Clinical Observation on Urinary Fistula / 대한비뇨기과학회지

Twenty-three cases of urinary fistulas which were admitted to the Department of Urology, Chosun University Hospital during the period from Jan. 1973 to Dec. 1979 were analysed clinically. The following results were obtained. 1. Eight cases of all fistulas were in men and 15 in women. 2. The most prevalent age group was 51 to 60 years. 3. The most commonly involved site was urethra (37.5%) and the most common fistula type wag vesicovaginal fistula (30.4%). 4. The most common etiology of vesicovaginal fistula was obstetric cause. 5. Seventeen of 23 urinary fistulas were operated upon and all but 3 were repaired successfully on the first surgical attempt.

Clinical Observation on Bladder Tumor / 대한비뇨기과학회지

A clinical observation was made on 45 of 53 patients with bladder tumors seen at the Department of Urology, Chosun University Medical School during the period from January. 1973 to December, 1979. The following results were obtained: 1. During that period. 820 patients were hospitalized and there were 53 cases of bladder tumors giving a rate of 6.5% 2. There were 32 males and 13 females a ratio of 2.5: 1 and 71. 1% of the patients was over 50 years of age. 3. The most common symptom was grose hematuria (82. 2%) and the others were frequent urination (35. 6%), dysuria (31. 1%), painful urination (22. 2%) and lower abdominal pain (22. 2%). 4. 22 cases (48.9%) of the patients visited the hospital within three months after the appearance of the initial symptom and 75.6% within 1 year. 5. 24 cases (53. 3%) had multiple tumors and 21 cases (46.7%) single tumor, Regardless of origin, lateral wall was involved in 30 cases (66. 7%) and the trigone in 20 cases (44.4%). 6. IVP performed in 43 cases revealed normal upper urinary tract in 27 cases (62. 8%) and filling defect of the bladder in 40 cases (93. 0%). 7. The pathologic examination performed in 37 cases revealed transitional cell carcinoma in 29 cases (78. 4%). 8. The operation was performed in 25 cases: Partial cystectomy in 11 cases open resection with coagulation in 3 cases, TUR in 5 cases, radical or simple total cystectomy in 6 cases and ileal diversion only is 1 case. 9. Of the 14 cases possible in follow up study 10 (71.4%) survived over 1 year after treatment.

A Case of Neurilemmoma of the Penis and the Perineum / 대한비뇨기과학회지

Neurilemmoma is a neoplasing from Schwann cells. It is usually solitary and may be benign or malignant solid or cystic, encapsulated or diffuse. We report a rare case of neurilemmoma developed in the penis and the perineum in a 19 years old male and the relevant literature has been reviewed.

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 23 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 ureteroheminephrectomy.