全子宮脱に両側水腎症を合併した1例

A CASE OF TOTAL UTERINE PROLAPSE WITH BILATERAL HYDRONEPHROSIS

緒言

　女子では，排尿障害を主訴として泌尿器科を訪れることが多い。その要因として尿路以外の疾患，特に婦人科的疾患が多いのが特徴であり，この問題は第46回日本泌尿器科学会総会でもとりあげられた^1）。

　われわれは，排尿障害と両側水腎症を合併した全子宮脱症例を経験したので，若干の考察を加え報告する。

The patient was a 48-year-old wife with uterine prolapse which had been noticed for 3 years but was not treated because of shame. She was admitted to our hospital with a diagnosis of total uterine prolapse on August 25, 1975. DIP showed bilateral hydronephrosis with remarkable cystocele. Trans-vaginal total hysterectomy, anterior and posterior colporrhaphy, and levator-suture were performed on September 11, 1975. In regard to the bilateral hydronephrosis, the right side made an excellent impro-vement 10 days after surgery and the left side became good in 1 year.