A Study of Gonadotropin and Prolactin in Patients with Prostatic Disease / 대한비뇨기과학회지

From March 1982 to June 1985, Serum FSH, LH and prolactin were taken in 85 normal males, 37 benign prostatic hyperplasia and 7 prostatic carcinomas, Radioimmunoassay resulted in the following findings. 1. Serum FSH is seen to increase steadily with age in both normal subjects and patients with BPH. No difference was found in the value of the FSH between the 2 group. 2. Serum LH is seen to increase sharply after 70 years of age but level of LH in the benign prostatic hyperplasia do not reflect this age related increment. 3. Serum prolactin is seen to remain relatively unchanged in the normal male through adult life. No difference was observed between patients with BPH and normal age-matched control.

Paget`s Disease of the Scrotum: A Case Report with Local Lymph Node Invasion / 대한비뇨기과학회지

Extramammary Pager`s disease is a malignant condition. We experienced one case of Paget`s disease of scrotum in 76 years old male patient, The clinical presentation, treatment and prognosis of this lesion in the scrotum are discussed.

A Study of the Effect on Sperm Motility by Trichomonas Vaginalis and Gonococci / 대한비뇨기과학회지

It was suspected that a GUT infection could be a possible cause of infertility. This study was carried out to investigate the effect of Trichomonas vaginalis and Gonococci on sperm motility. Human fresh spermatozoa from 50 healthy medical students were mixed and diluted with Trichomonas vaginalis and Gonococci. 30 specimens to Trichomonas vaginalis and 20 specimens to Gonococci were exposed with varying concentration from 10(4) to 10(6) organisms/ml of broth, respectively. Spermatozoal motility scale devised by Emmens was checked at serial time of hours in vitro. The following results were obtained: 1. The sperm motility of control groups among pure semen, semen with normal saline and semen with broth solution were no significant differences. 2. A significantly decreased sperm motility ensued in Trichomonas vaginalis experimental groups, 106 organisms/ml and broth extract contained metabolite, than control group. 3. There were no significant differences between control groups and experimental groups in Gonococci.

A Case of Emphysematous Pyelonephritis / 대한비뇨기과학회지

Emphysematous pyelonephritis is a rare complication of urinary tract infection and can occur in patients with diabetes mellitus or urinary obstruction. We recently treated a 52-year-old male patient with E. coli urinary tract infection and septicemia whose abdominal roentgenogram demonstrated a striking right pneumonephrogram as well as perirenal gas. Right nephrectomy was carried out to survive septic crisis. Timely surgical intervention after unsuccessful antibiotics and conventional medical measurement is life saving.

A Study of the Effect on Sperm Motility by Mycoplasma / 대한비뇨기과학회지

This study was carried out to investigate the effect of Mycoplasma on sperm motility. It was suspected that a GUT infection due to Mycoplasma could be a possible cause of infertility. Human fresh spermatozoa from 57 healthy medical students were mixed and diluted with Mycoplasma groups. 37 specimens to T-mycoplasmas and 20 specimens to M. hominis were exposed with varying concentration from 10,000 to 1,000,000 colonies/ml of broth, respectively. Spermatozoal motility scale devised by Emmens and pH by pH paper were checked at serial time of hours in vitro. The following results were obtained. 1. There is no significant effect on sperm motility in pH change by Mycoplasma. 2. The sperm motility of control groups among pure semen, semen with normal saline and semen with broth solution were no statistically significant differences (p>0.05). 3. The statistically significant decreased sperm motility was watched in T-mycoplasmas experimental groups than that of control groups. The motility was much decreased with higher concentration of organisms (p<0.05). 4. The statistically significant decreased sperm motility was also watched in M. hominis experimental groups than that of control groups (p<0.05) The motility was much decreased with higher concentration of organisms.

