著者

石塚 榮一 岩崎 晧 大内 秀紀 林 成彦 藤川 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.51, no.2, pp.85-91, 2005-02

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片側精巣捻転症の臨床的検討と精巣固定術例における両側精巣を解剖学的に比較検討した.対象は,手術を行った片側精巣捻転症例48例であった.好発年齢は10歳代が29例と大部分を占め,40歳以上には認めず,捻転側は左33例,右15例であった.主訴は陰嚢痛,下腹部痛が多く,陰嚢所見は発症後8時間以内では仰臥位で精巣が体軸と直角方向の変位が多かった.そして時間の経過に伴って陰嚢内容の腫脹,陰嚢の浮腫,発赤が加わり,回転は左右どちら側も時計方向・反時計方向とも360度回転が多かった.治療は48例中20例に固定術,28例に摘出術を施行した.48例中5例に徒手整復を試み3例で成功し,7例では整復せず回転が元に戻り固定できた.精索や精巣と鞘膜の関係はすべてBell-clapper typeであった.精巣固定できた20例では,捻転側と反対側の精巣構造が同じ形が13例,異なる形が7例であった

著者

佐藤 信夫 李 瑞仁 藤田 道夫

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.35, no.11, pp.1877-1880, 1989-11

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Sixteen cases of testicular torsion were experienced between 1983 and 1988. Diagnosis was confirmed by surgical exploration in all cases. The patients' age was between 10 and 31 years. Fourteen patients (88%) were in their second decade. The left side was involved in 13 cases, the right side in 2 and both sides in 1. Shortness of spermatic cord of involved side was observed in 12 cases (75%). This seemed to be one of the most important signs in differential diagnosis between testicular torsion and other acute scrotum. Prehn's sign was not available. Body temperature was more than 37 degrees C in only 1 case. Urinary tract infection was not noted. Orchiopexy was performed in 12 cases. 9 cases (75%) were treated within 24 hours after onset of the symptom. Two cases (13%) were operated more than 72 hours after onset, but repaired testis was not atrophic one year after surgery.

著者

浜口 毅樹 後藤 紀洋彦 冨士原 正保 岡田 弘 荒川 創一 松本 修 守殿 貞夫

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.35, no.2, pp.367-369, 1989-02

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A clinical study was performed on 4 patients with paraquat poisoning treated between 1985 and 1987. The survival rate was 0% in our hospital.

著者

米田 傑 金城 孝則 種田 建史 竹澤 健太郎 野村 広徳 鄭 則秀 高田 晋吾 松宮 清美

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.11, pp.621-624, 2012-11

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Penile self-mutilation is rare. We report our experience with 3 cases of penile self-amputation. One case was in a 48-year-old man who had no background history of mental disorders. He amputated his penis using a utility knife. He was referred to our hospital and underwent suture of the wound, but he took his own life one week after the surgery. Another case was in a 42-year-old man who had intelligence impairment. He amputated his penis using a kitchen knife. The other case was in a 41-year-old man who had schizophrenia. He amputated his penis using a piece of broken glass.

著者

高村 真一 鈴木 靖夫 日江井 鉄彦 島田 永子 中島 伸夫 田中 純二 三宅 弘治 三矢 英輔

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.3, pp.453-457, 1987-03

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A case is presented of priapism resulting from disseminated intravascular coagulopathy (DIC), which was diagnosed by pathological studies of the amputated penis and skin biopsy. To our knowledge, this is the first case reported in Japan. This 72-year-old-man visited a hospital complaining of fever and cough, and was administrated for treatment of bronchitis and liver cirrhosis. A few days after admission, multiple purpura with edema and pain appeared over the skin regions on the bilateral knee joint, foot joint and upper extremities. A week after purpura appeared, priapism began. Regardless of irrigation and aspiration of corpora cavernosa and glans-cavernosa-fistula creation, penile necrosis developed. We had to perform penile amputation. The pathology of the amputated penis and skin, and blood coagulative examination suggested that DIC resulted in priapism. DIC was controllable by the use of FOY and heparin. He was discharged and is an outpatient.

