遊走腎の治療について

Abstract

A survey was made to obtain accurate informations concernin g the indication for the surgical treatment of nephroptosis, the frequency and the method of nephropexy, the results of the surgery and the nonsurgical treatment of nephropexy, the results of the surgery and the nonsurgical treatment of nephroptosis based on the informations collected from forty eight of the University and General Hospitals in Japan. A pertinent questionaire regarding the same items was sent to several urologists in the United States and in the United Kingdom. The frequency of the nephrop e x y for nephroptosis during the period of 5 years from 1961 to 1965 in Japan was 9.5%, while it was 10.7% during the same period in the Department of Urology of Wakayama Medical College Hospital, in which the percentage was decreased to 2.1% in 1966. Many urologists in Japan feel that there are definite limited indications for nephropexy, but the operation has been done still much more frequently compared with that in the United States. Several asp e cts of the contributing factors, on which the nephropexy has been considered by most urologists in the United States to be seldom indicated, were discussed in relation to the several problems of the indication for the nephropexy.