Horseshoe Kidney Associated with Multiple Renal Stone and Hydronephrosis / 대한비뇨기과학회지

The horseshoe Kidney is probably the most common of all renal fusion anomalies which often accompanies vascular anomalies and obstructive complications. Good post-operative results will be assumed with careful attention to the anatomy, vasculatures and drainge from renal pelvis at the time of operation. A 33 year old male was found to have horseshoe kidney with multiple renal stones, hydronephrosis and pyelonephritis. Through IVP, RGP, ultrasonogram, renal scan and renal angiography, the diagnosis was made. This is a report of the good results gained by isthmectomy, partial nephrectomy, ureterolysis and nephropexy.It was compared with several literature reviews.

One Case of True Hermaphroditism / 대한비뇨기과학회지

True hermaphroditism in which both ovarian and testicular tissues are present in same individual is a rare abnormality. Abnormal differentiation of external and internal genitalia is also observed. A total of 30O cases found in the literature by Niekerk, V.A. During exp1oratory surgery, testicular as well as ovarian tissues are found generally. Authors experienced one case of true hermaphroditism who had an ovotestis on the right gonad an ovary on the left with a karyotype of 46, XX and report this case with the review of literatures.

A Clinical Observation on the Nephrectomized Patients / 대한비뇨기과학회지

Since Gustave Simon performed the first planned nephrectomy in 1869, it has been one of the most important procedures in the field of urologic surgery. It may be required in a wide variety of circumstances and various methods of operative procedures have been introduced. Also its complications have been documented according to the particular operative methods. A clinical observation was made on the 76 patients nephrecromized in the Dept. of Urology, Ehwa Woman`s University Hospital, during the period from April, 1976 to March, 1981 and a brief review of literature was made. The results were as follows; 1. The total number of in-patients during the above period was 1,025 and nephrectomies were performed in 76 patients of the 605 total urologic operations (12. 5%). 2. Age distributions revealed the highest in 21-30 year old with 22.3% and the youngest age was 9 year old and the oldest 68 years. Sex distribution was nearly equal. 3. The causative diseases of the nephrectomy were renal tuberculosis 31 cases (40. 8%), calculous disease 13 cases (17. 2%), renal neoplasms 8 cases (10. 5%) and renal injury 8 cases (10. 5%) in its descending order. 4. Lumbar approach with resection of the 11th rib was the most frequently employed (32. 9%) and post-operative complications were seen in 10 cases (13. 1%), of which wound infection was the highest(5. 3%). 5. 53 cases (69. 8%) were discharged within 10 days after operation and only 5 cases (6. 5%) remained more than on month. 6. Blood transfusion were necessary in 39 cases (51. 3%) during operation and its average amounts of transfusion were 3. 1 pints. Average time of operation was 2 hours and 22 minutes.

Huge Pyelo-Caliceal Diverticulum / 대한비뇨기과학회지

Pyelo-caliceal diverticulum refers to a cystic cavity containing urine the renal parenchyme, which is lined by transitional epithelium and communicates with the renal pelvis or a calyx through a narrow channel. Pyelo-caliceal diverticulum is a relatively uncommon entity and are usually quite small in size, averaging 0.5 cm to 5cm. Huge pyelo-caliceal diverticulum is presented with review of literatures.