A Case of Epispadias / 대한비뇨기과학회지

Epispadias is an extremely rare malformation that urethral opening is located on the dorsum of the penis. The severity of the epispadiac defect depends upon the degree of persistence of the cloacal membrane. Treatment goals of epispadiac patients include restoration of normal urinary control and establishment of a straight penis of adequate length that is functional for normal sexual intercourse. Recently we have experienced a case of glandular epispadias and report it with brief review of literature.

Clinical Effect of Renal Angioinfarction in Renal Cell Carcinoma / 대한비뇨기과학회지

Renal arterial embolization has been utilized in the treatment of renal tumor since Lalli and associates introduced angioinfarction of kidney in 1996. To determine whether preoperative infarction facilitated an operation in the patients with renal cell carcinoma we compared 5 patients that were managed by standard radical nephrectomy to 7 patients in that preoperative infarction and radical nephrectomy had been used. And we performed infarction in 2 patients of inoperable renal cancer for conservative primary management. After we had performed infarction of kidney in 3 dogs experimentally, a total of 9 patients with renal cell carcinoma underwent angioinfarction of kidney at our department of urology. Radical nephrectomy was performed in 7 of total 9 patients. Complete cessation of renal arterial flow could be demonstrated in all cases and subsequent surgical dissection was facilitated after angioinfarction. We concluded that renal angioinfarction reduce the volume and vascularity of the tumor and because the resulting edema sharpens the tissue planes, it makes surgical resection easy and it is also useful therapeutic method in the patients with renal cell carcinoma who were not surgical candidates.

Prostatic Mucinous Adenocarcinoma / 대한비뇨기과학회지

Prostatic carcinoma is a disease of aging and the precise cause is until unknown. Most of the prostatic carcinomas are adenocarcinoma of tubuloalveolar or acinar origin. We report a rare case of metastatic mucinous adenocarcinoma to the seminal vesicle and testis with brief review of literature.