A Case of Cystic Pelvic Mass / 대한비뇨기과학회지

Cystic natured pelvic mass in males are very rare condition in the field of urology. Recently, we experienced a cystic pelvic mass in a 24-year old male, so we report this case with brief review of literature.

Internal Urethrotomy Using Optical Urethrotome for Urethral Stricture / 대한비뇨기과학회지

Urethral stricture has been most complicated problem in the field of urology. We have experienced 17 times of endoscopic internal urethrotomy in 13 cases with urethral stricture and reviewed results and complications with a brief literatures. Of 13 cases, 9 cases have been followed for 3 to 20 months. Satisfactory results were obtained in 7 cases(77.8%). The complication rate was 11.8%(2 cases). Average duration of retaining catheter was 12 days. In conclusion, endoscopic internal urethrotomy is thought to be safe and first choice of procedure for urethral stricture.

Primary Transitional Cell Ca. Occurring in Vesical Diverticula / 대한비뇨기과학회지

Primary neoplasm in vesical diverticula has circumscribed sac of variable size which results from the herniation of bladder mucosa through the muscular will of the bladder. The incidence of neoplasm in vesical diverticulum is 2 to 10 percent. Specific diagnostic and therapeutic procedures are required for tumors in vesical diverticula. We herein report a case of primary neoplasms in vesical diverticula with brief review of literatures.

Management of Multiple Severe Renal Injury Using Omentum / 대한비뇨기과학회지

The omentum is unique in that it is the body tissue developed for the resolution of local inflammatory processes because of combination of its blood supply and abundant lymphatic drainage. Thus, the use of omentum is well established for the more complex reconstruction of the urinary tract. We managed 3 cases of multiple severe renal injury using omentum and results were favorable.

Prostatic Mucinous Adenocarcinoma / 대한비뇨기과학회지

Prostatic carcinoma is a disease of aging and the precise cause is until unknown. Most of the prostatic carcinomas are adenocarcinoma of tubuloalveolar or acinar origin. We report a rare case of metastatic mucinous adenocarcinoma to the seminal vesicle and testis with brief review of literature.

A Statistical Observation of 13 Cases of Vasovasostomy / 대한비뇨기과학회지

Vasectomy as a male sterilization has been performed popularly in the world including Korea from 1962. In recent demand for reversal of reproduction increases more than past times due to sudden loss of offspring or change of mind. In this presentation, we report 13 cases of vasovasostomy operated from December in l983 to June in 1985 and observe the results after operation & technics used at our department of urology. The results after operation is described anatomically & functionally with ratio.

Experience with Management of the Posterior Urethral Injury / 대한비뇨기과학회지

A clinical experience with management was made on 65 cases of posterior urethral injury in the Department of Urology, Jeonbug National University Hospital during the period. From January, 1978 to December, 1982. The results were as follows: 1. The number of the posterior urethral injury was 65 cases. 2. Age distribution of the posterior urethral injury was the high test in the age 20-49 (66%). 3. The most common cause of the posterior urethral injury was industrial injury in 44 cases and traffic accident in 21 cases. 4. Initial managements of posterior urethral injury were Foley catheter indwelling in 8cases, cystostomy only in 20 cases and primary realignment in 37 cases. 5. Of 65 cases, urethral stricture after initial management developed in 34 cases. 6. Among 34 cases of the urethral stricture, various delayed managements were performed, including sounding in 19 cases, transpubic urethroplasty in 5 cases, urethral end-to-end anastomosis by perineal approach in 9 cases and cystostomy in 1 case.

A Clinical Observation of the Transurethral Surgery / 대한비뇨기과학회지

A clinical observation was made on 282 cases of transurethral surgery who had been admitted to the Department of Urology, Medical School, Jeonbug National University during the period from January 1978 to August 1982. The results were summerized as follows. 1. Among 1,618 in-patients, 282 cases were undertaken transurethral surgery. 2. The age distribution ranged from 21 years to 83 years, the most prevalent age was from 60 to 79. 3. The sex ratio, male to female was 5.9:1. 4. The disease distribution were 176 case in B.P.H., 9 Cases in prostatic ca., 6 cases in median bar, 13 cases in bladder tumor, 58 cases in ureteral stone, 113 cases in bladder stone and 5 cases in urethral stone. 5. The most common surgical type was transurethral resection of prostate in 191 (67.7%). 6. The average operating time was 43 minutes. 7. Postoperative complications were listed as: 3 cases in bladder rupture, 2 cases in incontinence, 1 case in dysuria, 1 case in epididymitis, 1 case of recurrence of bladder tumor and 2 cases which were impossible of removal of stone basket with stone. 8. The postoperative hospitalization was between 2 days and 10 days, 6.3 day in average.

