資料_斉藤

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1 J. -J. Rousseau and His Urologic Diseases Hiroshi Saitoh (Department of Urology, Saitama Medical School, Saitama Medical Center, Kawagoe, Saitama , Japan) Jean -Jacques Rousseau ( ) is the 18th -century thinker who has most profoundly influenced to vast areas of present-day philosophy, education, literature, politics, and religion. On the other hand, he was said to have been a complicated man who showed genius mixed with madness. His thought was full of paradox and contradiction, and he hardly could be considered a normal person. I studied his urologic diseases as described in his autobiography, Les Confessions, as well as his other works and letters. He described difficult urination accompanied by urgency in a pattern most consistent with congenital urethral stenosis, congenital urethral valves or neurogenic bladder. However, he noted no symptoms suggestive of urinary tract infection or renal dysfunction in early childhood, only later complaining of urinary tract infection symptoms. He eventually underwent transurethral manipulations with urethral sounds and catheters as treatment for difficult urination. Severe urethral pain in his later life may have been related to so-called prostatism or prostatodynia. He finally complained of a severe headache following a morning walk and breakfast. He died suddenly soon afterward, presumably of cerebrovascular disease, at the age of 66 years. Keywords: Rousseau, pathography, urology, urination J Saitama Med School 2004;31: (Received June 11, 2004) Jean-Jacques Rousseau, ) 1) 1) 1, 3, 8-10) Pathography 11) ) 3, 13) 3) 3) 14, 15) )

2 17) ) ) ) ) ) 2) 21)

3 ) 3) , ) algalie; sonde creuse 14) ; une grosse pierre prostate étoit skirreuse et d une grosseur surnaturelle )

4 ) ) 6) De Medicina

5 108 22) 23 26) 21) 6) 1) 2) 3) ) 5) 7) 8) 9) ) )

6 un vice de conformation dans la Vissue rétension d urine 14) fréquens besoins d uriner 1,5,6,7,8,10,11 1, 3) ) ) 7) congenital urethral valve neurogenic bladder sonde 14) bougie 14)

7 27, 28) 3) ) 29) , 31) 19) violente néphretique, colique néphretique silent stone prostatisme sans prostate prostatism prostatodynia X ) 19) surnaturelle 49 skirreuse squirreux

8 déclarer mal 3) 1 19, 33) 10) 36 21, 7) 18, 19) 8) ) 3, 20)

9 , 3, 7) 1, 3) 3) 1) cerebrovascular accident; C.V.A. intracranial aneurysm ) ) prostatism symptom complex prostatisme sans prostate : silent prostatism prostatodynia: dysuria Dysurie 2 3) ) Mme de Warens 3) 1) ) 3) 3, 15)

10 ) ) empowerment advocacy Quality of Life, QOL 21) 8 18) 19) ) ) 1).. : ; )... : ; ).. : ; ).. : ; ).. : ; 35. 6).. : ; )... : PHP; )... : ; ). J. -J.... : ; 48. p. 327, )... : ; p. 146, ).. : ; ).. : ; ).. : ; ) Rousseau Jean-Jacques. Les Confessions. Geneve: Gallimard; ).... : ; ).... : ; p. 48, )... : ; ).... : ; ).... : ; 2003: p ).... : ; ).. : ; ). 2000;8: )..,. : ; p. 32, 80, )...,. : ; p. 32, 135, 147, 219, 288, 406, )..

11 : ; ) ;17: )... : ; p ) C:.. : ; p ).... : ; )...,,. : ; p ).. : ; )... : ; ) ;31: ),,.. : ; ).. : ; ) Tanagho EA, McAninch JW. Smith s General Urology, a Lange medical book, Tokyo: Prentice- Hall International Inc; ) Clinical Practice Guideline. Benign Prostatic Hyperplasia. Rockville: AHCP, Publication; ) Dorland s Illustrated Medical Dictionary. 25th ed. Philadelphia: W.B.Saunders; ).. : ; The Medical Society of Saitama Medical School

Fig. 1 Clinical findings and extent of inflammation area in female urethrocystitis Fig. 2 Classification and distribution of female patients with blad

Key words: Female with bladder irritability, Subjective symptoms, Pyuria, Bacteriuria Fig. 1 Clinical findings and extent of inflammation area in female urethrocystitis Fig. 2 Classification and distribution