Retroperitoneal Gossypiboma / 대한비뇨기과학회지

Gossypiboma is the term used to describe a mass within the body composed of a non-absorbable surgical material involving a cotton matrix. Surgical sponges with radiopaque markers are easily recognized on plain radiographs, but foreign bodies retained in the body without such markers present a diagnostic problem. Gossypiboma should be differentiated from a hematoma, abscess, cyst or tumor. Here we report a case of Gossypiboma in a 60-year-old male patient who had undergone a ureterolithotomy for a right ureteral stone 30 years earlier.

A case of Renal Angiomyolipoma in a Child without Evidence of Tuberous Sclerosis / 대한비뇨기과학회지

Angiomyolipoma is a rare benign tumor and approximately 20 to 50% of patients with the diagnosis of angiomyolipoma have some or all of the other stigma of tuberous sclerosis. Patients with tuberous sclerosis tend to be younger, more likely to have multifocal and bilateral disease. Angiomyolipoma which is not associated with tuberous sclerosis mostly affects middle aged women. According to literature data, angiomyolipoma is very rare in child and almost exclusively associated with tuberous sclerosis. We report a case of 14 year-old girl who has a renal angiomyolipoma without clinical evidence of tuberous sclerosis.

One-Stage Microsurgical Phalloplasty using the Free Radial Forearm Osteocutaneous Sensory Flap / 대한비뇨기과학회지

We performed one-stage microsurgical phalloplasty on a 17-year-old male-pseudohermaphroditism patient after bilateral orchiopexy and urethroplasty, using the free radial forearm osteocutaneous sensory flap. The main advantages of this technique are not only the one-stage reconstruction and the satisfactory cosmetic and functional solution, but also the possibility of obtaining normal erogenous and tactile sensibility. One week after the operation, the urethrocutaneous fistula was developed between the native proximal urethra and the constructed neourethra, but seven weeks after the development, it spontaneously healed well. The results of our S-month follow-up are satisfactory in the following respects : 1) satisfactory cosmetic appearance 2) voluntary control of transurethral urination while standing 3) tactile and thermal sensibility. Further follow-up study is necessary for the confirmation of erogenous sensibility, successful sexual life and late complication.