Extracorporeal Shock Wave Lithotripsy Experience with Domestic SDS-5000 in 173 Patients with 195 Urinary Calculi / 대한비뇨기과학회지

PURPOSE: This study was performed to evaluate the success rate, failure causes, complications, safety and effectiveness of extracorporeal shock wave lithotripsy(SWL) with domestic SDS-5000 lithotriptor for the treatment of urinary calculi. MATERIALS AND METHODS: SWL monotherapy using the Domestic SDS-5000 lithotripter was performed in 195 urinary stones from 173 patients between 9 years and 74 years old from March 1998 to February 1999. Distribution of stones, location and size of stones, session, success rate, causes of failure and complications of SWL were reviewed. RESULTS: Of 195 cases, 88(45.1%) had renal, and 107(54.9%) ureteral stones. Of these cases 44.6% had stones smaller than 0.9cm, 33.3% from 1 to 1.9cm, 15.9% from 2 to 2.9cm, and 4% larger than 3cm. The overall success rate of complete SWL was 91.3% with 90.1% in 5-9mm, 96.9% in 10-19mm, 90.3% in 20-29mm and 62.5% over 30mm stone size. There were no significant complications. The cases of transient gross hematuria were developed in 11.3%, renal colic in 8.7%, steinstrasse in 2.0% and fever in 1.0%. These complications were controlled with conservative treatment or repeated session of shock wave lithotripsy, Double - J stent insertion. CONCLUSIONS: SWL with Domestic SDS-5000 lithotriptor is considered to be a safe and efficient outpatient procedure for the initial treatment of urinary stone.

A Case of Female Urethral Bilobed Diverticulum, which is diagnosed by using positive pressure urethrogram

No abstract available.

Cilnical Study of Patients Who Visited a Sex Clinic / 대한남성과학회지

PURPOSE: To study the clinical characteristics of sexual dysfunction. MATERIALS AND METHODS: We surveyed 181 patients who visited a sex clinic. The questionnaires covered sociodemographic characteristics (age, marital status, education and job), type of sexual dysfunction, sexual satisfaction, partner's sexual satisfaction, marital satisfaction, partner's sexual positiveness, and partners concern about sexual dysfunction treatment. RESULTS: Of the subjects, 38.7% were in their fourth decade, and 64.1% had more than 12 years of education The most prevalant occupations were salaried man and merchant. The most common sexual dysfunctions were erectile disorder (39.2%), premature ejaculation (27.1%), and inhibited sexual desire (8.9%). The prevalence of these problems differed according to patient age: 57.1% of the subjects in their 20s complained of premature ejaculation, whereas the subjects older than 30 years generally had erectile disorders. There were no statistically significant differences in the types of sexual dysfunction according to marital satisfaction and sexual satisfaction. Both the subjects and their partners were satisfied in their marriage. The partners were mostly passive in sexual life but expressed concerns about sexual dysfunction treatment that were not independent of the type of dysfunction. CONCLUSION: These data may be helpful in improving our understanding of the types of patients who seek treatment for sexual dysfunction.

The Treatment and Outcome of 32 Cases of Benign Ureteral Stricture Using Balloon Dilatation / 대한비뇨기과학회지

PURPOSE: Although it is well known that surgical treatment has been gold standard in most cases of ureteral stricture, but its effect was not satisfactory. The development of balloon catheters and advances in endourology offer attractive alternative management compared to surgery in the treatment of urethral strictures. The purpose of this study is to determine the effectiveness of balloon dilatation as an alternative treatment in the management of benign ureteral stricture. MATERIALS AND METHODS: We reviewed the records of 32 patients, treated during the last 5 years for benign ureteral stricture disease. Balloon dilatation of benign ureteral strictures were performed in a percutaneous antegrade(10 patients) or retrograde(22 patients) fashion followed by placement of a 6 Fr. stent for 6-8 weeks. The underlying diseases or conditions of the benign ureteral stricture were tuberculous ureteritis in 15, surgery to ureter in 8, iatrogenic cause in 5, and primary cause in 4. RESULTS: The over-all rate of succesful management of benign ureteral stricture diseases using endoscopic techniques was 75 percent. The significant complications were not observed in all patients. CONCLUSIONS: Based on the result of our experiences, we suggest the use of balloon dilatation as the initial treatment method in benign urethral stricture.

Initial Clinical Experience of the Swiss Lithoclast in Ureteral stone / 대한비뇨기과학회지

Currently several modalities are available for performing intracorporeal lithotripsy including ultrasound, electrohydraulic and laser procedures. We report our initial clinical experience with a new and unique technology for performing intracorporeal lithotripsy, namely the Swiss Lithoclast. 35 patients were performed for removal of ureteral stone. This device successfully fragmented 31 of 35 ureteral calculi (89%). Complications of stone removal were gross hematuria (3 cases), high fever (2 cases). All complications were treated successfully with conservative management. In conclusion, we have found the ability of the Swiss Lithoclast to fragment stones safely and without significant complications.