Experiences of the Prostatic Needle Biopsy / 대한비뇨기과학회지

Histopathological studies with clinical observation were made on 41 patients performing the prostatic needle biopsy for the purpose of detecting occult early cancer of the prostate in geriatric patients and tuberculosis of the prostate in young age groups in the department of Urology, Jeonbug National University, medical school from January, 1980. The results were as follows; 1. The most prevalent age was from 60 to 79 (76%). 2. Of 41 cases performing prostatic needle biopsy, 36 cases were transperineal route and 5 cases were transrectal route. 3. Among 38 cases of adequate tissues obtained by prostatic needle biopsy, 3 cases were diagnosed as adenocarcinoma of the prostate. 4. Complications after the prostatic needle biopsy developed in 4 cases, including rectal hemorrhage in 1 case, fever in 1 case and perineal pain in 2 cases. 5. Of 41 cases performing the prostatic needle biopsy, TURP in 30 cases, Trocar cystostomy in 7 cases and conservative therapy in 4 cases were performed. 6. Of 30 cases performing TURP, B.P.H. in 27 cases and adenocarcinoma of the prostate in 3 cases were proved by histological study. 7. Of 41 cases performing the prostatic needle biopsy, 7 cages had associated diseases besides various prostatic diseases and were performed Trocar cystostomy.

A Case of Simple Unilateral Renal Ectopia / 대한비뇨기과학회지

A case of right simple unilateral renal ectopia with left malrotated kidney in 26 years old female is presented with a brief review of literature. Right ectopic kidney was located between 4th and 5th lumber vertebra Numerous aberrant vessels of ectopic kidney disclosed during nephroureterectomy.

A Clinical Study on Surgery of Renal Stones / 대한비뇨기과학회지

The surgical removal of dendritic calculi, isolated symptomatic calyceal calculi and large calculi from within the intrarenal pelvis has been always a difficult problem and can be destructive to renal parenchyma. following results are obtained through comparative investigation among extended pyelolithotomy, nephropyelolithotomy, anatrophic nephrolithotomy with hypothermia in situ and nephrectomy for surgery of renal stones. Among these methods, anatrophic nephrolithotomy with hypothermia in situ is performed in 12 cases who have renal stones which are considered to be difficult to remove by ordinary pyelolithotomy. This operative technique is relatively simple, easy and uneventful recovery followed in all cases. 1. Incidence of renal stones is 48 cases out of 618 total in-patients. 2. The sex distribution: 26 patients are male and 22 patients are female. 3. the age distribution ranged from 7 years old to 72 years old with the most common age group in the 31-50 years old. 4. Methods of operative management included: extended pyelolithotomy in 22 cases, anatrophic nephrolithotomy with hypothermia in situ in 12 cases, nephropyelolithotomy in 2 cases and nephrectomy in 12 cases. 5. Blood loss during operation by anatrophic nephrolithotomy with hypothermia in situ, as compared with nephropyelolithotomy is reduced to a quarter. 6. Operating time by anatrophic nephrolithotomy with hypothermia in situ required 95 minutes with mean operating time, extended pyelolithotomy-85 minutes with mean operating time, nephro-pyelolithotomy-120 minutes with mean operating time. 7. Postoperative hospitalizations are 9 days in anatrophic nephrolithotomy with hypothermia in situ, 8 days in extended pyelolithotomy, 15 days in nephropyelolithotomy and 8 days in nephrectomy.

A Clinical Study on Surgery of Renal Stones / 대한비뇨기과학회지

The surgical removal of dendritic calculi, isolated symptomatic calyceal calculi and large calculi from within the intrarenal pelvis has been always a difficult problem and can be destructive to renal parenchyma. following results are obtained through comparative investigation among extended pyelolithotomy, nephropyelolithotomy, anatrophic nephrolithotomy with hypothermia in situ and nephrectomy for surgery of renal stones. Among these methods, anatrophic nephrolithotomy with hypothermia in situ is performed in 12 cases who have renal stones which are considered to be difficult to remove by ordinary pyelolithotomy. This operative technique is relatively simple, easy and uneventful recovery followed in all cases. 1. Incidence of renal stones is 48 cases out of 618 total in-patients. 2. The sex distribution: 26 patients are male and 22 patients are female. 3. the age distribution ranged from 7 years old to 72 years old with the most common age group in the 31-50 years old. 4. Methods of operative management included: extended pyelolithotomy in 22 cases, anatrophic nephrolithotomy with hypothermia in situ in 12 cases, nephropyelolithotomy in 2 cases and nephrectomy in 12 cases. 5. Blood loss during operation by anatrophic nephrolithotomy with hypothermia in situ, as compared with nephropyelolithotomy is reduced to a quarter. 6. Operating time by anatrophic nephrolithotomy with hypothermia in situ required 95 minutes with mean operating time, extended pyelolithotomy-85 minutes with mean operating time, nephro-pyelolithotomy-120 minutes with mean operating time. 7. Postoperative hospitalizations are 9 days in anatrophic nephrolithotomy with hypothermia in situ, 8 days in extended pyelolithotomy, 15 days in nephropyelolithotomy and 8 days in nephrectomy.