A Clinical Observation on 30 Cases of Urologic Surgery Using the Intestinal Segments / 대한비뇨기과학회지

A clinical observation was made on 30 patients of urologic surgery using the intestinal segment who had been admitted to the Department of Urology, Chungnam National University Hospital from May, 1976 to April, 1982. The results are as follows; 1. The age distribution of the most of cases were fifth and sixth decades (66.7%), and the male to female ratio was 3.3 to 1. 2. Majority of underlying diseases was bladder tumor (76.6%). The other causes were neurogenic bladder (10.0%), Vesicovaginal fistula (10.0%) and contracted bladder (3.3%). 3. Of the 30 cases of urinary diversion, 24 cases were ureteroileocutaneostomy with or without total cystectomy, 3 cases were ureterocolocutaneostomy with total cystectomy, 2 cases were ureteroileocecocutaneostomy with total cystectomy and 1 case was augmented ileocecocystoplasty. 4. Operation mortality was 10%, in which underlying diseases were bladder cancer. 5. Major complications were acute renal failure, septicemia, wound disruption, urine leakage, fecal fistula, ileus, bleeding, pneumonia and evisceration. 6. In the 23 cases of bladder cancer 21 cases were transitional cell carcinoma and 2 cases were adenocarcinoma. Most of the former were composed of stage B & C (66.7%) and grade II & III (71.4%). 7. In cases of malignant disease the overall postoperative survival rate at 1, 3 and 5 years of bladder cancer were 73.9%, 50% and 20% respectively.

Bacteriological Study on Chronic Prostatitis / 대한비뇨기과학회지

A bacteriological study was made on 21 cases of the chronic prostatitis suspected by subjective symptoms, microscopic findings of urine, rectal findings of prostate and microscopic findings of prostatic secretion during the period from June to October 1980, and clinical observation was also performed. The results were summarized as follows; 1. The distribution of age showed the highest incidence in 20 to 39 years (16 cases: 76.2%). 2. 13 cases (61.9%) of patients had previously experienced acute or chronic urethritis. 3. Major subjective symptoms consisted of pollakisuria (12 cases: 57.1%), perineal discomfort and urethral discomfort in order of frequency. 4. On rectal palpation of prostate, 18 cases (85.7%) were abnormal in consistency. Most of the prostate were normal in size, but 9 cases enlarged and 1 case was small. 5. Majority of the cases (18 cases: 85.7%) were normal in microscopic examination of urine. 6. In microscopic findings of prostatic secretion, 17 cases (81.0%) showed W.B.C. more than 10/H.P.F. 7. In 21 cases in which urine and prostatic secretion culture were done, microorganisms were cultured in 9 cases (42.9%) and no growth was noted in 12 cases (57.1%). There were 3 cases of mixed infection. The isolated microorganisms revealed 6 cases of Staphylococcus aureus, 3 cases of E. coli, 1 case of Staphylococcus epidermidis, 1 case of Pseudomonas fluoresces and 1 case of Alcaligenes. 8. The mean colony counts were as follows. VB1: 881+/-583 colonies/ml VB2: 123+/-112 colonies/ml EPS: 57,778+/-28,299 colonies/ml VB3: 5,389+/-4,745 colonies/ml There was more predominant growth in EPS and VB3 than VB1 and VB2. 9. Microscopic findings of biopsied prostatic tissue showed infiltration of chronic inflammatory cells in all 4 cases. The results of bacterial culture of prostatic tissue were negative in 2 cases, Staphylococcus aureus in 1 case and E. coli in 1 case. The isolated microorganisms were identical to prostatic secretion cultures. 10. The pH of prostatic secretions were 14 cases (66.7%) in 7.7 to 8.0 and 4 cases (19.0%) in over 8.0. There was no significant difference in pH of prostatic secretions between prostatic secretion culture positive group and culture negative group.

