久美子
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.58, no.9, pp.519-521, 2012-09

We report an unusual case of a 14-year old boy who presented with proteinuria and pyuria detected in a medical checkup at school. After denial of kidney disease, computed tomography of the pelvis showed a bladder stone with an internal low density and urethroscopy showed an odd stick at the prostatic urethra. Because of the failure of removal by the transurethral technique, he underwent suprapubic cystostomy against the foreign body stuck into the prostatic urethra. After surgery, he admitted that he had self-introduced a sewing instrument into the bladder for the purpose of masturbation one year three months previously.
著者
神田 文義 服部 祐介 中橋 満 堀内 満水雄
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.50, no.6, pp.443-444, 2004-06

53歳男.自慰目的で尿道口より径6mmのビニールチューブを3m挿入し,1m引き抜いた時点で,抜去不能となった.尿道を自己切開し,異物抜去を試みたがうまくいかなかった.翌日,尿漏,陰嚢腫大,発熱を主訴に受診した.膀胱高位切開による膀胱尿道異物除去術,尿道修復術を施行した.チューブが前立腺尿道部にはまりこみ,出血が著明であったので,尿道にバルーンカテーテルを留置,縫合した.膀胱瘻を造設し,膀胱前腔と陰嚢会陰皮下にドレーンを留置した.経過は順調で,術後21日目に尿道カテーテルを抜去し,術後24日目には膀胱瘻を抜去した.排尿状態は良好であったWe report a rare case of vesico-urethral foreign body with urinary fistula. On March 12, 2002, a 53-year-old single men inserted a 3 m vinyl tube 6 mm in diameter into his urethra by himself for the purpose of masturbation, but he could not remove the tube. He cut his urethra by himself and tried to remove the tube. The next day he was admitted to our hospital, with complaints of urinary fistula and fever. Open surgical removal of foreign body, cystostomy and repair of bulbous portion of the urethra were performed. At 24 days postoperatively the cystostomy and urethral catheter were removed and urination became smooth.
著者
佐々木 秀平 久保 隆 大堀 勉
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.21, no.2, pp.115-120, 1975-02

A six-year-old person reared as a girl came to us with enlargement of the clitoris. Various examinations revealed true hermaphroditism with karyotype of 46XX, positive sex chromation, ovotestis on the right side and ovary on the left. The ovotestis was surgically removed and the clitoris was amputated.
著者
入澤 千晶 鈴木 謙一 中川 晴夫 菅野 理 加藤 弘彰 阿部 寛 石郷岡 学 石井 延久
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.37, no.3, pp.267-271, 1991-03

A 62-year-old male visited our department complaining of left flank pain and urinary retention on November 6, 1989. Intravenous pyelography showed small stone shadows in bilateral ureters and lower calyx of kidney and the left kidney was not visualized. Endoscopically, calculi were seen in bilateral ureteral orifice. An ureteral catheter could not be passed up from there bilaterally. On November 13, 1989, January 24 and 26, 1990, calculi were passed out spontaneously. Analysis of the stones revealed silica calculus. The patient had a past history of duodenal ulcers. He was administered magnesium silicate and magnesium alminometasilicate as an anti-acid drug for ten years. Sixteen cases of silica calculus in Japan are reviewed.
著者
福島 昭治 鰐渕 英機 魏 民 森村 圭一朗
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.52, no.6, pp.451-455, 2006-06

膀胱発癌物質であるBBNによる実験的につくったマウスBBN膀胱癌,砒素膀胱癌の本態,チェルノブイリの原子力発電所事故による放射能汚染地区住民に発生した膀胱病変について概説し,ハイリスクな膀胱癌の自然史を鳥瞰的に解説した.マウスBBN膀胱癌ではp53は癌のプロモーション,プログレッション過程に重要な役割を担い,浸潤性膀胱癌は多中心的に発生する.有機砒素のDMAはラットに膀胱癌を発生させるが,ラット膀胱癌におけるp53変異は発癌物質によって異なる.チェルノブイリ膀胱病変は持続的な放射能曝露によるもので,p53異常や酸化的ステレスの関与,ユビキチンシステムの亢進がみられる
著者
吉川 慎一 伊藤 貴章 細田 悟 鮫島 剛 大鶴 礼彦 松本 太郎 山本 豊 野田 賢治郎 松本 哲夫 相澤 卓
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.52, no.5, pp.337-341, 2006-05

