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  1. Operation with a robot
  2. A calculation method of trigonometrical function sin(x),cos(x) and arctan(x)
  3. A solution of biquadratic expression in figure
  4. Chemical Prostatectomy in outpatients
  5. Treatment of Interstitial Cystitis
  6. The Theory of ICS for the treatment of overactive bladder is wrong
  7. Chronic prostatitis
  8. Enuresis nocturna and frequency in childhood
  9. Atraumatic percutaneous nephrostomy
  10. Computer simulation of cryosurgery
  11. This is Japan
  12. riddle! Poikani...Homepage of coworker(req.JapaneseFont)

Nephrostomy with a robot
See http://www.ncbi.nlm.nih.gov
Sakaguchi T. Percutaneous puncture with robot. Hinyokiyo 31:1265-1268, 1985.

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A calculation method of trigonometrical function

sin cos tan arctan trigonometrical function in 1984 Z-80 assembler
Ao=0 Bo=180 Bn=Bo/(2**n) An+1=An + Cn*Bn , Cn=1 or 0
while c=1 then sin(An+1)=sin(An)*cos(Bn) + cos(An)*sin(Bn) cos(An+1)=cos(An)*cos(Bn) - sin(An)*sin(Bn) n=n+1
else n=n+1

Tables of sin(Bn) and cos(Bn) were made and used. This method is much faster than that of "Euler's formula". And you can get also arc.sin(x),arc.cos(x),tan(x) and arc.tan(x) easily. In 1984 I used this method and established a operation with a robot. Z-80 CPU was used with assembler programm and the angles were calculated without putting data into RAM areas, so the speed of calculations was excellant.

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A solution of biquadratic expression in figure
biquadratic expression solution figure circle hyperbola Lets calculate the crosspoints between a circle and a hyperbola
hyperbola: X * Y = A >>> Y = A / X circle: ( X - B ) ** 2 + ( Y - C ) ** 2 = D ** 2
X ** 4 - 2 B X ** 3 + ( B ** 2 + C ** 2 - D ** 2 ) X ** 2
- 2 A C X + A ** 2 = 0
To get crosspoints between a circle and a hyperbola means to resolve a biquadratic expression!!!
and D - A <= X <= D - A
When the value of the constant in the biquadratic expression is negative, the circle must be changed as follows. ( X - B ) ** 2 - ( Y - C ) ** 2 = D ** 2 The expression is changed as follows, ( X - Y - B + C ) * ( X + Y - B - C ) = D ** 2 This expression is another hyperbola!!! The expression to be resolved is as follows.
X ** 4 - 2 B X ** 3 + ( B ** 2 - C ** 2 - D ** 2 ) X ** 2
+ 2 A C X - A ** 2 = 0
To get crosspoints between two hyperbolas means to resolve a biquadratic expression with negative constant!!!

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Theory of Chemical Prostatectomy and its Practice
See below. Sakaguchi T et al.Chemical Prostatectomy ~echo guided percutaneous pure ethanol injection into hypertrophied prostate.~ J Nishinomiya medical Association 8:9-11,2003.

Not only open prostatectomy but also TUR-P are now disappeared.


before operation after operation
fotos obtained by transrectal ultrasound in central sagittal section of bladder and prostate

Q:How old was he? A:He was 91 years old. Q:Did he have complications? A:Yes,angina pectoris,(severe heart desease), but no problem after the operation. Q:What are these fotos? A:It is the middle lobe of his prostate(l). After the operation the prostate has been disappeared(r). He can urinate after operation without residual urine. Q:And now? A:After one year he is in the heaven without catheter.
Thirtyone patients have been already treated with a combination method in my praxis. All the patients came home 2 hours after the operation. Bleedings were minimal, only pinky urine existed from catheter. Of caurse they could eat and drink what they wanted. The sixth patient lost 4 drops of blood.
Summary We have presented a new method of prostatectomy, "chemical prostatectomy". It is very easy for urologists to inject 100% ethanol safely, which causes necrosis of the pros- tate, into hypertrophied prostate under ultrasonic sound control. No other special machines are necessary for this operation. It is very advantageous for the problems of industrial wastes and infections inside the hos- pital. Because of minimal complications during and after operation, especially little bleeding, the operation will be performed for outpatients. Therefor their quolity of life will stay in good condition. But it is not possible to estimate, how much prostatic tissue will be destroied and dis- sapeared. This operation is one of methods of hemostasis and anesthesis. So another opration, for example TUR-P, can be done more safely after this operation. We obtained these conclusions theoretically from our chemical prostatectomy.

