岐阜大学泌尿器科学教室における17年間の尿路結核の臨床統計ならびに結核性萎縮膀胱に対するS状結腸膀胱形成術の術後経過について (シンポジウム: 尿路***結核の昨日・今日・明日第22回日本泌尿器科中部連合地方会 )

概要

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A clinical statistics were made on urinary tuberculosis eXperienced for seventeen years (1955-1971) at the Department of Urology, Gifu University. I. Statistics 1) Urinary tuberculosis occupied 1.06% of all the outpatients (326/30, 686). 2) In 1955, its incidence was 2.67%, then gradually decreased to 0.26% in 1971. 3) The fourth decade showed the highest incidence followed by the third and fifth. Recently the aged patients have been frequently encountered. 4) Both sex were same in incidence. 5) Both sides were equally involved. 6) As to chief complaints, bladder symptom was most frequent, and asymptomatic hematuria or renal symptoms were often noted recently. 7) Typical cystoscopic findings are now rarely encountered. 8) Microscopic proof of acid-fast bacilli in urine is becoming difficult. 9) Pyelographic findings have not changed much. 10) Nephrectomy is now performed only for advanced cases. II. Postoperative results of sigmoid colocystoplasty for tuberculous contracted bladder. 1) Vesical capacity increased to 200-300 ml. No megalobladder was seen. 2) Urinary frequency greatly diminished. 3) Two-step voiding was seen in two cases. 4) Residual urine was 0 to 60 ml. 5) Postoperative urinary infection was seen in 4 cases, which was not persistent. 6) No abnormalities of serum electrolytes were noted. 7) No harmful effect on the kidney was observed.