Primary Amyloidosis of the Urinary Bladder: A Case Report / 대한비뇨기과학회지

Primary bladder amyloidosis is a rare disease causing hematuria which is difficult to be differenciated from bladder cancer at cystoscope. We report a case of primary bladder amyloidosis who was diagnosed at other procedure for distal ureteral stone failed in repeated ESWL disintegration. Transurethral resection of bladder mass and the pathologic results revealed amyloidosis. The systemic studies for the detection of the site of other amyloidosis were failed to get positive result. There were massive hematuria after a few hours later from the transurethral resection of the bladder mass and the bleeding was controlled with 1% alum bladder irrigation. The patient is followed regularly for recurrent amyloidosis.

Vesicoureteral Reflux Secondary to a Simple Diverticulectomy: A Case Report / 대한비뇨기과학회지

A case of congenital periureteral bladder diverticulum is described. Bladder outflow obstruction and urinary tract infection were the presenting symptoms of a 2 year old boy. There were two diverticula in the bladder. The one was small (1 x 2cm) and located just above the right ureteral orifice and the other was large (8 x 10cm) and located at the left trigone. There was no hydronephrosis, and vesicoureteral reflux, neither. A simple diverticulectomy was performed. The left ureteral orifice was found at the medial side of the diverticulum's neck during operation. During follow up, bilateral high grade vesicoureteral reflux were discovered and urinary tract infections developed frequently. Eventually, ureteral reimplantation was done one year after the diverticulectomy.

Correlation between Age, Prostatic Volume and Voiding Symptoms in Randomly Selected Korean over Age 60 / 대한비뇨기과학회지

Until now, we do not have specific Korean data on the age related prostatic volume and voiding symptoms associated with prostatic volume among randomized aged population. Due to this problem, we studied the correlations on the age, prostatic volume and voiding symptom among random sampled 255 people over the age 60 from the 11 Myun in Chinyang Gun, Kyungsangnam-do from the July 12th to July 26th, 1993. The mean age of the examined people was 71.5 years. 244 people answered on questionaire for voiding symptom scoring and 224 people agreed on the transrectal ultrasonic measurement of the prostatic volume. The prolate spheroid method and elliptical method were used for the measurement of the prostatic volume with the major transverse diameter, major anteroposterior diameter and cephalocaudal diameter of each prostates as Terris. The volume of the prostate ranged from 6.2cc to 54.5cc ( Prolate spheroid method ) and 4.7cc to 44.1cc(Elliptical method ). The prostate volumes measured by the elliptical method were smaller than that measured by prolate spheroid method in each age group. The average prostatic volume measured by the elliptical volume and prolate spheroid method were 17.7/22.5cc(E/P) in age 61 to 65 group(n=17), 19.9/22.8cc in age 66 to 70 group(n= 88), 21.6/ 26.0cc in age 71 to 75 group(n=71), 24.4/27.7cc in age 76 to 80 group(n=34) and 18.1/23.7cc in age over 80 group(n =14) and the pattern of the changes in the prostatic volume related with aging was significant(p 0.05).

Clitoral Involvement by Neurofibromatosis: A Case Report / 대한비뇨기과학회지

We report an unusual case of clitoral hypertrophy due to neurofibromatosis of external genitalia. The patient also had definite skin lesions and family history. The patient was treated successfully by clitorectomy. The patient seems to be the first case of clitoral neurofibromatosis reported in Korean literature.