Clinical Observation on Gross Hematuria / 대한비뇨기과학회지

A clinical observation was made on 199 cases of gross hematuria who were admitted to the Department of Urology. Capital Armed Forces General Hospital during the period from January, 1978 to December, 1980. The following results were obtained; 1. The incidence of gross hematuria was 27.5% of all urological in-patients and male to female ratio was 4.5:1. 2. The most frequent incidence of gross hematuria on male were trauma and calculus and infection on female. 3. The commonest disease of gross hematuria were ureteral stone, renal injury, renal stone and renal tuberculosis. 4. The most frequent incidence of gross hematurias were calculus and trauma under the age of 40 and tumor over the age of 40. 5. Etiology of gross hematuria were highest in calculi (30.7%), injury (27.6%), tumor (13.6%). 6. The sites of gross hematuria were it the kidney (48.2%), ureter (20.1%), bladder (17.6%). urethra (6.5%), prostate (3.0%). 7. Painless gross hematuria was 63.3% and the commonest cause was renal injury. Painful gross hematuria was 36.7% and the commonest cause was ureteral stone. 8. Total gross hematuria was 75.4% and the commonest causes were upper urinary tract lesions. Terminal gross hematuria was 21.2% and the commonest causes were mid urinary tract lesions. Initial hematuria was 3.4% and the commonest causes were lower urinary tract lesions.

A Clinical Observation of Paratesticular Tumors / 대한비뇨기과학회지

A clinical observation was made on 19 cases of paratesticular tumors in 19 patients which were neither resolved nor improved with primary medical and conservative treatment in the Department of Urology. Capital Armed Forces General Hospital during the period from March, 1977 to July, 1981. The following results were obtained. 1. The age was ranged from 20 to 45 years old and the most favorable age was in 3rd decade. 2. The main symptoms and signs were palpable mass in 73.1%. 3. Duration of symptoms from onset was over 1 year in 57.9% and under 1 year in 42.1%. The mean duration was 17 months. 4. Organ distribution was 5 cases in epididymis, 5 in spermatic cord and 9 in scrotal tunics. 5. 11 cases arose on the left side, 4 on the right and 4 on the midline. 6. There were benign tumors in 17 (89.5%) and malignant tumors only in 2 (10.5%) of all 19 cases. These malignant lesions were developed in the spermatic cord. 7. The lesions were managed by local resection in 16 cases, orchiectomy in 2 and epididymectomy in 1.

Lower Urinary Tract Injuries Associated with Pelvic Bone Fractures / 대한비뇨기과학회지

A clinical study was made on 108 patients with pelvic bone fractures and 37 patients with lower urinary tract injury in the Capital Armed Forces General Hospital during the period of 3 years from January, 1978 to December, 1980. Emphasis was placed on the mechanism of the bladder and urethral injuries. The results were summarized as follows: 1. The most common cause of pelvic bone fractures was traffic accident (88.0%). 2. 37 cases (34.3%) of the pelvic bone fractures were associated with lower urinary tract injuries. These included 17 ruptures of the urethra, 14 bladder injury and 6 bladder and urethral injuries. 3. Among the total bladder injuries (20 cases), we found 14 extraperitoneal ruptures of the bladder. 4 intraperitoneal ruptures and 2 bladder contusion. 4. Among the 23 urethral injuries, membranous urethral injuries were prominent, 19 membranous urethral ruptures and 4 bulbous urethral ruptures.

Horseshoe Kidney with Bilateral Stones: Report of A Case / 대한비뇨기과학회지

Horseshoe kidney is the most common fusion anomaly of kidney development, and causes most clinical symptoms by hrdronephrosis and calculi. We report a case of horseshoe kidney with bilateral stone formation it 21 years old male and a brief review of literature is presented.

A Statistical Study on Length of Prostatic Urethra in Korean Adult by Radiology / 대한비뇨기과학회지

What we know an actual length of the prostatic urethra is a valuable implement for evaluating on urological conditions of prostatic gland, such as the prostatic hyperplasia, prostatic tumor and other disorders of the prostatic gland. The urological discipline concerned with this, usually known nowadays as cystourethrography, has therefore a key position in evaluating of the length of prostatic urethra clinically. The author performed a cystourethrograph on 20 cases of Korean adults, and measured the length of prostatic urethra on urogram which was made by radiology with a metric system. Results are as follows: 1) Average length of the prostatic urethra on the antero-posterior view was 4.48+/-0.373 (M+/-S.D.) 2) On the right oblique view, average length of prostatic urethra was 4.80+/-0.403 (M+/-S.D.) 3) On the left oblique view, average length of prostatic urethra was 4.85+/-0.419 (M+/-S.D.)

Huge Peripelvic Lymphatic Cyst: A Case Report / 대한비뇨기과학회지

Peripelvic lymphatic cyst or the kidney is a rare case in Korean Urological literature. We have experienced a case of it in 30 years old woman who had a palpable fluctuant mass in the upper right quadrant of the abdomen. The operated cyst was dark-red colored appearance and filled with amber colored fluid about 800cc. We have removed it together with kidney. The cyst measured 200gm. in weight, 10 x 5 x 4.5 cm in size and 0.5cm thickness of the cystic wall. Histological finding of the cystic wall showed a consisting of endometrial cell underlying tissue was collagen fiber and fibrotic change. The fluid of cyst contained 98 % of lymphatic cell.

Frequency and Etiology of Gross Hematuria in an Urinary Tract / 대한비뇨기과학회지

Gross hematuria is most frequently used to describe the findings of blood-stained urine. Virtually inexhaustible literature has been accumulated emphasizing the important of gross hematuria as a signpost pointing to lesions of greater hazard especially in the urinary tract. A statistical survey was made on gross hematuria of the in-patients at the department of Urology of Sacred Heart Hospital for past 7 years. (1971-1977) Results are as follows: 1. During the period of 7 years. 218 cases (18.7 %) were found to be gross hematuria among 1166 cases hospitalized. Of the 218 patients there were 161 males and 57 females, 2.8:1 in ratio. 2. Etiology of the 218 cases with gross hematuria showed the highest in urinary tract tumor 65 cases (29.8 %) U-T calculus 64 cases (29.4 %). U-T infection 36 cases (16.5 %), U-T obstruction 9 cases (4.1 %) and ether 3 cases (1.4 %) in order. 3. Diagnosis in 218 cases with gross hematuria showed highest in bladder tumor 51 cases (23.4 %) ureteral stone 48 cases (22.0 %), and pyelonephritis 12 cases (5.5 %) in order. 4. The site of bleeding in 218 cases with gross hematuria was in the kidney 35.8 %. bladder 29.4 %, ureter 22.0 % and urethra 5.1 %. 5. Most frequent incidences of gross hematuria were found to be inflammation in child age group (under 20), calculus and inflammation in middle aged group (21-40) and tumor in older male but inflammation in older female group (over 41).