膀胱拡大術の臨床研究 : (その2)ノベクタン(液体合成樹脂)噴霧の薄紙を用いた萎縮膀胱拡大術の研究(3)

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Case 1 reported in "A Study on Cystoplasty by Regeneration of Contracted Bladder Using Novectane (Liquid Synthetic Resin)-sprayed Thin Paper (1)"^<1)> showed the simplest symptoms of tuberculous contracted bladder. Cystoplasty was conducted for a certain period on this case by means of an artificial material prepared by spraying Novectane on a core of thin Japanese paper, with a successful result of increasing the bladder capacity from 50-60 to 400cc. This case has been under postoperative clinical observation for more than four years. Case 2, one of the two cases reported in the same "series (2)"^<2)>, had a bladder capacity of 20cc with vesico-ureteral reflux. Another case, Case 3, who had been urinating through nephrostomy for more than a year because of complete stricture at the lower end of ureter, had a bladder capacity of approximately 50cc. Both cases underwent cystoplasty and ureterovesicostomy simultaneously, which succeeded in increasing the single urination volume up to 300-400cc. These cases have been under postoperative clinical observation for more than three years. Case 4 in the present report is a 34 years old male. To his left residual kidney is inserted a Nelaton's catheter through which he urinated for more than three years. The presence of calculus was confirmed in the upper ureter. Fig. 1 is a radiophotogram of the calculus as indicated by an arrow. The bladder and urethra show conspicuous pathological states with the bladder capacity of less than 3cc and extensive tuberculous stricture in the urethra. Fig. 2 shows a state of contracted bladder and urethrostenosis. A Nelaton's catheter is inserted into the lowest part of the pelvis renalis and the calculus and the extensive complete stricture are present at the upper and lower parts of the ureter, respectively. Fig. 3-(1) gives patterns of the pelvis renalis, ureter, and bladder. The state of Case 4 may be expressed by (1) left renal fistula, (2) ureteral calculus, (3) extensitive complete ureteral stricture, (4) contracted bladder with a capacity below 3cc and (5) urethra stricture. This is the most serious state in urinary tuberculosis as shown in Fig. 4-(A).
社団法人日本泌尿器科学会の論文

膀胱拡大術の臨床研究 : (その2)ノベクタン(液体合成樹脂)噴霧の薄紙を用いた萎縮膀胱拡大術の研究(3)

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