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The result of treatment of interstitial cystitis with combination of chinese medicine and lysozyme hydrochloride from eggs.
Many patients are exist with severe bladder pain or lower abdominal pain before urination, sense of residual urine, and urgency even urge incontinence. They are wondering from docter to docter in vain. The cause is still unknown and the treatments are not truely established. In 1984 I found some useful drugs for the treatment of frequency, urgency and sense of residual urine, which are now called symptomes of overactive bladder. The drugs were lysozyme hydrochloride from eggs of chicken, and some proteolytic enzymes. I have treated many patiants with bladder symptomes. So called chronic cystitis were led to complete cure, but interstitial cystitis was too severe to cure completely. But they were partly effective. Since 1985 I started combination therapy, some chinese drugs and lysozyme hydrochloride for the patiants with interstitial cystitis. The results are very satisfactory. More than 15 patiants were treated with them, and all patiants are cured. Almost all patiants are free from severe pain, severe urgency and severe sense of residual urine. But some patiants complains slight urgency, sense of residusl urine and sometimes pain especially when its cold because of retardation of start of the treatment. Bladder fibrosis could be dominantly exist. Some patiants ceased the therapy, for they had no symptomes. After some months they came again because of the recurrences of bladder symptomes. The treatment could not be stopped. The patients have to continue the medication for relief of the symptomes. I have to say some side effects of the chinese medicines, cough and drug induced hepatitis. The drug induced hepatitis were found only in females, and the ratio was about 0.2% of all females in 1 to 2 monthes after initial administration of chinese drugs. It is very important!!!

The Theory of ICS for the Treatment of Overactive Bladder is NEVER TRUE
overactive bladder frequency urgency urge incontinence anticholinergic drug sense of residual urine interstitial cystitis
Case1: A woman who was suffering from urgency and sense of residual urine, was treated with anticholinergic agent. But she feeled only thist. The bladder symptomes were never relieved. If the theory of international continence society is true, the symptomes must be relieved, but it didn't.
Case2: A women who was suffering from urge incontinence and severe sense of residual urine, was treated with anticholinergic drug for seven days and feeled no symptomes anymore. The drug was very effective.? The result is very curious. Dose the drug act so long time? Never! She was completely relieved because the theory of ICS was faulse or mistake. The anticholinergic agent dose never treat anything, only balance impaired nervous system. If she stop medication, she must feel severe symptomes.
What is the cause of urge incontinence, urgency and sense of residual urine? It is Chronic Inflamation of the Bladder or Chronic Cystitis. Dose the treatment against inflamation heal the symptomes? OF CAUSE, YES. What drug is effective? LYSOZYME from EGGS Almost 90% of patients were healed with it, the others by acupuncture and so on.

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Chronic prostatitis with meatal stenosis
It is very difficult to treat chronic prostatitis as you know well. I think that one of the causes is a slite meatal stenosis. The opening on the surface of glans penis is normal in shape. But the true meatus of urethra, which is seen opening the opening widely, is often stenotic. If the slitely stenotic meatus is one of the causes of failure to treat chronic prostatitis, a meatotomy must be useful. Ten (+2) patients were treated. 60 (67) percents of them were symptome free or better. A sagital incision was made 2-3mm long at 6 oclock .
sagital section of male urethra with prostatitis

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