A Clinical Observation on Benign Prostatic Hyperplasia / 대한비뇨기과학회지

A clinical study was made on 117 cases of benign prostatic hyperplasia admitted to the Department of Urology, Chungnam University Hospital during the period from January 1974 to August 1982. The results were summarized as follows: 1. Common symptoms were dysuria (82.1%) and urinary retention (41.0%). 2. Gross or microscopic hematuria was noticed in 48 cases (41.0%). 3. The degree of prostatic enlargement by rectal palpation was not related to the severity of symptoms. 4. Pulmonary disease (19.5%) and cardiac disease (12.8%) were frequently associated with B.P.H. 5. Treatment consisted of suprapubic of retropubic prostatectomy in 94 cases, TUR in 7 cases and cystostomy in 10 cases. 6. Postoperative complications were urinary incontinence (34%), wound problem (9.7%), delayed bleeding (8.7%), and urinary tract infection (4.8%). 7. Mean weight of removed prostatic tissue was 31.3gm.

A Case of Ileocecocystoplasty / 대한비뇨기과학회지

Ilecocecal unit is anatomically and functionally well suited for augmentation cystoplasty. There is no need to artificially create a cap or tailed path because the cecum can be used without such alteration. Herein, we describe as experience with a 14 years old male patient whose bladder capacity was less then 90 ml due to renal tuberculosis. Previously, patient received right nephrectomy and temporary cystostomy to prevent vesicoureteral reflux. Augmentation ileocecocystoplasty was performed Department of Urology in this hospital on patient with good results : considerable enlargement of bladder capacity without vesicoureteral reflux.

A Case of Primary Urethral Adenocarcinoma in Female / 대한비뇨기과학회지

Primary carcinoma of the female urethra is an uncommon neoplasm that accounts for less than 0.02% of all malignant diseases occurring in women. Especially reported adenocarcinoma is rare now in the literature. We add one case of urethral adenocarcinoma in 61 years old female treated by total urethrectomy with resection of corresponding bladder neck, and suprapubic neourethrelization.

A Study of Effect on Sperm Motility by Some Bacteria / 대한비뇨기과학회지

This study was carried out to investigate the effect of sperm motility to some bacteria which were possible cause of infertility by genitourinary tract infection. Human spermatozoa, from 42 cases of healthy medical student, were exposed to E. coli (30 cases) and Staphylococcus aureus (12 cases) varying dilutions from 10(4), 10(5), 10(6) colonies/ml of normal saline and broth solution. Spermatozoal numerical motility scale devised by Emmens was checked at the serial time of hours in Vitro. The following results were obtained: 1. Sperm motilities of control groups among pure semen, semen with normal saline, semen with broth solution and semen with broth extract contained endotoxin were no significant differences. 2. A significantly decreased sperm motility ensued in E. coli experimental groups than control group. And the more concentrated bacteria the more significant decrease of sperm motility was observed. 3. There were no significant differences between control group and experimental groups in Staphylococcus aureus.

A Clinical Observation on Renal Stone / 대한비뇨기과학회지

A clinical observation was performed on 54 cases of renal stone, admitted to the Department of Urology, College of Medicine, Chungnam National University from January 1974 to August 1980. The results were as followings; 1. There were 931 inpatients which included 186 patients of urolithiasis, and renal calculi were 19.9 % of total inpatients and 29.2% of urolithiasis. 2. Male to female ratio was 1. 3:1. and two thirds of patients of renal stones were 4th and 5th decades 3. Right to left ratio wag 1:1.2. and 61. 1% of renal stones were 1.0-2.9cm in diameter. Single stone was 60% and bilaterally was 3.7%. 4. The most common symptom was flank pain, and common uninary findings were hematuria, pyuria, proteinuria and bacteriuria, and the most common organism was E. coli. 5. The operative procedures were pyelolithotomy (22 cases), anatrophicnephrolithotomy (15cases), nephrectomy (8 cases), nephrolithotomy (4 cases), extended pyelolithotomy (4 cases). 6. The longest postoperative stay and operating time were anatrophic nephrolithotomy (23. 3 days) and extended pyelolithotomy (160 minutes) respectively. In anatrophic nephrolithotomy, transfusion of whole blood was larger than in other operative procedures, and tube drain was left in extended pyelolithotomy for longest periods (7. 7 days). 7. Postoperative complications were wound infections, residual stone, urine leakage, bleeding, and pyelonephritis, The majority of the postoperative complications were noted in anatrophic nephrolithotomy.

