Report from an Urologic Clinic in Rural Area
10.2185/jjrm.23.20
- VernacularTitle:佐久総合病院後腹膜科 (泌尿器科) の診療活動報告
- Author:
Kimio Fujita
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
1974;23(1):20-26
- CountryJapan
- Language:Japanese
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Abstract:
In a year, from the beginning of my clinic on July 1972 until June 1973, 1, 110 patients have visited; 628 were male and 482 were female.Males showed the tendency to retain hospital visit in spring and autumn when they are busy with farming.Out of 1, 110 patients 71 were refered from doctors outside of the hospital, 346 were from other clinics in the hospital.
Diseases were classified following the International Classification of Disease.Simple cystitis, benign prostatic hypertrophy and upper urinary tract calculi were most frequent.
Their, and also doctors who concerned, misunderstanding and ignorance of recent progress in urological management stimulated me to survey my experience and explain modern trends in the field.Urinary tract tuberculosis were sometimes considered as nonspecific chronic cystitis;ureteral stones were not recognized on x-ray film;postrenal uremic state were confused with renal parenchymal failure. The value of pyelolithotomy in situ and transurethral resection were also stressed.