An Unusual Case of Right Ureteral Cast Stone / 대한비뇨기과학회지

An unusual case of right ureteral cast stone in a 36 year-old female having suffered from intermit tent right flank pain for about 10 years is herein report with brief literature.

A Clinical Observation on Disease of Pediatric Urology / 대한비뇨기과학회지

A clinical observation was made on the diseases of pediatric Urology in the Department of Urology, Jeonbug National University. Medical School during the period from Aug. 1977 to Mar. 1979. The results were as follows : 1. Of 354 cases hospitalized, 45 cases were pediatric Urologic patient giving a ratio of 12.7%. 2. The most common disease was Genitourinary anomaly a ratio of 40.0%. The other diseases were hydrocele in 22.2%, injury 22.2%, stone in 4.4%, renal Tbc in 2.2% and others in 9.0% 3. The most common involved organ was testis in 19 cases. The other involved organs were kidney in 6 cases, bladder in 4 cases, penis in 3 cases, ureter in 1 case and others in 4 cases. 4. Of 354 cases hospitalized, 257 operations were performed. Among 38 of 45 cases pediatric inpatient, 61 operations were performed. The most common operation was hydrocelectomy in 11 cases. The other operations were orchiopexy in 10 cases, hernioplasty in 9 cases, nephrectomy in 3 cases and others.

A Case of Transitional Cell Carcinoma of the Remnant Ureter / 대한비뇨기과학회지

Herein, author describes clinical experience with one patient who had remnant ureterectomy and wide excision of bladder wall including left ureteral orifice for transitional cell carcinoma of the remnant ureter with brief review of literature.

One Case of Duplicated Ureter Associated with Ectopic Ureteral Orifice / 대한비뇨기과학회지

One case of right duplicated ureter associated with single ectopic ureteral orifice to the vaginal vestibule in a 14-year old girl was presented. In a case, while normal self-voiding, urinary leakage has been complained since infant without other urinary symptoms and she was treated with right ureteronecystostomy in Paquin's method.

A Clinical Observation on Retropubic Combined Prostatectomy / 대한비뇨기과학회지

A clinical study was made on 11 cases of Benign Prostatic Hypertrophy and 2 cases of Prostatic Carcinoma that had Retropubic combined Prostatectomy. admitted to the Department of Urology, Jeonbug National University Medical School during the Period from Aug. 1977 to Aug. 1978. The results are summarized as follows ; 1. Incidence of Benign Prostatic Hypertrophy was 5.4 % to 204 total in-patients, and 28.6 % to male in-patients 60 years old or more and incidence of prostatic carcinoma was 0.95 % to 204 total in-patients and 5.3 % to male in-patients 60 years old or more 2. The age distribution ranged from 62 years to 76 years with the most common age groups in the 7th and 8th decades with mean age 70.1 years old. 3. The most common symptoms are urinary retention, dribbling and dysuria. 4. The duration of symptoms ranged from 1 day to 4 months with mean 20.7 days. 5. The coexisting diseases were left hydrocele in 1 case and asthma in 1 case. 6. E. C. G. findings were L. V. H. In 1 case, arrhythmia in 1 case but normal in 11 cases. 7. Serum B. U. N. and creatinine determinations were done in all cases, 4 patients had elevated serum B. U. N. and 1 patient had elevated serum creatinine. 8. Methods of operative treatment included Retropubic combined Prostatectomy in all cases. 9. Visual bleeding control is done in all cases. 10. Operating time required between 70 minutes and 110 minutes with mean operating time 85 minutes. 11. Blood attributable to operating manipulation was between 200ml to 1,000ml with mean blood loss was 375ml. 12. Duration of indwelling catheterization was 8.5 days. 13. The duration of gross hematuria persisted postoperatively was between 2 days and 4 days, 2.5 days in average. 14. Weight of removed prostatic tissue was between 7 gms to 100 gms, mean weight was 28.0 gms. 15. Postoperative Hospitalization was between 7 days and 9days, 7.9 days in average. 16. No severe complications other than temporary Incontinence in 5 cases(38.5 %) and acute Epididymitis in 1 case.

A Case of Posterior Urethral Valve

The most common site of posterior urethral valve is that in which there is an exaggeration of the normal ridges which extend from the midline dorsal urethral ridge and from the verumontanum to surround the urethra just before the membranous region. Obstruction to urine flow may be complete or partial. In patients with partial obstruction, failure to thrive, systemic acidosis with renal failure and continuous over-flow dribbling rather than a good urinary stream may be seen. Apart from the problem of renal damage consequent to the obstruction, these children are subject to recurrent urinary infections. Excretory urography and retrograde cystourethrography are needed to establish the diagnosis. The characteristic proximal ballooning of the urethra is best seen during micturition or attempts to express urine from the bladder. Early surgical decompression is warranted. A temporary diversionary procedure is recommended, with a definitive operation at a later age to correct the valvular obstruction. We experienced a case of posterior urethral valve which was developed in a 4 years old boy, treated this case by destruction of posterior urethral valve and report it with brief review of literatures.