Clinical Evaluation of the Urinary Tract Infection in Spinal Cord Injury Patient / 대한비뇨기과학회지

81 spinal cord injury Patients divided to 4 groups; The 1st. group was 12 patients with vesicostomy, the 2nd. group was 27 Patients with urethral indwelling catheterization, the 3fd. group was 15 Patients with intermittent catheterization and the 4th. group was 27 Patients with self voiding state. In 81 spinal cord injury Patients of 4 groups, urine culture, colony count and drug susceptible test were done from the department of Urology, Veterans Hospital during the period from Mar. 1983 up to Jun. 1983. 1. The incidence of bacteriuria was totally 54 cases (66.7%) among 81 cases, 10 cases (83.3%) among 27 cases in 2rid. group, 8 cases (53.3%) among 15 cases in 3rd. group and 12 cases (44.4%) among 27 cases in 4th. group. 2. The frequency of isolate organisms by culture were as followings; Pseudomonas: 34.8%, Proteus: 17.4%, Serratia: 14.5%, Providence: 13.0%, Acinetobacter: 5.8%, E. coli. 4.3% Alkaligenes: 2.9%. 3. Mixed infection of 2 different organisms was 12 cases (30.8%)among 39cases in 1st. and 2nd. groups and 2 cases (4.8%) among 42 cases in 3rd. and 4th. groups. 4. On the whole, all isolated organisms showed considerable susceptibility to Amikacin (73.9%) and then frequency of susceptible drugs were Tobramycin and Velocef. The incidence of resistance for all drugs was 13 cases (18.8%) among 69 cases.

The Successful Treatment of Intraurethral Condyloma Acuminatum with Thiotepa: Report of a Case / 대한비뇨기과학회지

Condyloma acuminatum is a common lesion of the penis and genitalia. It uncommonly involves the urethra but when it does the lesions are difficult to eradicate. Treatment has included excision, fiuguration, podophyline and thiotepa0 none of which has been entirely successful. We report a case of intraurethral condyloma acuminatum treated with thiotepa instillation in 27 years old male patient

Clinical Evaluation of Sterile Intermittent Catheterization in Spinal Cord Injury Patients on Indwelling Catheter Drainage / 대한비뇨기과학회지

Sterile intermittent catheterization was used in spinal cord injury patients who had indwelling catheters. This study included 17 men who had indwelling catheters for from 6 months to 5 years, an average of 22 months. Incidence of achieving catheter-free state was 12 cases among 17 cases (70.6%) and the mean period of intermittent catheterization of successful trials was 31 days. Among successful 12 patients follow-up studies up to 1 year, 9 patients (53.0%) were complete catheter-free state and 3 patients (17.6%) needed alternative intermittent catheterization. For the period of 1 year follow-up studies, there were not been any urologic complications except 2 cases of acute pyelonephritis and some trivial urinary tract infections. As these results, sterile intermittent catheterization was the useful method for management of neurologic bladder due to spinal cord injury and eliminating indwelling catheter.