A Clinical Observation on Disease of Pediatric Urology / 대한비뇨기과학회지

A clinical observation was made on the pediatric patients (under 15 years old) who had been admitted to the Department of Urology, Chungnam National University Hospita1, during the 6 year period from March. 1974 to February, 1980. The results were as follows: 1. During the period, pediatric in-patients were 101 of 825 total urologic in-patients giving a ratio of 12.2%. 2. The proportion of male to female pediatric in-patient was 6:8:1. 3. The school children(6 to 12 years of age) were most frequently seen and giving a rate of 49.5% of pediatric in-patients. 4. The most common disease was genitourinary anomaly giving a ratio of 45.5%. The hydrocele was 22.8%, genitourinary injury 11.9%, tumor 7.9%, renal tuberculosis 2% and others 9.9% 5. The most frequently involved organ was testis and scrotum giving a ratio of 52.4%, followed by urethra 21.8%, kidney 16.8% and bladder 5.0%. 6. Among 86 of 101 cases, 103 operations were performed. The most common operation was hydrocelectomy in 23 cases. The other operations were orchiopexy in 22 cases. chordectomy in 11 cases, urethroplasty in 11 cases, nephrectomy in 7 cases, hernioplasty in 6 cases and others. 7. The most common duration of hospital stay was from 1 to 2 weeks(55.4%).

A Case of Monorchism Associated with Hypospadias and Inguinal Hernia / 대한비뇨기과학회지

Monorchism is a rare condition which incidence figures in the range of 3 to 5 percent of surgical exploration for undescended testis. Herein we present a case of monorchism associated with hypospadia and inguinal hernia in a 17-year-old boy with review of related literatures.

A Case of Self-emasculation / 대한비뇨기과학회지

Generally, traumatic penile amputation is rare. Amputation of penis is likely to be self-inflicted most commonly. When penis is amputated, reimplantation requires microvascular surgery. Herein we present a case of successful reimplantation of completely amputated penis in 40 years old schizophrenia.

A Symptomatic Study of Depressive Phenomena on Chronic Prostatitis / 대한비뇨기과학회지

Author attempted to confirm characteristic mental symptoms of chronic prostatitis. 953 people of normal subjects, 336 patients of depressive neurotics and 183 patients of anxiety neurotics participated in this survey and each of the above groups was compared with 80 patients of chronic prostatitis respectively with intention of collection of anticipated data by means of Zung's Self-Rating Depressive Scale. Each of those groups was compared with calculated mean and standard deviation through t-test. Based on calculated means and standard deviations of each item, chronic prostatitis was compared with normal subjects, depressive neurotics and anxiety neurotics respectively by means of t-test. Each item was arranged in the order of means comparing chronic prostatitis with normal subjects, depressive neurotics and anxiety neurotics respectively. The above results are summarized as follows : 1. The degree of depressive symptom of chronic prostatitis was between that of normal subject and depressive or anxiety neurotics. 2. The psychologic symptom of chronic prostatitis patients appears to he more pronounced than that of normal subjects but physiologic symptom does not appear to be of considerable significance. 3. Depressive degree of chronic prostatitis was lower than depressive neurotics except 2 out of 20 items. 4. Comparing chronic prostatitis with anxiety neurotics, psychologic symptoms appeared to be more pronounced, but physiologic symptoms appeared to be more pronounced in anxiety neurotics. 5. There was no definitive correlation between psychological and physiological symptoms in anxiety neurotics. Chronic prostatitis patients, normal subjects, and depressive neurotics marked high in psychologic symptoms. From the above results, it could be concluded that depression of chronic prostatitis was originally similar to that of depressive neurotics and that the aspect of the quantity is of triviality.

