埼玉医科大学雑誌 第31巻 第3号 (2004年7月) 183-193頁 ◇論文(図表を含む全文)は，PDFファイルとなっています．
J. -J. Rousseau and His Urologic Diseases
Hiroshi Saitoh (Department of Urology, Saitama Medical School, Saitama Medical Center, Kawagoe, Saitama 350-8550, Japan)
Jean-Jacques Rousseau (1712-1778) is the 18th-century thinker who has most profoundly influenced to vast areas of present-day philosophy, education, literature, politics, and religion. On the other hand, he was said to have been a complicated man who showed genius mixed with madness. His thought was full of paradox and contradiction, and he hardly could be considered a normal person. I studied his urologic diseases as described in his autobiography, Les Confessions, as well as his other works and letters. He described difficult urination accompanied by urgency in a pattern most consistent with congenital urethral stenosis, congenital urethral valves or neurogenic bladder. However, he noted no symptoms suggestive of urinary tract infection or renal dysfunction in early childhood, only later complaining of urinary tract infection symptoms. He eventually underwent transurethral manipulations with urethral sounds and catheters as treatment for difficult urination. Severe urethral pain in his later life may have been related to so-called prostatism or prostatodynia. He finally complained of a severe headache following a morning walk and breakfast. He died suddenly soon afterward, presumably of cerebrovascular disease, at the age of 66 years.
Keywords: Rousseau, pathography, urology, urination
J Saitama Med School 2004;31:183-193
(Received June 11, 2004)