Leiomyosarcoma and Leiomyoma of the Urinary Bladder: Report of Two Cases / 대한비뇨기과학회지

Two cases of non-epithelial tumor were experienced in the urinary bladder One was leiomyosarcoma and the other leiomyoma. Case of leiomyosarcoma was arisen from the base and trigone of the urinary bladder in a 42 year-old male. Tumor mass weighing 105.0 gm. was removed through transurethral resection. Case of leiomyoma was noted in the urinary bladder it a 38 year-old woman. The tumor appeared a well circumscribed firm mass of 75gm. in weight, subserosal in location, and was found in the right lateral wall of bladder. The tumor mass was removed through suprapubic extravesical approach.

Statistical Observation on In-patients of the Department of Urology the Past 8 Years / 대한비뇨기과학회지

Statistical observation was made on in-patients in the Department of Urology. Presbyterian Medical Center, Taegu, Korea, during the period from August 1. 1970 through July 31, 1978. 1. Among 1.987 cases of in-patients, 1,505 cases were male and 481 cases were female with a ratio of 3.1: 1. Most common diseases were ureter stones (14.88%), renal tbc. (7. 74%) , bladder tumors ( 7.18%), and B. P. H. (5.7 %) in order. 2. Of 1.987 in-patients, operation was done in 1.532 cases ( 76. 3 %).3. Of 1.532 operation cases, T. U. R. ( 15. 27%) was the most common operation : nephrectomy (11.49%), ureterolithotomy (10.31%) and hydrocelectomy (6.72 %) were performed.

Clinical Observation on Vesicovaginal Fistula / 대한비뇨기과학회지

A clinical observation was made on 20 cases of vesicovaginal fistula admitted to the Department of Urology, presbyterian Medical Center during the period from Aug., 1970 through July. 1977 and the following results were obtained. 1. Among 36 cases of urinary tract fistula, the most commonly involved site was bladder(22cases) and the most common fistula type was vesicovaginal fistula (20cases). 2. Among 20 cases of vesicovaginal fistula, the most common age was between 30 and 50 years. 3. The most common etiology of vesicovaginal fistula was gynecological cause(9 cases). 4. The most common location of vesicovaginal fistula was trigone(13 cases) mainly. 5. On I.V.P. finding of vesicovaginal fistula, 11 cases were normal and 8 cases abnormal. 6. On cystoscopic findings of vesicovaginal fistula, 7 cases were normal, 11 cases abnormal, 3 cases combined with bladder stone and 1 case with vaginal stone. 7. On treatment of vesicovaginal fistula, suprapubic transvesical approach was performed in 9 cases, transvesical transperitoneal approach 4 cases, Foley catheter drainage 3 cases and ileal conduit 1 case. 8. Success rate of repair was 76.9%, suprapubic transvesical 66.7 % and transperitoneal transvesical 100%.

Clinical Observation on Urolithiasis / 대한비뇨기과학회지

Urolithiasis is one of the most common diseases of the urinary tract and the incidence has been increasing in recent years. The author made a clinical observation on 312 cases of clinical significance among the 375 cases of urolithiasis admitted to the Department of Urology, Presbyterian Medical Center, Daegu, Korea during the period from August, 1970 to July, 1976. The following results were obtained: 1. Among total admissions (1,400 cases), those with urolithiasis were 375 cases (26.8%), being the most common disease of the urinary tract. 2. Age distribution was between 2 and 85 years, showing the highest incidence in 21 to 50 years (74.1%). 3. Among 312 cases of in-patients, 225 cases were male and 87 female with 2.6 : 1 ratio. 4. Stones were located in ureter (69.2%), kidney(18.6%), bladder(9.0%) and urethra (2.9%). 5. Among those with ureterolithiasis, 62.5% of all cases were located in the lower third of the ureter. 6. Among those with renal stones, those with stag-horn calculi and bilateral stones were 25.9% and 3.5% respectively. 7. Managements included surgical intervention (61.9%), manipulation with baskets and ureteral catheters(25.6%) and other conservative(expectant) treatments (12.5%). 8. Pyuria was present in 30.1% and positive urine cultures with more than 100,000 colony per ml were obtained in 27.3% of 216 cases. 9. Serum calcium and phosphorus showed normal ranges in all cases. 10. Quantitative urinary calcium was elevated in 12.5% of 56 cases (more than 300 mg% per 24 hr) and phosphorus was reduced in 21.4% (less than 700 mg% per 24hr).