A Case of Pyelocalyceal Diverticulum / 대한비뇨기과학회지

We report a case of pyelocalyceal diverticulum. The patient was a 25-year-old woman and admitted to the Dept. of Urology B.N.U.H. because of mild left flank pain. The tentative diagnosis was made by IVP and confirmed by operation and histological examination. The roentgenogram of IVP revealed round cystic mass at lateral site of middle calyx, right.

Therapeutic Results by Urethrographic Classification for Male Posterior Urethral Injury Associated with Pelvic Fracture / 대한비뇨기과학회지

The author analyzed 60 cases of urethrography of patients with posterior urethral injury, from 1971 to 1980 at the Department of Urology, Busan National University Hospital, and according to the radiographic findings, presents a new classification of posterior urethra1 injury; type I, type II, type III and type IV. Type II and IV were most common (70%). The most common pattern of pelvic fractures was bilateral fracture of pubic rami, accounting for 27 cases of total. Therapeutic goals of posterior urethral injury are to prevent late complications such as stricture, impotence and incontinence. In the past we used urethral Foley catheter indwelling, primary realignment and primary reanstomosis for posterior urethral injury. Following primary realignment, the incidence of stricture was 18 cases (86%), impotence 9 cases (43%) and incontinence 3 Cases (14%) out of 21 cases. In Foley catheter indwelling the incidence of stricture was 67%, impotence 33% and incontinence 8% out of 12 cases. Now we adopt cystostomy alone with or without delayed pull-through (Badenoch) urethroplasty for posterior urethral injury. After cystostomy alone, the incidence of stricture is 2 cases (22%), impotence 2 cases (22%) and incontinence 1 case (11%) out of 9 cases. In cystostomy with delayed urethroplasty the incidence of stricture is 1 case (25%), impotence 2 cases (50%) and no incontinence out of 4 cases.

Clinical Experience of Male Pseudohermaphroditism / 대한비뇨기과학회지

Although the definition of male pseudohermaphroditism remains controversial, male pseudohermaphrodites will be defined as chromatin-negative individuals who have testis with the failure of normal development of the normal male. Also included are those individuals who may have more than one cell line, but at least one cell line, containing a Y chromosome and no cell line having two X chromosomes. Gonadal histologic findings may be either testicular or streak, but not ovarian. Male pseudohermaphroditism can result as a consequence of 1) absent M(llerian regression, 2) Inadequate synthesis of testosterone, 3) inadequate synthesis of dihydrotestosterone and 4) androgen receptor deficiency. We have seen 5 cases of male pseudohermaphroditism with manifestations of penoscrotal or perineal hypospadias, pubertal virilization, cryptorchism or atrophied testes, and feminization. Four cases had been reared as male and one case as female. All revealed chromatin-negative pattern in buccal smear and testes. After the plausible discussion, two cases were decided to be reared as female and three were as male.

Transureteroureterostomy : Report of Two Cases / 대한비뇨기과학회지

We experienced two successful cases of left to right transureteroureterostomy recently. One had left ureterocutaneostomy resulted from the failure of left ureteroneocystostomy associated with partial cystectomy in bladder tumor, who was treated with left to right transureteroureterostomy without ureteral stents. The other had recurrent bladder tumor which had been treated with partial cystectomy, irradiation and TUR, who was underwent with cutaneous transureteroureterostomy (left to right) and subsequent total cystectomy by placing ureteral stents. In both cases, no complications were seen, such as urinary leakage, progressive bilateral and/or unilateral hydronephrosis

Congenital Megacalicosis : Report of Two Cases / 대한비뇨기과학회지

Congenital megacalicosis was first described by Puigvert in 1963. In pyelogram, it reveals dilated calyces with normal pelvis and ureter. And it should be differentiated from obstructive hydrocalicosis or hydronephrosis. In the last 6 years, we experienced two cases of megacalicosis at our urologic department. These cases consist of one boy and one woman.