ABSTRACT
We report a congenital urethrocutaneous fistula in 13 months old male. The congenital urethrocutaneous fistula is a rare anomaly. The cause of congenital urethrocutaneous fistula is unknown but probably involves a focal defect in the urethral plate that prevents fusion of the urethral fold. He is now being followed up without any evidence of voiding problems after the defects was covered with penile skin flap.
Subject(s)
Humans , Infant , Male , Fistula , SkinABSTRACT
OBJECTIVES: This study was conducted to investigate factors influencing physical activities of daily living in the elderly with cognitive impairment. METHODS: The Barthel activities of daily living, modified Blessed Dementia Rating Scale, Korean version of mini-mental state examination, and Motoricity Index were administered to 45 elderly people whose corrected MMSEK scores were 24 or less. They were inhabitants in an institution in Taegu. RESULTS: Of the aforementioned S variables, the Motoricity Index could account far 42% of the variance of the Barthel activities of daily living. If the modified Blessed Dementia Rating Scale score was included in the multiple regression, the accountable portion of the Barthel activities of daily living variance increased by 6% only. CONCLUSION: Motor function of the limbs and severity of dementia may be the most important variables in the physical activities of daily living of the elderly with cognitive impairment.
Subject(s)
Aged , Humans , Activities of Daily Living , Cognition , Dementia , Extremities , Motor ActivityABSTRACT
Etiological classification of a syndrome is most warranted. However, it is very difficult in the case of dementia because many research activities are still being made about the cause of degenerative dementias. In the current paper, clinical aspects and pathological findings were also con-sidered in the etiological classification. Prevalence and annual incidence of dementia are 5-15% and 1.5-2.0% in the elderly over 65, respectively. Old age, female sex, genetic background, lower education, ethnicity or geographical difference, and head trauma seem to be risk factors for developing dementia. Urinary and fecal incontinece, extrapyramidal symptoms, primitive reflexes, psychotic symptoms, and cognitive decline seem to adversely affect on the mortality, while social class, age at onset, depressive symptoms, aggressive behavior, wandering, increased appetite, increased sexual behaviors, and early diagnosis do not.
Subject(s)
Aged , Female , Humans , Appetite , Classification , Craniocerebral Trauma , Dementia , Depression , Early Diagnosis , Education , Epidemiology , Incidence , Mortality , Prevalence , Reflex , Risk Factors , Sexual Behavior , Social Class , Wandering BehaviorABSTRACT
Nutcracker syndrome is a rare disease caused by the compression of the renal vein between the aorta and superior mesenteric artery. It is known to cause of venous hypertension, peripelvic and periureteral varicosities. Clinical manifestations include varicocele, hematuria, and flank or abdominal pain. Surgical correction is needed in nutcracker syndrome cases with severe or recurrent hematuria and abdominal or flank pain. Reanastomosis of the renal vein at 5cm below the original insertion site at the inferior vena cava is the one of the most common corrective methods and the transabdominal approach is usually employed. This disease usually appears in healthy young people and in order to decrease postoperative complications such as intestinal obstruction and bowel adhesion by avoiding unnecessary intraperitoneal manipulation, the authors used the extraperitoneal approach through a flank incision. We report because, in selected cases, we consider that this extraperitoneal approach is one of the alternative methods for the usual transperitoneal approach.
Subject(s)
Abdominal Pain , Aorta , Flank Pain , Hematuria , Hypertension , Intestinal Obstruction , Mesenteric Artery, Superior , Postoperative Complications , Rare Diseases , Renal Veins , Varicocele , Vena Cava, InferiorABSTRACT
A clinical study was made on 112 cases of benign prostatic hypertrophy, admitted to the Department of Urology, East City Hospital, Seoul, Korea during the period from January 1979 to December 1982.The results were summarized as follows.1. Benign prostatic hypertrophy were 112 cases of all 761 cases hospitalized, admission rate was 14.7%. 2. Majority of cases was found in 6th and 7th decades with mean age of 72,4 years old. 3. In composition of sexual life during 2th to 5th decades, long-term obstinence or irregular sexual life were 57 cases, long-term bachelohood were 38 cases, normal sexual life were 17 cases. 4. In most cases, the duration of the obstinence or the irregular sexual life was 11 years to 25 years. 5. The presenting symptoms were frequency in 94 cases, acute urinary retention in 59 cases and dysuria in 37 cases etc. 6. The blood chemistry showed elevated BUN in 83 cases and elevated creatinine in 61 cases. 7. The endoscopic examination was performed in 98 cases which revealed trabeculation in 87 cases, inflammation in 61 cases, kissing of lateral lobes in 46 cases and diverticular formation in 15 cases. 8. Hypertension in 12 cases and pulmonary tuberculosis in 12 cases were frequently associated with benign prostatic hypertrophy. 9. Methods of operative treatment were suprapubic prostatectomy in 24 cases, transurethral resection 21 cases and suprapubic cystostomy in 33 cases. 10.Postoperative complications were temporary incontinence in 33 cases, delayed bleeding in 8 cases, acute epididymitis in 3 cases and wound infection in 2 cases.
Subject(s)
Male , Chemistry , Creatinine , Cystostomy , Dysuria , Epididymitis , Hemorrhage , Hospitals, Urban , Hypertension , Inflammation , Korea , Prostatectomy , Prostatic Hyperplasia , Seoul , Tuberculosis, Pulmonary , Urinary Retention , Urology , Wound InfectionABSTRACT
From July 1982,30 male outpatients with acute gonococcal urethritis, bacteriologically confirmed to be positive for gonococci, were entered in this study. New bactericidal agent Eradacil was administered orally in a signal dose of 300mg in 30 case of acute gonococcal urethritis and following results were obtained. 1. All cases of acute gonococcal urethritis were cured. 2. In 4 cases, there was recurrence of urethral signs and symptoms 3 to 10 days after initial clearing following Eradacil therapy. These 4 case were retreated successfully with Doxycycline. 3. No serious side effects were observed except slight dizziness in one case.