Continent Ileal Reservoir / 대한비뇨기과학회지

A new method of urinary diversion via Skinner`s modification of Koch continent ileal reservoir was tried. With this method continence with storage of urine under low pressure is well maintained so that no external applicances are necessary. Ileorenal reflux is also prevented with this nipple forming technique. From May l986 to September l986, 4 patients underwent urinary diversion that included creation of a modified Koch pouch by Skinner. Previous urinary diversion was by ureterocutaneous diversion in 1 patient. A total of 3 patients underwent radical cystectomies for bladder cancer In 1 patient, simultaneous urethrectomy was done because of carcinoma in situ in the urethra. There were no operative mortalities. All patients are continent and without reflux to the upper urinary tract. The volume capacity of pouch is more than 400ml. The pouch is emptied by self-catheterization every 4 to 6 hours during the day and once at night. Postoperative follow-up presently is short and it is impossible to check late complications. Although preliminary, this clinical trial suggests that the quality of life for patients can be improved markedly by the modified Koch continent ileal reservoir.

A Case of Cavernous Hemangioma of the Scrotum / 대한비뇨기과학회지

Cavernous hemangioma is a benign vascular tumor composed primarily. large venous channel occuring in the deep dermis and subcutaneous tissues. A case of 21-year-old man with cavernous hemangioma of the scrotum is reported with review of the literature.

Renal Artery Aneurysm: Report of Two Cases / 대한비뇨기과학회지

Aneurysm was the first disease of the renal artery to be recognized by Rouppe on 1770, and until selective renal angiography came into vogue, it was considered a rare occurrence. We had experienced 2 cases of renal artery aneurysm that one case was found intraoperatively by chance and the other was confirmed with selective renal angiography. We report 2 cases with review of the literature.