経直腸的前立腺穿刺造影法 : 手技について

概要

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In order to show the prostate roentgenologically, several methods have been attempted with poor results. We have succeeded to display the prostate clearly by the method of direct injection of water soluble contrast medium into the prostate by rectal puncture. After insertion of a 17 gauge canula into the prostate without anesthesia, 76 percent of Na and Methylglucamic salt of N,N'-diacetyl 3,5-diamin0-2,4,6-trijod benzoic acid (Urografin) is injected slowly, then the first roentgenogram is made. Second film is taken simultaneously with pneumocystography and urethrography. These two roentgenograms show the clear-cut prostatogram, and also the relation between the prostate, the urethra and the bladder neck. There are several merits in this method ; (1) Prostatic puncture can be done without anesthesia. (2) Successive puncture of another lobe of the prostate is very easy. Fifty cases were taken with this method, and excellent prostatograms were obtained especially in cases of prostatic hypertrophy. Few complications, an attack of fever of 38℃ and slight pain on urination occured but disappeared in a few days.
社団法人日本泌尿器科学会の論文