Two Cases of Unilateral Renal Agenesis / 대한비뇨기과학회지

Unilateral renal agenesis is uncommon congenital condition with important implication when operation is performed. We report on two cases of unilateral renal agenesis but blind loop of ureter in a 2 year male child with vesical diverticulum and a 8 year old girl with contralateral hydronephrosis. An excretory urogram of the former revealed nonvisualization of left kidney and normal right kidney, it of the latter showed marked hydronephrosis of right kidney and nonvisualization of left kidney. These cases were finally confirmed by exploratory surgery with transvesical retrograde pyelography and histopathological findings of resected surgical specimen.

A Clinical Observation on Injuries of Genito-Urinary Tract / 대한비뇨기과학회지

A clinical observation was made on the injuries of genitourinary tract of the in-patient in the department of urology, Chungnam National University Hospital during the period from March, 1974 to February, 1978. The results are as follows. 1. Of 403 cases hospitalized, 73 cases were injury of genitourinary tract, giving a ratio of 18.1 %. 2. The most prevalent age was from 21 to 40 for 49.3 %. The sex ratio, male to female, was 3.3:1. 3. There was increasing tendency of genitourinary tract injury annually. 4. Traffic accident, fall or straddle and kick or blow were the most frequent causes of the injury in 23.3 % respectively and the next was iatrogenic in 15.1 %. 5. The urethra was involved most frequently in 45.2 % and the next was bladder in 23.3 % the kidney in 19.2 %, the external genitalia in 8.2 % and the ureter in 4.1 %. 6. Among the 17 cases of bladder injuries, 10 cases were vesico-vaginal fistulas. All 9 patients taken repair of fistula, were cured successfully with first attempt. 7. Operation was performed in 5 cases of 14 renal injuries. 8. Three of 7 bladder ruptures were accompanied with pelvic bone fracture. 9. 10 of 33 urethral injuries were accompanied with pelvic bone fracture. Posterior urethral injury was more common in traffic accident with pelvic bone fracture and bulbous urethral injury was more common in straddle injury.

Effects of Some Drugs and Toxins on Positive Rate of Y-Body in Leukocytes of Rabbits / 대한비뇨기과학회지

This study was carried out to investigate the response of interphase Y chromosome to some drugs and toxins by observing the rate of leukocytes showing Y-body in the peripheral blood. The interphase Y chromosomes of blood leukocytes were stained with quinacrine mustard and the animals used were rabbits, rats and guinea pies. Y-bodies of leukocytes were studied in the animals as well as in man. Changes in positive rate of Y-body in leukocytes and total leukocyte count were observed in the rabbits administered with drug or toxin. The results concerning the rate of Y-body were as follows: 1. Y-bodies were present in the blood leukocytes of the animals. However positive rates in mononuclear and polymorphonuclear leukocytes were lower in animals that in man. The positive rate of Y-body was higher in mononuclear leukocytes than in polymorphonuclear leukocytes in the animals as in man. 2. Bacterial toxins such as typhoid, D.P.T. and cholera vaccines and anticancer drugs such as busulfan and endoxan reduced the positive rates of Y-body both in mononuclear leukocytes and in polymorphonuclear leukocytes. 3. Benzene known as bone marrow toxin reduced the positive rate of Y-body in mononuclear leukocytes, but not that in polymorphonuclear leukocytes. Quinine known as general protoplasmic poison reduced the positive rate of Y-body not only in mononuclear leukocytes but also in polymorphonuclear leukocytes. 4. Antibiotics such as tetracycline and chloramphenicol and steroid hormones such as estrogen, testosterone and prednisolone had no effects on the positive rate of Y-body both in mononuclear leukocytes and in polymorphonuclear leukocytes.

Five Cases of Urethral Caruncle / 대한비뇨기과학회지

No abstract available.