著者

有地 滋

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.26, no.6, pp.719-724, 1980-06

著者

ISHIKAWA Hiromichi TAKESHIMA Hitoshi

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.1201-1205, 1984-09

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45症例につき検討した.乏精子症患者のセロトニンの平均値は80.1±33.0 ng/dl,無精子症患者のそれは107.0±41.2 ng/dlであり,その差は有意であった.精索静脈瘤のある例のセロトニン値の平均は83.4 ng/dlであり,ない例のそれは94.0 ng/dl,また,慢性副睾丸炎などの閉塞機転のある患者での平均値は80.3 ng/dl,ない例のそれは92.1 ng/dlであったが,それぞれ有意差は認めなかった

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.53, no.4, pp.259-261, 2007-04

著者

高崎 登 古谷 太門 宮崎 重 斎藤 宗吾

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.35, no.8, pp.1361-1364, 1989-08

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IMP患者についてその原因を検索するためのスクリーニングテストとして心電図R-R間隔CVを測定し,副交感神経障害に起因するものか否かについて検討した.CV 2.0以下のlow CVを呈し,副交感神経障害によるIMPと考えられた症例は,IMP患者762例中104例であった.このうちの50例に明らかな副交感神経障害因子が見出され,12例に副交感神経障害を起こす可能性のある因子が見出された.障害因子を見出すことができなかったものは42例であった

著者

田中 求平

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.19, no.1, pp.3-7, 1973-01

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Comparison was made between the series and the parallel connection of dialyzers in simultaneous hemodialysis of two patients with the dialysate supplier for single patient. 1) In the series connection, the top dialyzer showed the greater dialysis effect than the lower one, but the water deprivation effect was reverse. In the parallel connection, both dialyzers showed the equivalent work and the greater dialysis and water deprivation effect than either of the series dialyzers. 2) In the series connection, the patient of the lower dialyzer often complained chill due to lowering of the dialysate temperature. The parallel connection gave solution to this problem as well as to the psychological problem involved in the series connection. 3) In case of accident in the parallel connection, the dialyzer can be easily separated and the other dialyzer can continue dialysis without being disturbed.

著者

高羽 津 中新井 邦夫 生駒 文彦 佐谷 稔 岡本 英三

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.17, no.6, pp.401-413, 1971-06

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Complete reduplication of the urinary bladder is a rare con d ition. The patient here reported is 26-month-old girl, who visite d our hospital with chief complaint of anomalous external genitalia. Two external genita l i a were present at distance of about 10 cm, and further examinations revealed multiple malformations. These anomalie s consist in the urinary tract, female genital organs, gastrointestinal tract and skeletal system. In the low er urinary tract, complete reduplication of the urinary bladder was found. It was characteristic that each bladder had its own urethra and received one ureter. In the upper urinary tract left pelvic kidney was also demonstrated, w h ile right kidney was normal in position. Vesicouretera l refluxes were apparent bilaterally. Bilateral imperforated anuses with righ t perineal fistula were seen and roentgenologic examination gave a finding of duplicated rectum, but colonic duplications were not clearly demonstrated. Two appendices had been removed in the course of surgical repair for umbilical hernia at her age of 3 months in another hospital. Diastasis of the pubic bone, separated sacrum and a half vertebra with a rib were observed as the skeletal anomalies. Perineal ano p lasty was performed for a difficulty in defecation. Because of an immaturity and dysfunction of the urinary bladder, which are shown in the cystometrogram and electromyogram of the external vesical sphincter, cosmetic and urological reconstruction is now withheld. Thirty-one cases, i n cluding our own, of the complete reduplication of the urinary bladder were reviewed in the literature and discussed.

著者

町田 竜也 松岡 陽 小林 秀一郎 尾関 全 石坂 和博 岡 輝明

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.49, no.5, pp.257-259, 2003-05

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33歳男.会陰部腫瘤,歩行困難を主訴とした.4年前よりの会陰部腫瘤が徐々に増大し,歩行困難と坐位圧迫での疼痛をきたした.会陰部中央に小児頭大の腫瘍を認め,骨盤部MRIで壁の薄い嚢胞状腫瘤を認めた.内部は均一で,T1強調像にて低信号,T2強調像にて高信号を示し,液体成分と考えられた.骨盤内への浸潤や尿道,直腸との交通はなかった.会陰部の嚢胞状腫瘍の診断で腰痛麻酔下に腫瘍摘出術を施行した.嚢腫は球尿道海綿体筋を挟んで尿道とは離れていた.浸潤所見はなく完全摘除され,術後1年経過で再発も認めない.病理組織学的所見では内面は角化重層扁平上皮で覆われ,内腔に角化物質を多量に含んでいた.皮膚付属器や皮膚以外の組織は認められず,悪性所見も認められなかったためepidermal cystと診断された.会陰部のepidermal cystは稀で,自験例を含め本邦では6例の報告があるのみであった