Transurethral Resection of Prostate under Local Anesthesia in Patients with Benign Prostatic Hyperplasia / 대한비뇨기과학회지

This study was performed for the patients with benign prostatic hyperplasia who had underlying diseases which increase the risk of spinal or general anesthesia. Standard transurethral resections of prostate were done on patients with prostatic hyperplasia under local anesthesia. The selection criteria were urinary retention or below 10 ml/sec of maximum flow rate, coexist with medical problems which increase the risk of spinal and general anesthesia. Local infiltrations of 1% lidocaine were done at penoscrotal junction on each side of the corpus spongiosum, the lateral portion of the prostate and the bladder neck. This anesthesia was supplemented usually by modest dose of intravenous tranquilizers and analgesics under the continuous monitoring by an anesthesiologist. The Visual Pain Analogue Scale(VAS) was used for the evaluation of intraoperative and postoperative pain. The mean operating time, amount of the resected tissues and intraoperative and postoperative visual analogue scale were 50.2 min, 16 grams. 2.7 and 2.0. We thought that this type of anesthesia was a safe, simple and effective procedure.

A Case of Incidental Testicular Teratoma Found during Hydrocelectomy / 대한비뇨기과학회지

Testicular teratoma contains more than one germ cell layer in various stages of maturation and differentiation. The teratoma occurs at all ages but is most common in the 25-30 year age group. It is relatively infrequently seen in childhood and infancy. In these age group, teratoma is a benign tumor. Recently, we experienced one case of incidental testicular teratoma during hydrocelectomy in 22 month-old child, The hydrocele is frequently associated with teratoma under age 4 years and is the most common misdiagnosis. So we report this one case of testicular teratoma with review of related literatures.

153 Cases of Laser Lithotripsy / 대한비뇨기과학회지

The pulsed laser lithotripsy has been used in the treatment of urinary calculi. We treated 153 patients of stones, via the pulsed dye laser(Technomed Pulsolith) with 7.5 and 6.5 F. rigid ureteroscope between January 1992 and January 1995. Stones were in bladder(4 cases), upper ureter(17), mid ureter(31) and lower ureter(101). The laser lithotripsies were applied for impacted stones and relatively large stones(more than 6 mm) The success rates according to location were 47%(8/17) in upper ureter, 77%(24/31)in middle ureter, 95%(96/101)in lower ureter and 100%(4/4) in bladder and mean success rate was 86% (132/153). There were 21 failures due to upward migration(9 cases), poor visual field(7), laser resistant stone(3) and malfunction of laser(2). Complications were showed in 28 cases that were gross hematuria(16 cases), ureteral perforation(6), fever(4) and ileus(2), but most of them might be related to ureteroscopy rather than laser, and all of them were resolved with conservative management. So laser lithotripsy is safe and effective method of middle and lower ureteral calculi, and upward migration of stones, the major cause of failure may be resolved by use of extracorporeal shock wave lithotripsy and flexible ureteroscope.

A Case of Urethral Diverticulum Combined with Giant Stone / 대한비뇨기과학회지

A case of one of the largest stone in a giant penile urethral diverticulum which disturbed voiding and ejaculation was responded with review of some literatures.

A Case of 47XYY Syndrome with Azoospermia / 대한비뇨기과학회지

The XYY syndrome is a rare entity, which is a phenotypic man with a 47 XYY It was first reported by Sandberg and associates in 1961. The XYY individual is seldom detected during childhood or even in adult because the features of XYY syndrome are often subtle and not overtly suggestive of a chromosomal abnormalities. We have reported a case of XYY syndrome associated with absence of pubic and axillary hair, no voice mutation and azoospermia. Clinical, endocrinologic and genetic studies were presented and theories regarding the etiology of the XYY syndrome were discussed with review of the literature.

A case of sparganosis forming giant hematoma in the scrotum / 대한비뇨기과학회지

Sparganosis is a parasitic infestation caused by sparganum on several species of tapeworm related to diphyllobothrium latum. We experienced a case of the sparganum infestation with giant hematoma in scrotum.

The window procedure for hydrocele / 대한비뇨기과학회지

The conventional sugical procedure for hydrocele, eversion of sac (with or without partial excision of sac), still remains the most popular one for hydrocele. The new technique is an easy, quick and simple operation. And it avoids postoperative complications. A clinical observation was made on 14 patients of hydrocele who were admitted to the Department of UroIogy, Han-Il. Hospital during the 12 months period from May, 1989 to April, 1990 and surgically treated by `window procedure` with good results.

A case of leiomyoma on urethrovaginal septum / 대한비뇨기과학회지

Leiomyoma is rare. Most of patients present with urinary tract infection, hematuria, dyspareunia, or complaint of mass. A case of leiomyoma on urethrovaginal septum in a 36 years old female was presented. The presenting symptom was a protruding mass at the anterior vaginal wall The mass was removed surgically and confirmed as a leiomyoma pathologically.