A Clinical Observation on l0 Cases of Anatrophic Nephrolithotomy / 대한비뇨기과학회지

The surgical intervention of renal staghorn calculi was performed in 9 patients(lOkidneys) who had undergone anatrophic nephrolithotomy with in situ hypothermia. admitted to the Department of Urology, HaniI Hospital, during four years periods from June, 1982 to May, 1986. This operation technique is simple, easy but uneventful recoveries followed only in a small group. The results were summarized as followings : l. Postoperative hospitalizations were 13.1 days(ranged from 8 to 21). 2. Operating time required 194.5 minutes with mean time(ranged from 150 to 230). 3. Renal artery clamping time required 36.4 minutes with mean time(ranged from 23 to 65). 4. Blood loss during operation was 875ml on the average loss(ranged from 350 to l400). 5. Postoperative complications were nephrectomy l case, pneumothorax l case, deep vein thrombosis l cases remained stone 3 cases.

A Case of Pleomorphic Rhabdomyosarcoma of an Adult Prostate / 대한비뇨기과학회지

Rhadomyosarcoma of the prostate is relatively rare and highly malignant condition. Three major categories of rhabdomyosarcoma exist, which should be kept clearly separated: pleomorphic, embryonal, and alveolar Pleomorphic rhabdomyosarcoma is actually the least common of the three categories. It arises from myotome-derived skeletal muscle and occurs almost exclusively in adults. We make the unequivocal diagnosis of pleomorphic rhabdomyosarcoma only if we can detect cross striations in some of the tumor cells. Herein we experienced a pleomorphic rhabdomyosarcoma of the prostate which is generally not found in the urogenital area and reviewed literature briefly.

A Case of Cystine Stone in a Child / 대한비뇨기과학회지

Cystinuria is an autosomal recessive inherited defect in renal tubular reabsorption of four amino acids, cystine, ornithine, lysine and arginine. Homozygotes were identified by the formation of urinary tract calculi composed of cystine and by gross hyperexcretion of above mentioned four amino acids. Urinary tract calculi composed primarily of cystine are rare in adults and children. These are usually pure and found exclusively in patients with cystinuria. Herein we report on a 4 and 3/12 years old male child with a right renal stone composed primarily of cystine which was confirmed by chemical analysis method postoperatively. After discharge he has been treated with D-penicillamine, large fluid intake and conversion of urine pH.