著者

北山 太一 吉田 修 田中 正躬 久世 益治 広川 栄助

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.8, no.11, pp.663-672, 1962-11

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1. Twenty-two cases of foreign bodies in the bladder or u rethra were experienced at the Department of Urology, Kyoto University during past four years and four months. 2. Statistical study was made on 691 cases of foreign bodies in Japan s o far reported. It was concluded that recently foreign bodies such as suture materials were f requently seen in the patients who underwent gynecologic operation.

著者

小六 幹夫 丹田 均 加藤 修爾 大西 茂樹 中嶋 久雄 南部 明民 新田 俊一 赤樫 圭吾 佐藤 嘉一 半澤 辰夫

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.6, pp.333-336, 2002-06

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男性性感染症(STD)患者248例のアンケート調査結果について検討した.感染源は約70%の症例が友人やPick up(いわゆるナンパ)など,金銭の授受を伴わない相手であった.症状出現までに性交渉をもった相手の数は2.8人で,症状出現前のピンポン感染により一般のの人々にSTDが拡大している可能性が考えられた.STDに罹患したことをパートナーに伝えると回答した比率は,59.4%で高い比率では無かった.過去1年間の性交相手は平均5.8人で,若年層ほど高い傾向にあった.コンドーム装着率は12.4%(92/234)ときわめて低かった.Oral sexの頻度は82.0%(192/234)と高率であった.以上から,若年層において,広いsexual networkを形成し,無防備な性交が行われていることが考えられたIn Japan, there has been a rapid increase in recent years in the incidence of sexually transmitted diseases (STD), particularly in teenagers and people in their twenties. To determine the factors causing this increase in STD, we carried out a questionnaire survey on the sexual behavior of Japanese males. The subjects were 248 male patients who were treated at our outpatient clinic. The results of the survey showed that 1) about 70% of the male patients were infected through sexual intercourse with partners who were not paid for such services; 2) the average number of partners in the past year was 5.8, and the average number of partners was highest for the teenage group and decreased with age; 3) only 29 (12.4%) of the 234 males used condoms; and 4) 192 (82.0%) of the 234 males received oral sex. The results of the survey suggest that a large "sexual network" has been formed among young Japanese people and that a large percentage of young Japanese people are engaged in unprotected sex.

著者

塚本 哲郎 福井 巖 木原 和徳 後藤 修一 北原 聡史 小林 剛 児島 真一 大島 博幸

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.5, pp.351-356, 1996-05

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シスプラチンを含む全身化学療法を用いて治療したステージD2前立腺癌患者29例を3群に分けた. 1)H群:ホルモン療法が化学療法より4週を越えて先行したもの(9例). 2)C群:化学療法がホルモン療法より4週を越えて先行したもの,又は化学療法単独治療例(9例). 3)HC群:ホルモン療法と化学療法の関始時期の差が4週以内のもの(11例). Kaplan-Meier法による5年生存率は,H群が18%, C群が28%, HC群が78%で,HC群が他の2群に比べ良好であったWe retrospectively analyzed 29 patients with stage D2 prostatic cancer who had been treated with chemotherapy at the urological clinic of Tokyo Medical and Dental University Hospital between 1983 and 1992 to evaluate the efficacy of chemotherapy for advanced prostatic cancer. The patients were divided into three groups according to the starting time of chemotherapy in relation to hormone therapy; 9 patients who received chemotherapy more than four weeks after the initial hormone therapy (group H), 9 patients who received chemotherapy only or in combination with the hormone therapy more than four weeks previously (group C), and 11 patients in whom both therapies were started within four weeks (group HC). Follow-up period ranged from four to 108 months averaging 35. Combination chemotherapy including cisplatin was administered one to 17 times with the median of five. The five-year survival rates estimated by Kaplan-Meier method were 18% in group H, 28% in group C, and 78% in group HC, respectively (HC vs. C: p < 0.05, HC vs. H: p = 0.059). These findings indicate that a combination chemotherapy including cisplatin may improve the prognosis of patients with advanced prostatic cancer when it is started with the initial hormone therapy simultaneously.

