- Medical treatment statistics
World War I was over, and The Jikei University School of Medicine urology Department was established as the first Department of Urology in Japan in February, 1922 (1922) when Washington navy arms limitation treaty Washington Treaty on the Limitation of Naval Armament was linked. It was the next year of the The Jikei University authorization than establishment of Seiikai Kosyujyo which was forerunner of The Jikei University School of Medicine 41 years later.
When Kanehiro Takaki of navy army surgeon opened Seiikai Kosyujyo in 1881 (Meiji 14), The Jikei University School of Medicine begins. We changed with Seiigakkou, Tokyo Jikei Clinic medical school, Tokyo Jikei Clinic medical college, Tokyo Jikei society medical college, and The Jikei University School of Medicine was authorized afterwards from the Ministry of Education as first Japanese private single department medical college on October 19, 1921 (Taisho 10).
There was not Department of Urology, and the field of urology department was treated with dermatology and a surgical part in those days. Therefore studying abroad in Europe persuaded Bunzo Asakura (figure 1) who was the same period in the same class of President Eigoro Kanasugi The Jikei University, too and received in The first professor.
Professor Bunzo Asakura was born as the second son of Obata, Gunma feudal clan small counselor Yoshinori Asakura on September 3, 1863. The name was named Bunzo than sentence of born name of an era Bunkyu and three of three years. He graduated from a section according to the (1888) Tokyo Imperial University Faculty of Medicine in 1888 and majored in surgical medicine.
Study in visit to Europe in 1895, and is Germany, Bern The Jikei University of Freiberg; Prof. He learned from Kocher, Prof Jadassohn and majored in urology. He brought a cystoscope and, at the time of return home of 1896, introduced our country for the first time. He established the Asakura Hospital who was specialized in the urology department in 1898 (figure 2) in Kojimachi ward Fujimi-machi. It is The first professor figure 1
(from 1922 to 1929)
Bunzo Asakura (1864-1935)
In 1902, study in the second visit to Europe, and, in the case of return home of the next year, was newer; took an urology instrument home in various ways. He practiced the text of the cystoscope, kidney enucleation, lithotripsy, a benign prostatic hyperplasia operation and, after return home, was received a gift in doctors of medicine from Tokyo Imperial University in 1903.
He attended at the international urology department society (London) and he entered eight Saburo Akutsu and others comrades and eyes book urinary disease society establishment preparations after return home on November 30, the same year and held the first urinary disease society general meeting on April 3, 1912, and, in 1911, as for Asakura, it was with Chairperson first generation. He wrote "the value of the destruction by fire method of his refuse gone intravesical sphincter region for anischuria" and "cystoscopy" in the clinical achievements. He untied particularly cystoscopic importance, and there was big contribution in making a special ability of this technique universality. He made a phosphorus gray improvement type cystoscope and a mirror of the same type in Japan in the sixth urinary disease congress in 1917, and a demonstration did this, and even this country showed what a cystoscope could make (86 pages of seven Japanese urinary disease society magazines 2).
In 1922, Bunzo Asakura closed Asakura Hospital taking the opportunity of what reached the 60-year-old sixtieth birthday, but we were invited as Professor in February, 1922 by The Jikei University School of Medicine. Ichiro Watanabe of Akutsu Hospital in urology department special hospital assistant director took office as Assistant Professor, too, and lecture, medical treatment were expanded afterwards.
Jikei Tokyo Hospital was enlarged in May, 1923, and urology department Clinical Services was installed in the hospital, but, approximately three months later, hospital was destroyed by fire by the Great Kanto Earthquake.
Tokyo Hospital revived in February, 1924, the following day, too, and Ichiro Watanabe was appointed by urology department manager, and medical treatment was reopened with assistant Seizo Yanagida. On the other hand, Professor Asakura, Mr. Shindo Kosuke, Takeda Hisataka engaged in medical treatment in Jikei society Clinic. He published a book of "a classification of the renal disease and the treatment" in 1925, and Professor Asakura played an active part widely in the medical world, but resigned from Professor for advanced age in 1929.
