The factors affecting treatment of radiation hemorrhagic cystitis / 대한비뇨기과학회지

Hemorrhagic cystitis remains a significant complication and morbidity after local radiation therapy to the pelvic region despite close attention to various preventive measures and it was poor response to multi-modality therapies. We have analyzed some factors affecting treatment of radiation hemorrhagic cystitis. 2,238 patients were admitted to the Department of Urology. Kosin Medical College, Pusan, Korea between May. 1985 and February, 1990. Among them 28(1.3%) cases were diagnosed in radiation hemorrhagic cystitis. The most common cause for radiation therapy was uterine cervical cancer(92.9%). The major symptoms were gross hematuria, frequency, nocturia, dysuria and nausea. Under the cystoscopy, the bladder mucosa was seen hyperemia, telangiectasia, mucosal edema and focal necrosis. The combined disease was 4 cases, radiation colitis in 2 cases, radiation proctitis in 1 case and neurogenic bladder in 1 case. There was statistical significant in recurrence rate between receive more than 4,600 rad and less than 4.600 rad (p<0.05). And there was statistically significant in consumption time for treatment between combined with urinary tract infection (41.7 %) and not combined with it (31.3 %)(p<0.05). The patients were controlled with cold saline irrigation, intravesical formalin instillation and hyperbaric oxygen therapy.

Isolation of ureaplasma urealyticum from patient with genitourinary tract infection attending urologic clinic / 대한비뇨기과학회지

Since the discovery of U. urealyticum in human. the etiologic role of this microbe to urogenital tract infection has been investigated. U. urealyticum is one of the etiologic agents for such infections of human urogenital tract as nongonococcal urethritis. prostatitis. cystitis. infertility. interauterine infection, in which standard bacteriologic investigation had failed to indicate bacterial infection. We studied the occurrence of U. urealyticum in urogenital tract of persons in the district of Pusan. From March, 1990 to June. 1990, 290 heterosexual patients and 102 normal control were cultured for U. urealyticum. The results were as follows : l. Overall incidence of this organism was 19.3%, 32.2% from urethral swab and 10.5% from urine, which was lower than that of control group. 2. The incidence of this organism in Females (32.7%) was generally higher than that in males ( 16.6%). 3. This microbe was well detected in middle age person. 4. This microbe was higher detected in specimen from urethral swab (32.2%) than urine (10.5%). 5. The isolation ratio in local private clinics was lower than that in Kosin medical center. 6. Erythromycin had the best sensitivity against U. urealyticum followed by streptomycin. But tetracycline and oxytetacycline were highly resistant to this organism.

A comparison of radioisotope erection penogram, penile angle and nocturnal penile tumescence test / 대한비뇨기과학회지

Intracavernous papaverine injection may be the first step in the assessment of the impotent patient Since measurement of the rigidity requires a sophisticated procedures that may not be available to the majority of the practitioners, we attempted to find an objective method to evaluate the results or this common test. We tested 44 patients complaining of impotence and 2 normal potent men with intracavernous injection of 30mg. papaverine and measured the angle between the penis and the legs with the patient in the standing position and obtained radioisotope erection penogram. Various penogram indexes were calculated from the time activity curve and their usefulness was evaluated and was compared with the findings of nocturnal penile tumescence. The papaverine test can distinguish between the vasculogenic and psychogenic impotent patients. Measurement of the erectile angle after intracavernous injection of papaverine is a simple, objective and reliable method to evaluate patients with vascular impotence. The penogram indexes were significantly correlated with the penile arterial inflow and venous outflow during erection. but not significantly correlated with nocturnal penile tumescence test.

A Case of Xanthogranulomatous Pyelonephritis which was Confused with Renal Pelvic Tumor / 대한비뇨기과학회지

There is no single characteristic clinical or radiological feature to diagnose xanthogranulomatous pyelonephritis, so it makes accurate preoperative diagnosis difficult. In our case, the renal parenchyme of affected kidney was well preserved on excretory urogram. The abnormal finding was only a filling defect within the right upper pelvocalyceal system. Herein we report a case of xanthogranulomatous pyelonephritis in a 18 years old girl which was confused with renal pelvic tumor.

A Case of Retroperitoneal Neurilemmoma Confused with Lymphosarcoma / 대한비뇨기과학회지

Retmperitoneal neurilemmoma are exceedingly rare and difficult to diagnose both pre- and post- operatively. The vast majority arise in cranial nerve, with occasional occurrence in nerve of extremity, and only rare presentation in retroperitoneum. We report here a case of retroperitoneal neurilemmoma in a 38-year-old woman, which was confused with lymphosarcoma.