Primary Adenocarcinoma of the Seminal Vesicle / 대한비뇨기과학회지

Primary carcinoma of the seminal vesicle is a very rare neoplasm that can imitate tumors in adjacent organs in its clinical presentation, including bladder, rectal, and most frequently, prostate carcinoma. We report a case of primary adenocarcinoma of the seminal vesicle with terminal gross hematuria in a 50-year-old man, who was treated with surgery and radiotherapy.

Urodynamic Evaluations According to Clinical Findings and Clinical Significance of Glycosylated Hemoglobin (HbA1C) in Patients with Diabetic Cystopathy / 대한비뇨기과학회지

PURPOSE: In an effort to characterize the complex voiding dysfunction associated with symptomatic diabetic patients, the results of urodynamic studies of diabetic patients were retrospectively analyzed. MATERIALS AND METHODS: We retrospectively reviewed the clinical information, laboratory findings and urodynamic data, of patients with diabetic cystopathy (DCP) (20 males and 40 females) between January 1997 and December 2001. The urodynamic findings were classified as detrusor instability (DI), impaired detrusor contractility (IDC), detrusor areflexia (DA) and normal detrusor contraction (ND). RESULTS: The mean duration of diabetes in irritative symptom group (40%), combined symptom group (26.7%) and obstructive symptom group (33.3%) was 3.4 years, 8.3 years and 15.2 years, respectively (por=7%, 17 were noted in the obstructive symptom group. The urodynamic findings of the 60 diabetic patients were distributed as follows: 22 (36.7%) detrusor instability, 20 (33.3%) impaired detrusor contractility, 16 (26.7%) detrusor areflexia and 2 (3.3%) normal detrusor contraction. CONCLUSIONS: The shorter the duration of diabetes, the more predominant were the signs of irritative symptoms, whereas the longer the duration of diabetes, the more predominant were the obstructive voiding symptoms. The patients with serum HbA1Cor=7% mostly complained of obstructive symptoms.

A Case of Primary Carcinoid Tumor of the Urinary Bladder / 대한비뇨기과학회지

Primary carcinoid tumor of the urinary bladder is extremely rare. We report a case of primary carcinoid tumor of the urinary bladder in a 45-year-old man who presented with frequency, dysuria and urinary tenesmus for 6 months with clinicopathologic, immunohistochemical and ultrastructural findings.