We were recommended to the honorary chairperson of Japanese urology department society in 1930, but angina turned worse and died at 72 years old on February 2, 1935, cold day. It is Asakura Hospital figure 2
In 1930, Ichiro Watanabe (figure 3) took office as the second Professor. Professor Watanabe was born in Shimotsuga-gun, Tochigi in 1889 and he graduated from Jikei society Clinic medical college in 1912 and majored in a surgery and studied abroad in the United States in 1916.
He graduated from Chicago Hospital medical school in the United States, and a title (figure 4) of doctor of medicine was conferred. Furthermore, he mastered urologic surgery in the University of Michigan and went back to my own country in 1919. He acted as the assistant director at Akutsu hospital which was urology department special hospital after return home, but he was invited to the urology department Assistant Professor of the old school in 1923 and hit the medical treatment of the urology department at Tokyo hospital.
At the 16th urology department society general meeting (1927), he performed a special lecture of "the Operation for BPH" and promoted a prostatic operation in this country.
Give a lecture on "bladder mucosal layer of tympanic membrane" at general meeting in 17 times of 1928, than nine months fetus of bladder tissue until 69 years old considered, and secretory gland which was inherent to mucosal layer of tympanic membrane reported that was not admitted. He formed by collection of urology departments society for the purpose of the clinical conference in Tokyo District in 1929. This meeting developed into urology department society Tokyo region meeting later. It is second charges Professor figure 3
(from 1930 to 1951)
Ichiro Watanabe (1889-1951)
He recommend application of metreurynter as styptic treatment after the benign prostatic hyperplasia operation in 1932. This has the same principle of currently used balloon catheter.
In 1935, he reported transurethral resection of prostate (TUR-P) which was using an endoscope. Staff was Shindo Kosuke, Kakuzo Hamaya, Toda Denichiro, Kudo Heigo, Hiroshi Imaizumi, Kondo Takumi, Katsumi Hagita, Miwa Shigeru in those days. It is surgical therapy for nephrophthisis to be mentioned specially in achievements of Professor Watanabe, and, before sudden death, higher than 1,000 were performed, but it is said that operation was quick and elegant. In addition, we reported that use of drain hastened healing of operation wound.
He announced "abdominal pain and the urine" in 1938 and state, "you must not regret trouble of the urinalysis" because two of 29 urolithiasis was misdiagnosed as appendicitis and underwent a resection.
Hiroshi Imaizumi Assistant Professor announced "cystometrography" in 1943 and won Sakaguchi Prize of this year. This examined 520 original common usages and was superior study that measured intravesical pressure of 98 more abnormal bladders.
The 1943 Pacific War became fierce, and staff decreased, but medical treatment did not continue being absent from. After the defeat of 1945, slowly staff returned home, too, and Professor Watanabe took office as Tokyo region meeting's chairperson and tried for revival just after the end of the war. However, on January 24, 1951, he died suddenly of 62 years old because of subarachnoid hemorrhage. It is a title of doctor of medicine of the Chicago hospital medical school figure 4
Takeshi Minami (figure 5) took office as the third Professor in 1952. Professor Minami was turnover from surgery assistant professor. The Professor Minami was born in Fukushima on November 30, 1909 and graduated from the Jikei University School of Medicine in 1935 and he majored in a surgery and it was clinical and did, "I learned than a patient" with a motto and was accomplished the point that was a graduate in thing namely "Of nothing comes nothing" which did effort hard work in the study again.
He followed and, in 1953, announced "the statistical observation of urolithiasis" about "the clinical study of the bladder tumor" in the 41st general meeting.
He named staff, a research worker, Doumonkai' of Department supporters Shigenkai' in December, 1954 and formed it. There was person who staff of copy contracted with Mitsubishi marine transportation economically in the times that were recession, and ran through the world as ship's doctor in those days. Study of artificial kidney began in 1956. It is tertiary charges Professor figure 5
(from 1952 to 1975)
Takeshi Minami (1909 ...)
Professor Minami studied abroad for training in European and American urology by oneself one year in 1957. The urology department was installed in this age Jikei tertiary branch hospital, and Mori went on a business trip for the first head physician.