小児包茎36例に対し,吉草酸ベタメタゾン軟膏を用いた非手術療法を施行し,早期治療成績を検討した.1)評価可能であったのは34例で,0.3~12歳,観察期間は1~52ヵ月であった.2)治療効果は全体で,著効22例,有効10例,奏功率は94.1%であった.3)包茎型別および用手的亀頭露出度別の奏功率には有意差がなかった.4)治療開始2週間目で58.8%が有効以上の治療効果が得られており,飜転指導のみで亀頭完全露出までの期間が約2ヵ月との報告と比較して,早期に治療効果が得られると考えられた.5)無効例は2例であったが,1例は4週間の塗布で外尿道口は十分露出可能となり,経過観察中である.1例は露出度・包皮口狭小部は不変で,手術施行となった.6)薬剤における副作用はなかったが,1例で治療開始1週間後に亀頭還納不可となった.容易に用手整復は可能で,その後は問題なく経過している.経過観察中に1例で再発を認めたが,本療法再開2週間で軽快した

4 0 0 0 OA 睾丸破裂の2例

著者
鎌田 日出男 小浜 常昭
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.29, no.6, pp.701-706, 1983-06

Two cases of traumatic rupture of the testicle are reported. One patient was surgically explored 7 days after trauma to the scrotum, and the other, after 17 days. Orchiectomy was carried out on both patients. Eighty-seven cases collected from the Japanese literature, including our two cases are reviewed and discussed. The majority of authors recommend early surgical exploration when this condition is suspected.
著者
冨田 雅乃 内島 豊 岡田 耕市 山口 昇
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.30, no.9, pp.1293-1296, 1984-09

A 38-year-old male was admitted to our emergency ward on Oct. 27, 1982, because of severe pain at his penoscrotum. Upon physical finding on admission, his penis was found to have been completely amputated 2 cm distally near the root with a razor by himself to commit suicide a few days before admission. On the affected part were much coagulated blood mass and slough and moreover there were 50 maggots about 5 mm long swarming and wrigling, but no bleeding yet and little sign of inflammation. After exclusion of these maggots and cleaning the slashed surface, cutaneous urethrostomy was performed. Postoperative course was favorable but we could not prevent the patient from leaping to his death 45 days after the operation. Self-amputation of the penis with subsequent complication of myiasis is a very rare condition. Since the report of self-amputation of the penis by Matsushita in 1937, this case is the 16 th in Japan. In most cases the patients had mental disorder. In this case the patient was schizoid. On the other hand, 133 cases of myiasis were reported in Japan from 1903 to 1983. In the present case the species that caused myiasis was Lucilia ampullacea. A very rare case of self-amputation of the penis with subsequent complication of myiasis is documented with a review of the literature on this subject.
著者
加藤 良成 金子 茂男 井口 正典 栗田 孝
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.33, no.10, pp.1672-1675, 1987-10

A 42-year-old man was hospitalized with urinary retention due to strangulation of the penis in December, 1981. He placed a stainless steel ring on the base of the penis to prolong erection one month earlier, but subsequent penile edema made it impossible to remove the ring. On admission the penis was extremely swollen (15 cm in length and 7 cm in diameter). Gangrenous patches covered the surface of the penis almost completely and the ring had cut through all the tissues superficial to Buck's fascia. Even slight tension would have probably divided the penis at the site of obstruction and we thought that amputation would be necessary. However, we decided to try conservative therapy since pulsation was felt in the glans. A high-speed airdriven drill with a diamond tip was used to sever the ring. This took ninety minutes. The ring was 2 cm in diameter. The wound was sutured in one layer after through debridement. The skin ulceration healed slowly and a urethral fistula was present in the penoscrotal region until the 66th postoperative day when it closed spontaneously. At discharge the patient had no problems with urination or erection.
著者
加藤 廉平 鈴木 泰 松浦 朋彦 佐藤 健介 島谷 蘭子 藤島 洋介 常盤 傑 小原 航
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.56, no.8, pp.453-456, 2010-08

