ABSTRACT
The loss of penile skin, either traumatic or iatrogenic, is sometimes difficult to treat. Especially, treatment of the penile foreign body granuloma is very difficult. Surgical treatment of penile skin defect are a skin graft, flap-to-graft conversion method, and various scrotal flap. But these have many problems such as wound disruption, skin necrosis, skin contracture, and hypertrophic scar. We present our technique for penile resurfacing using apronlike scrotal flap and groin flap. Apron-like scrotal flap has several advantages: one stage operation, short operation time, avoidance of dorsal scar and flap necrosis, maintenance of erectile capacity. Also we think that groin flap is a proper method for the patients who suffer from a large penile skin defect and whose scrotal skin is not available. We did the research in patients with the penile foreign body granuloma who were used the techniques of groin flap and apron like scrotal flap in the operation from March 2000 to February 2002. All the 15 cases showed excellent outcome. Especially, apron like scrotal flap was very beneficial in patients whose scrotal skin was available.
Subject(s)
Humans , Cicatrix , Cicatrix, Hypertrophic , Contracture , Foreign Bodies , Granuloma, Foreign-Body , Groin , Necrosis , Skin , Transplants , Wounds and InjuriesABSTRACT
Although some recent studies showed that increased synthesis of vasodilatory prostaglandin E2 were possible factor in the maintenance of renal blood flow during the states of impaired renal perfusion. However this fact is not studied in cases of upper urinary tract calculi yet. This study is to estimate the value of urinary prostaglandin E2 in cases of upper urinary calculi. The amount of prostaglandin E2 in urinary excretion was measured by radioimmunoassay in ten cases of complete ureteral obstruction compared with normal side, in eleven cases of partial ureteral obstruction compare with normal side and in three cases of bilateral renal calculi. The results obtained were summerized as follows: 1. The values of urinary prostaglandin E2 were highly elevated in cases of bilateral renal calculi. 2. In ten cases of complete ureteral obstruction, the values of urinary prostaglandin E2 decreased in comparison with those of the normal side. 3. In eleven cases of partial obstructions of the ureter, urinary prostaglandin 2, values were elevated than those of the normal side.
Subject(s)
Calculi , Dinoprostone , Kidney Calculi , Perfusion , Radioimmunoassay , Renal Circulation , Ureter , Ureteral Obstruction , Urinary Calculi , Urinary TractABSTRACT
Rhabdomyosarcoma of the kidney is a highly malignant and very rare tumor. Only a few cases were reported previously. A 54-years-old male was admitted to the Korea University, Haewha hospital with gross, painless hematuria and palpable mass in RUQ of abdomen. Herein, we are presenting a case of renal rhabdomyosarcoma with the review of literatures.
Subject(s)
Humans , Male , Abdomen , Hematuria , Kidney , Korea , RhabdomyosarcomaABSTRACT
Benign polyps with prostatic type epithelium (BPPE) in the male urethra is known as a rare case. The common signs of reported cases are painless gross hematuria, hemospermia, microscopic hematuria, dysuria, frequency and postatism in young adult. We are reporting three cases of benign polyps with prostatic type epithelium of the verumontanum and the clinicopathological findings of these cases with the references.
Subject(s)
Humans , Male , Young Adult , Dysuria , Epithelium , Hematuria , Hemospermia , Polyps , Prostate , UrethraABSTRACT
Leydig cell tumors of the testis is only 1 to 3% of all testicular tumors. Although they are usually clinically benign, about 1O% of the reported cases has been associated with a malignant course. Malignant testicular leydig cell tumors occur exclusively in adult. Early metastasis is usually seen and there is no proved sensitivity to radiation or chemotherapeutic regimens in patients with disseminated tumor with poor prognosis. A-70-year-old man was admitted to Korea University Haewha Hospital with rapid growing, nontender testicular mass. On physical examination, right testicular hard mass measuring 9 x 6 x 5cm in size showed negative transilumination test. Under the impression of testicular tumor, radical orchiectomy was performed. Histologic and electron-microscopic features revealed malignant leydig cell tumor and the literatures are reviewed.
Subject(s)
Adult , Humans , Korea , Leydig Cell Tumor , Neoplasm Metastasis , Orchiectomy , Physical Examination , Prognosis , Testicular Neoplasms , TestisABSTRACT
Retrocaval or postcaval ureter is a well-recognized venous congenital anomaly commonly causing ureteric obstruction. A 42 year-old male was admitted to Korea University Hospital because of right flank pain. The right AGP reveals the S-shaped coures of ureter and hydronephrosis. The ureteral and to end anastomosis was done with double J ureteral stent. Herein we present a case of retrocaval ureter with brief review of literatures.