Original electrodialysis of Professor Kushimoto (aviation medicine assistant professor) was finished in 1958, and artificial kidney was completed, and small size was simple and easy, and it became big topic to be high-performance. Hiroshi Ando was appointed in 1960 when radioisotope, study of renogram were pushed forward from 1959 by Ando, Machida and others by assistant professor and went on a business trip as Urological chief of Kose Hospital afterwards
In October, 1960, the 25th eastern part alliance district society general meeting was carried out, and Professor Minami announced "two, three problems of migration kidney disease" as chairperson Lecture. A lot of operations of the benign prostatic hyperplasia by TUR came to be performed by Ken Koshiba who went back to its own country than studying abroad for visit to the United States in 1961. In addition, Tsutomu Ohori made transfer (the back, Professor, President) to Iwate Med. Univ. urology department assistant professor in the same year.
October, 1962, main building ward old newly; was completed. Cash register tent system was adopted as the education system of Department in the year, and system of training as urologic surgery of young doctor was made. This is continued now and becomes one characteristic of my Department. In 1963, Ichiro Chino took office as assistant professor. We made standard of natural discharge of Urinary stone in 1964 and showed that we avoided useless operation. In addition, we devised Urinary stone surgical method "side perpendicular incision legal ureterolithotomy" newly and performed Lecture with movie in the thirteenth international urology department society in London. Since then line no cutting ureterolithotomy namely south expression ureterolithotomy came to be performed widely. As for the Professor Minami, medical doctor was always educated saying "it is vital for doctor to carry out this words of What can I do to help the people around me.".
Hiroshi Ando was elected in 1967 by Toho medical college urology department Professor. It was held chairperson and dehiscence Professor Minami the sixth Japanese Society for Artificial Organs general meeting in 1968. We hosted the 58th Japan urology department society general meeting in 1970, and Professor Minami preached importance of education that "urologic education" was not regarded as important at the time of act in chairperson Lecture.
Furthermore, other schools Professor (Professor Tohoku University Shishido, Professor Chiba University Momose and others) and exchange lectures (figure 6) came to be carried out for medical student education. Akira Ishibashi took office as an assistant professor (Professor, Director) in Kitasato University urology department Professor Ken Koshiba for 46 years, the following day. In addition, it was hosted by Professor Minami, and nuclear medicine general meeting was held in the eleventh in the same year and invited Ms. one Yalow of developer of radioimmunoassay (RIA) as foreign speaker. Furthermore, as for the Assistant Professor Machida, Japanese Society of Nuclear Medicine prize was invited in receiving a prize, the American Japanese Society of Nuclear Medicine by renogram study. Thereafter, as for the study of Department, isotope and study of renal function and study on treatment of malignancy were performed widely continuously.
Professor Minami was retired from in 1975, and title of emeritus professor was given. As for the last lecture, it was given a lecture titled "recent progress of the urology department" on February 14, 1975. Ichiro Chino took office as the same year as Kyorin University Faculty of Medicine urology department Professor. Figure 6 from the left Professor Minami, Professor Momose (Chiba University):
Professor Shishido (Tohoku University)
Machida Toyohira (figure 7) took office as the fourth Professor in April, 1975. Fujio Masuda became assistant professor successively in October of the year and had the system of new Department. Kiyoshi Kudo was transferred as Kyorin University urology department assistant professor in November.
Staff at that time aimed at establishment of Department that harmony was able to take study, education, medical treatment as three mainstays as basic policy in 30 people. As original important study theme with "the use of radioisotope diagnosis in urology department domain there was development" "radiation therapy of urinary tract boy sexual organs tumor", but study group divided into four branches of kidney group, RI study group, infection group, organization group afterwards, and presentation of the results of the study was performed energetically. Department annual report comes to be published than this age and is issued regularly afterwards.
He performed the development of the kidney scintigraphy scanning agent, improvement of the pyeloscope, the excitation-contraction coupling function of the marmot bladder line, the use experience of each drug, a study of the experiment cryptorchidism about the immunocompetence in cancer patients in 1977. In addition, Mr. Minami Takaaki studied in the American duke The Jikei University, and Shoichi Onodera was dispatced for studying microbiology under group size Professor Susumu Mihashi.
In 1980, Transcatheter embolization was performed as renal cancer cure CEA as malignant tumor marker, study of AFP energetically again. In addition, The national Okura Hospital, The national Oji Hospital were added than this age as affiliated hospital.