著者

天野 俊康 今尾 哲也 竹前 克朗 山内 恵史

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.6, pp.377-380, 2009-06

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A 29-year-old man had been treated for hypertension for 10 years. He suffered from speech disturbance caused by cerebral infarction, and further examinations were performed. Computerized tomography scan and magnetic resonance imaging revealed a left adrenal tumor 6 cm in size. The radioisotope (MIBG) accumulated in the left adrenal gland. The serum noradrenalin levels were high. Thus, the diagnosis of pheochomocytoma in left adrenal tumor was made. He noticed ejaculation disturbance 5 days after starting administration of doxazosin at the dose of 3 mg/day for pre-operative blood pressure control. Sperm was observed in the urine sampling obtained after masturbation, thus his ejaculation disturbance was considered to be retrograde ejaculation. Laparoscopic left adrenalectomy was performed. After the operation, his blood pressure normalized and the administration of doxazosin has not been necessary. He could perform ejaculation without any trouble after stopping doxazosin intake. The bladder neck conditions measured by ultrasonography were the same before and after the administration of doxazosin. The present case is a very rare case of ejaculation disturbance caused by non-selective alpha 1 blocker doxazosin.

著者

楠見 博明

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.24, no.2, pp.p67-70, 1978-02

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患者は48歳の主婦で主訴は右側腹部疝痛で,ちょうど初診の約1年前にも同様の痛みを覚えたことがあった。レ線および膀胱鏡検査では結石像はなく,右腎は水腎症を呈し,右尿管カテーテル挿入は3cmまでであった。膀胱粘膜は正常であった。1974年11月21日、右腎尿管全摘出術を施行した。病理所見は,原発性尿管細網肉腫であった。術後抗癌剤を使用せず3年が経過したが現在のところ転移の所見はない。

著者

内島 豊 小林 信幸 諏訪多 順二 中目 康彦 吉田 謙一郎 斎藤 博

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.35, no.3, pp.447-451, 1989-03

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1987年1月より同年12月までに尿道炎あるいは前立腺炎で受診した55症例についてC. trachomatisに対する抗原および抗体価をそれぞれクラミジアザイム(EIA法)とIFA法で測定した.1)未治療の非淋菌性尿道炎症例において抗原の陽性率は44.4%であり,既治療の非淋菌性尿道炎症例での陽性率は20%であった.2)未治療の非淋菌性尿道炎症例においてIgG抗体価の陽性率は59.3%であり,既治療の非淋菌性尿道炎症例のIgG抗体価の陽性率は61.5%であった.3)非淋菌性尿道炎症例での陽性一致率は66.7%であり,陰性一致率は54.2%であった.4)未治療の前立腺炎症例では抗原の陽性率は9.1%であり,抗体価の陽性率は53.8%であった.5) IgG抗体価は治療と相関しない傾向があった.6) IgG抗体価は,治療開始後3ヵ月を経過しても正常化しなかった

著者

池内 隆夫 井口 宏

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.40, no.7, pp.587-591, 1994-07

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既往治療に対して頑固で難治の経過をとり,特に骨盤底緊張症状の強い17例のprostatodyniaの症例に,前立腺周囲または骨盤内の鬱血を改善する目的で低周波針通電を行ない,既往の治療法に比して明らかに高い臨床的有用性が期待できることを報告した

著者

池内 隆夫 上野 学

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.39, no.4, pp.321-325, 1993-04

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Prostatodynia症例において排尿症状の程度をBoyarsky scoreで算定して治療成績との関係を検討し,難治症例における尿流障害についてUFMで検索した。1)初診時より排尿に関する訴えが高度な症例(Boyarsky score 7以上)の頻度は9.3%に相当した。2)排尿症状が高度な患者は排尿症状がないまたは弱い患者に比較して治療成績が有意に低く,現行の治療法では反応しない前立腺以外の臓器に由来する別の疾患の合併または混入の可能性が強いと推測された。3)排尿症状が強く難治の症例のUFM所見は,最大尿流量率異常を89%に,尿流曲線異常を100%に認め,下部尿路の器質的または機能的障害に起因する疾患が強く疑われた。4)Boyarsky scoreによる排尿症状の程度の把握および排尿症状高度症例に対するUFMによる検索は,下部尿路の器質的・機能的障害に起因する疾患を鑑別してprostatodyniaから除外するためのスクリーニング法として臨床的有用性が高い