Subject(s)
Adult , Humans , Male , Flank Pain , Hydronephrosis , Korea , Retrocaval Ureter , Stents , UreterABSTRACT
Duplication of the renal pelvis and ureter is the most common congenital anomaly of the upper urinary tract. The three most important abnormalities associated with duplicated kidney are vesicoureteral reflux, ectopic ureter and ureterocele. Herein we present three cases of unilateral, complete duplicated ureter in children associated with ectopic ureteral orifice, vesicoureteral reflux and ectopic ureterocele, respectively, with review of related literatures. They have suffered from urinary incontinence with normal voiding since birth, recurrent urinary tract infection and protruding mass from the urethral meatus on straining respectively. Two cases of them were treated with partial nephrectomy and ureterectomy, the third was performed partial nephrectomy, ureterectomy and ureterocelectomy.
Subject(s)
Child , Humans , Kidney , Kidney Pelvis , Nephrectomy , Parturition , Ureter , Ureterocele , Urinary Incontinence , Urinary Tract , Urinary Tract Infections , Vesico-Ureteral RefluxABSTRACT
Pertutaueous transluminal angioplasty is the treatment of choice for renovascular hypertension in cases due to the renal vascular occlusion which is not severe enough to pass dilatation catheter. The advantages of percutaneous transluminal angioplasty are the use of local anesthesia, its noninvasiveness without surgical risk, feasibility of repetition and shorter hospital days compared with surgical methods. We are presenting a case of renovascular hypertension due to atherosclerosis cured by percutaneous transluminal angioplasty with the review of literatures.
Subject(s)
Anesthesia, Local , Angioplasty , Atherosclerosis , Catheters , Dilatation , Hypertension, RenovascularABSTRACT
Since Brown first described the eosinophilic cystitis in 1959, 42 cases has been reported in the literature. In Korea, only 1 case was reported from the National Medical Center a couple of years ago. Eosinophilic cystitis is characterized histologically by infiltration of eosinophils into the mucosa, submucosa and muscularis of the bladder and cystoscopically by elevated erythematous mucosal lesions. These lesions have been mistakenly diagnosed as bladder tumors prior to biopsy. Clinically, it presents with dramatic and recurrent episodes of dysuria and hematuria. It can occur in two different clinical setups. The first is seen in women and children and is often associated with allergic disorders and eosinophilia. The second presents in older man and is usually associated with bladder injury related to other conditions of bladder and prostate. We herein add two cases of eosinophilic cystitis, review etiologic theories and outline management.
Subject(s)
Child , Female , Humans , Biopsy , Cystitis , Dysuria , Eosinophilia , Eosinophils , Hematuria , Korea , Mucous Membrane , Prostate , Urinary Bladder , Urinary Bladder NeoplasmsABSTRACT
From its size, location and structure, the prostate is one of the most suitable organs for the diagnostic application of ultrasound. Transrectal ultrasonography with transrectal linear array probe was per. formed in 19 controls and 36 patients with prostatic disease to evaluate the size and morphology of prostate. The following results were obtained: 1. The average values of maximum anteroposterior, superiorinferior and transverse diameter obtained from ultrasonograms were 2.2O+/-0.30cm, 3.38+/-0.35cm, 4.18+0.35cm in control group; 3.16+/-0.78 cm, 4.79+/-0.84 cm, 5.13+/-0.62cm in BPH; 3.40+/-0.84cm, 5.25+ 1.95cm, 5.73+/-1.16cm in prostatic cancer. 2. In a comparison of sonography and x-ray for detecting prostatic calculi, the detection rate of sonography (54.5 %) was higher than x-ray (25.5%). 3. Diagnostic accuracy of sonography was 88% in BPH and 100% in prostatic cancer. 4. Ultrasonographic findings in BPH were enlarged in size, homogeneity in echo pattern and all capsular echoes are continuous. In prostatic cancers, which have mixed echo pattern and capsule is thick with discontinuity. 5. Transrectal sonography is especially useful in estimating prostatic size and in detecting pathology such as BPH, prostatic cancer, prostatitis and abscess.
Subject(s)
Humans , Abscess , Calculi , Pathology , Prostate , Prostatic Diseases , Prostatic Neoplasms , Prostatitis , UltrasonographyABSTRACT
Urinary tract calculi composed primarily of cystine are rare in adults and children. These are usually pure and found exclusively in patients with cystinuria. Cystinuria is an inherited defect in renal tubular reabsorption of four amino acids, cystine, ornithine, lysine, and arginine. Herein we report on a 2 and 1/12 years old male child with a right renal stone and multiple bladder stones composed primarily of cystine which were confirmed by X-ray diffraction method post-operatively.