Professor Machida became hospital assistant director attached to The Jikei University from 54. Study of Department increased study on measurement by the RI method of PAP, many studies such as the use of Optical urethrotomy, the measurement of polyamine urinary about R plasmid, treatment of male sterility, diagnostic method by CT newly. In addition, it was taken office as assistant professor, and, in the same year, Miki became third branch hospital's manager. And, in 1981, metropolitan Taito Hospital became affiliated hospital, and Department met opening of a course 60. Figure 7: The fourth Professor
Toyohei Machida (1928 ...)
In addition, Professor Emeritus Takeshi Minami was made Second Class Order of the Sacred Treasure in November. Fuji City central hospital becomes affiliated hospital in July, 1984 (Showa 59).
He performed holding (chairperson Toyohei Machida Professor) of eastern part of the 49th Japan urology department society general meeting in October of the year. Assistant Professor Fujio Masuda performed "about homework report factor which controlled treatment result of renal cell carcinoma" in the meeting.
In addition, Makoto Miki took office as Tokyo Medical University urology department Professor (1985) in April in 1985. In addition, Assistant Professor Fujio Masuda performs homework report "problems over treatment of renal cell carcinoma" at the 73rd Japan urology department society general meeting. Hoshi General Hospital and Ekiseikai Tokyo hospital became affiliated hospital in 1986 (Showa 61).
He sponsored the sixth Japan image medical society general meeting in (1987) in 1987, and Toyohei Machida Professor performed "the trial to the three-dimensional image of the kidney" as a chairperson lecture. Fujio Masuda took office as Professor, and The Jikei University Kashiwa Hospital opened a Diet session in Kashiwa-shi, Chiba as The Jikei University branch hospital in April. In addition, JR Tokyo General Hospital became affiliated hospital at the same time. It was the 30th Japanese Society of Nephrology general meeting in October of the year, and Toyohei Machida Professor performed education Lecture "lnterventionalRadiology of kidney".
Hospital and Tokyo rehabilitation hospital attached to Kanagawa hygiene The Jikei Training School for Nurses became affiliated hospital each in 1990 (Heisei 2). Holding was the third World Congress of Videourology again in meeting of the 70th anniversary of the Department opening of a course in April, 1991 (Heisei 3) in July, and "Thoraco-abdominal radical nephrectomy" of Professor Fujio Masuda won Olympus Citation.
He performed sponsorship (chairperson Toyohei Machida Professor) of the 32nd Japanese Society of Nuclear Medicine general meeting (1992) in September in 1992. Toyohei Machida Professor became the retirement in 1994 (Heisei 6), and commemorative lecture performed and "we demand intellect of medical one clinic as occupation". Title of emeritus professor was given at the same time.
Yukihiko Oishi (figure 8) took office as the fifth Professor in April, 1994. In addition, Professor Emeritus Takeshi Minami was recommended as American urology department society honorary membership.
Professor Yukihiko Oishi takes office as affiliated hospital director in January, 1997 (Heisei 9). January, 1998 (Heisei 10): Professor Yukihiko Oishi took office as Japanese urology department society Tokyo region meeting's chairperson. Shoichi Onodera took office as Professor (2000) in June in 2000. In addition, the Sashima Red Cross hospital became affiliated hospital in July. Sponsorship (chairperson, Professor Yukihiko Oishi) performed the assumption of office of the 14th Japanese socity of geriatric urology to Professor Yukihiko Oishi, Faculty of Medicine long illness director meeting vice-chairpersons of the whole country more in May, 2001, and holding (figure 9) did a meeting of the 80th anniversary of the Department opening of a course.
Brachytherapy for prostate cancer the first time in Japan was started in Tokyo medical center in September, 2003, but Brachytherapy (figure 10) was started at October, the following day in our hospital and was enforced 211 by October, 2005. This is equivalent to approximately 10% of Japan of the whole. It is fifth charges Professor figure 8
Yukihiko Oishi (1928 ...)
Professor Oishi retired in March 2004.
Shin Egawa (figure 11) took office as sixth Professor in April, 2004. We holds 3 branch hospital, 10 affiliated hospital other than The Jikei University Hospital with 65 staff now. Figure 11:
The sixth Professor Shin Egawa
As before, we opened a course in The Jikei University School of Medicine (figure 12, 13, 14) urology Department as the first urology Department in this country in 1922 and started medical treatment in 1923, the following day.