A 64-year-old man took levofloxacin 100 mg three times a day from the day before trans-rectal prostate needle biopsy. He suddenly fell into septic shock about 12 hours after the biopsy. We performed polymyxin B-immobilized fiber-direct hemoperfusion treatment at our intensive care unit. The circle dynamics was stable after five days of observation, and he was discharged seven days after the event. Levofloxacin-resistant Escherichia coli (E. coli ) was detected by blood and urine culture.
著者
中井川 昇 寺島 和光 安達 昌功 立花 克彦
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.42, no.9, pp.695-697, 1996-09

生後0日目入院,男.在胎37週1日,後頭位自然分娩で,生下時2,300gであったが陰茎欠損に気付いて即日転科入院した.陰茎は根部から欠損して陰起もみられないが,陰嚢は2分陰嚢状で,腹部超音波で陰嚢内に正常精嚢があり,核型46XY.膀胱尿道造影で膀胱は正常であったが右膀胱尿管逆流IIを認めた.後部尿道,外尿道括約筋部は正常.女性内性器を認めなかった.両親と協議の末,2ヵ月後に両側精巣摘除,陰嚢切除を施行し,女児として養育することとした.陰茎欠損症の報告は日本で本例を含め7例と稀である.男として成長するより,女児として養育する方が社会的,心理的負担は少いと思われ,将来腟形成行を行う予定である
著者
宮澤 克人 鈴木 孝治
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.50, no.8, pp.577-581, 2004-08

尿路結石の再発予防に対して適切な飲料物を,市販の缶またはペットボトル飲料の成分分析により考察した.また尿路結石の既往がない正常男子6名を対象にビール350ml×3缶飲酒前後の24時間尿の尿生化学検査を行い,ビールの尿路結石形成への影響を検討した.麦茶,ミネラルウォーター,オレンジジュース,ワインは尿路結石形成・再発予防に対して適切な成分を含有していた.ビール飲酒により尿量は有意に増加し,尿浸透圧と尿中クエン酸排泄量は有意に低下したが,尿中尿酸排泄量の有意な増加は認めなかった.ビールに比べプリン体カット発泡酒は容認できる飲料物と考えられるが,尿中クエン酸排泄量低下のリスクがあり,食事同様バランスを考慮した摂取が必要であるThe incidence of upper urinary stones has been increasing since World War II in Japan. One of the causes is the change in dietary habit to a more westernized diet. The consumption of animal protein, fats and oils also correlates with the incidence of upper urinary stones. The results of numerous treatments for preventing formation of calcium stones are not sufficient, and the improvement of daily life habits and dietary advice have been proposed to be important. An increased intake of fluid is of great value for patients with stone diseases, irrespective of the stone composition. We discuss whether or not non-alcoholic and alcoholic beverages, are appropriate for prevention of stone diseases from the viewpoint of the contents of the beverages.
著者
若月 晶
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.51, no.11, pp.737-740, 2005-11

