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.

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.