The urology department becomes independent in affiliated The Jikei University Kashiwa Hospital (figure 17) sequentially in 1987, and the urology department is established in affiliated The Jikei University Aoto Hospital (existing The Jikei University Katsushika Medical Center, figure 16) in 1963, and the urology department continues up to the present day as urology Department which we held bed capacity that is largest for the Japanese university hospital urology department in affiliated The Jikei University Daisan Hospital (figure 15) for the next 1,957 years.
The Jikei University Hospital accommodated wide introduction patient of Tokyo and the suburbs as specific function hospital, the second first aid designation hospital, and, as for the one The Jikei University Katsushika Medical Center, The Jikei University Daisan Hospital of Katsushika-ku carried medical care of each area on suburbs of Tokyo Komae-shi, The Jikei University Kashiwa Hospital of Chofu-shi as Kashiwa-shi, Chiba and the suburbs, each core Hospital. Figure 12 The Jikei University Hospital outpatient department ridge (Nishishinbashi, Minato-ku, Tokyo): Figure 13 (the left): The Jikei University Hospital hospitalization ridge (Nishishinbashi, Minato-ku, Tokyo)
Figure 14 (the right): The Jikei University School of Medicine The Jikei University Harumi Toriton Clinic of Jikei Hospital
- Figure 15 The Jikei University Daisan Hospital (Komae-shi, Tokyo):
- Figure 16 The Jikei University Katsushika Medical Center (Katsushika-ku, Tokyo):
- Figure 17 The Jikei University Kashiwa Hospital (Kashiwa-shi, Chiba):
It is the change of the outpatient department new patient number of patients figure 19 We showed the foreign new patient total number (figure 19) and number of the bladder urethroscopy according to the year of outpatient department section in (figure 20). 2000-3000 a year new patients received our department with each hospital and showed tendency to increase year by year. We performed bladder urethroscopy with each hospital urology department in outpatient department for these 20 years, and we were alone, and person who received multiple endoscopy carried out around 1,000 a year bladder urethroscopy although we were, and it was almost calculation that endoscopy was done as for one of three of newly ill patient.
It is the change of the number of cystoscope enforcement figure 20
Decrease in urogenital tuberculosis that was specific infectious disease was recognized as each hospital for main urinology infectious disease from about 1985, and after that 1981 through 1986 showed tendency to decrease to sexually transmitted disease (STD) at peak. It was different, and, as for acute cystitis, the year did not have the increase and decrease with each hospital either, but we received designation in The Jikei University Hospital as identification function Hospital in 1994, and it was that purpose, or, as for this disease, it was one of the diseases that there was few indicating decrease.
We almost showed tendency to increase with each hospital, each malignant tumor for malignant tumor, but increase from the late 1980s when abdominal ultrasonography came to be carried out in generalists as for the kidney malignant tumor positively was remarkable, and prostate cancer increased from the early 1990s when prostate specific antigen(PSA) spread.
It is the change of the hospitalization number of patients figure 21
We show the hospitalization total number (figure 21) according to the year, the operation total number (figure 22) in hospitalization section.
We showed tendency to increase with the number of the hospitalization, the number of the operations at each hospital, and, in approximately 700, each outbuilding, around 300-400 were hospitalized with The Jikei University Hospital a year recently.
But measure shortening for length of stay because we have limit to urology department bed capacity with each hospital; is under the pressure of necessity. As for both tumors, increase was remarkable except testicular tumors for malignant tumor, and it followed that we supported change of recent this country cancer number of patients.
We increased with increase of each disease and were still placed as TUR-P, TUR-BT as main operations of each hospital urology department from the number of the operations even now in TUR which was representative endoscopic operation of the urology department.
As for the Urinary stone treatment, outside the body expression shock wave lithodialysis device (ESWL) is installed in The Jikei University Hospital since 1987 (EDAP LT-02, Dornier Lithotripter D)
We assume ambulatory medical treatment as, principle. The Urinary stone hospitalization number of patients showed tendency to increase including The Jikei University Hospital with each hospital, too. As for the operation for Urinary stone, skill in open cut stone was carried out flourishingly until about 1984, but it took as PNL,TUL afterwards and was taken place, and it became clear that PNL,TUL decreased with adaptation expansion of ESWL more.
We gave an outline in this About us, study, medical treatment situation as things mentioned above.