2001年1月から3年間に受診した亀頭包皮炎189例を,化膿連鎖球菌を分離した47例(PYO群),他の細菌を分離した93例(B群),細菌の検出がない27例(NB群),不必要のため細菌検査をしない22例(N群)に分け,臨床像と感染経路を比較検討した.その結果,PYO群は他の3群に比べて,臨床症状の膿性分泌及び疼痛,症状出現前の性的接触が多く,潜伏期間及び発症から受診までの期間が短い傾向が見られた.PYO群では包茎のない症例を7例認めた.更に,2004年1月から1年間に化膿連鎖球菌による亀頭包皮炎11例に対してamoxicillinを使用した結果,全例で治癒が確認されたBetween January 2001 and December 2003, 189 adult patients with balanoposthitis were treated in my clinic. Swab culture from the affected lesion detected Streptococcus pyogens in 47 cases (PYO group), other bacterial species including Candida albicans in 93 (B group), no bacterial growth in 27 (NB group) and swab culture was not done because clinical symptom was trivial in 22 (N group). The PYO group had a significantly higher prevalence of purulent discharge (68.1%) and local pain (38.3%), compared to the B group (25.8% and 21.5%, respectively) or the NB group (33.3% and 11.1%, respectively). Phimosis was absent in 7 cases in the PYO group. The route of infection in the PYO group was considered to be predominantly via sexual contact (PYO group 78.7%, B group 52.7%, NB group 59.3%), especially through fellatio by commercial sex worker for the majority of the PYO patients. The latent period (from sexual contact to the onset of symptoms) was 3 days or less in 40.5% and 4 to 7 days in 35.1% in the PYO group, whereas it was more than a week or not remembered in the majority of the B and NB groups, disapproving the causal relationship with sexual contact in such cases. Treatment with tosufloxacin tosilate or amoxicillin was effective in most cases of streptococcal balanoposthitis. Our results suggest that Streptococcus pyogens is one of the causative organisms of sexually transmitted balanoposthitis.
著者
小林 裕章 金子 剛 西本 紘嗣郎 内田 厚
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.55, no.12, pp.749-752, 2009-12

Pheochromocytoma occurs in 0.1 to 5.7% of patients with type 1 neurofibromatosis (NF1). Radiological findings of pheochromocytoma are often similar to those of neurofibroma ; therefore, any pheochromocytoma should be excised in hypertensive patients with NF1. A 60-year-old male patient with NF1 was referred to this hospital for an incidentally discovered right adrenal mass, 7×6 mm indiameter. The patient had multiple benign tumors and suffered from hypertension for 4 years. Laboratory findings showed increased serum and urine catecholamine levels. Magnetic resonance imaging (MRI) revealed a high signal intensity on T2-weighted images, which was enhanced by gadolinium contrast. The mass was positive for 131 I-metaiodobenzylguanidine (MIBG) scintigraphy. A laparoscopic adrenalectomy was performed. A histopathological diagnosis of pheochromocytoma was made. The patient's post-operative course was uneventful, and blood pressure was normalized. Screening of the adrenal tumor is strongly recommended for NF1 patients with hypertension, since any unfavorable events due to catecholamine such as cardiomyopathy and fatal arrhythmia can be avoided by adequate surgical intervention.
著者
池田 龍介 鈴木 孝治 田中 達朗 谷口 利憲 白岩 紀久男 卞 在和 津川 龍三 中村 武夫 岩佐 嘉郎 田近 栄司
出版者
泌尿器科紀要刊行会
雑誌
泌尿器科紀要 (ISSN:00181994)
巻号頁・発行日
vol.30, no.2, pp.183-189, 1984-02

当科において1974年より1981年までの7年4ヵ月,富山県立中央病院泌尿器科において1961年より1981年までの20年11ヵ時間と経験した尿路結石のうち,赤外線分光分析が行なわれた1514結石についてマイクロコンピューターを用いて臨床的分析を試みた.男子930例,女子344例,年齢は1歳より90歳に及び平均は男子44.7歳,女子41.6歳であった.結石成分分析には日立赤外線分光光度計EPI-G3型を,マイクロコンピューターとしてはSHARP MZ-80Cを用い,年齢,性別,発生部位,内層成分,外層成分,血清電解質,尿中電解質などを入力し,color display, green display, printer, X-Y plotterに出力,表示させた.4年前に報告した300個の結石における成績と比較すると,若干の変化が見られ,年齢分布において腎結石,膀胱結石含有患者の老齢化の傾向が認められたIn our laboratories, more than 1,500 urinary calculi have been analyzed by infrared spectroscopy. These data were statistically analyzed by microcomputer. The most frequent type was calcium oxalate combined with calcium phosphate, followed by pure calcium oxalate and magnesium ammonium phosphate combined with calcium phosphate. In particular, the composition of magnesium ammonium phosphate combined with calcium phosphate increased as compared with that four years earlier. Four years ago, we spent one month to statistically analyze 300 urinary calculi. But in this study, only sixteen days was required to analyze 1,500 urinary calculi by using a microcomputer.