The Japanese Journal of Urology

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Recently I have experienced 6 cases of foreign bodies in the urinary bladders in our clinic and I have collected 156 cases of foreign bodies in the bladders from the literature in Japan with our 6 cases until 1932 with the following results.
1. From a standpoint of age, it takes a large percentage of the cases between 21-30 (30%) and the proportion between man and woman is 3:1
2. Variety of the foreign bodies are as follow:
a) Candle and candle-like substances are 20.4%.
b) Rubber catheters are 14.2%.
c) Thin metal manufactured goods are 12.3%.
d) Roots and stems of plants are 10.5% and so on.
3. The courses of foreign bodies into the bladders are of two ways, one is from urethra (120 cases) and another not from urethra (33 cases).
4. Foreign bodies in the urinary bladder by masturbation show 46.6% and by the doctor's fault 10%.
5. Substances which were used for masturbation are as follows.
a) Candle and candle-like substances are 26 cases (44%).
b) Thin metal manufactured goods and plants are 11 cases (18.6%).
c) Rubber tubes are 4 cases (6.6%).
d) Chopsticks and pencils are 4 cases, (6.9%).
e) Clinical thermometer and glass-rods 3 cases (5.1%).
6. 10 patients in those cases did not complain of any trouble for a long time after they had introduced foreign bodies into the bladders.
7. In 79 cases formation of calculi with foreign bodies in the urinary bladders (82.3%) were found.
8. For diagnosis of foreign body in the urinary bladder cystoscopy is necessary and enough, it is interesting to take X-ray photograph and when the foreign body is negative by X-ray, then pnenmocytography must be tried ofter washing the bladder with “Umbrathor” about 10-20c.c.
9. Non-operative therapy is best and as a candle solvent (Xyrol) is convenient.

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About five years have elapsed since “Fluogin” was first introduced into the circle of our clinic, for treatment of Gonorrhoea. During this period, experiences and reports have testified its satisfaction.
“Fluogin”, which consists of “Argentum fluoreslinicum”, is a tube made in a length adjustable to the urethra of both, men and women. This is being used with general approval for its characteristics, namely: a very strong aseptic effect, harmless to the urethral-membrane, permeation and able to be used easily and conveniently even by those who are not doctors.
I personally have found a valuable effect of the “Fluogin” in the following cases:
1. Having used it in the treatment of Sea-men's Gonorrhoea, I could check the desease in the fore-part of his urethra only, without causing various complications and had him recovered completely.
2. There are persons who cannot consult a doctor everyday due to their business. In such cases, this “Fluogin” has helped them to recover in almost the same degree of process as if they had been treated by a doctor everyday.
3. When the condition of the desease is in such a state that it necessitates to wash the urethra twice or more a day, and if the patient has not sufficient leisure, the use of “Fluogin” on such occassion is helpful to assist in the doctor's treatment.
Therefore, according to the foregoing experiences, though I have no opinion whether we can cure gonorrhoea completely with the exclusive use of “Fluogin”, I can assure that it is very helpful to assist the recovery of the desease when the patient cannot attend his doctor regularly.

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