Clinical Observation of Testicular Tumors / 대한비뇨기과학회지

Clinical observation of testicular tumors was made on 10 cases who were admitted to the Department of Urology, Seoul Adventist Hospita1, during the period from January 1975 to June 1979. The results are summarized as follows : l. During this period, the total number of male in-patients was 496 among which 10 cases had testicular tumor, giving a rate of 2.02% 2. Among 74 cases of male genitourinary tract tumor, there were 10 cases of testicular tumor with a rate of 13.51%. 3. Age distribution was between 5 months and 55 years, showing the highest incidence in the 30 to 39 year age range (30.0%). 4. There were 6 cases (60.0%) on the right. 4 cases (40.0%) on the left. 5. 70.0% of the cases visited the hospital within 6 months after onset of the symptoms. 6. The frequent subjective symptoms were as follows: painless scrotal mass in 80.0%, painful scrotal mass in 20.0%, palpable abdominal mass in l0.0% and lumbar back pain in 10.0% as well as other symptoms. 7. There were 2 cases (20.0%) with metastasis on admission: l case in inguinal lymph node and 1 case in lung and lumbar lymph node. 8. There were 3 cases of seminoma (30.0%) including 2 cases combined with teratoma and embryonal carcinoma respectively, 2 cases of yolk sac tumor (20.0%), 2 cases of teratocarcinoma (20.0%), 2 cases of teratoma (20.0%) and 1 cases of metastatic adenocarcinoma from stomach (10.0%) 9. These patient were managed by surgery and/or irradiation and/or chemotherapy.

A Case of Sparganosis in the Left Flank and the Left Scrotum / 대한비뇨기과학회지

The human sparganum mansoni infestation was reported 63 cases in Korea until 1974, but urogenital infestation of sparganum is relatively rare. We experienced a case of sparganosis in which one parasite migrated from the Left flank to the left scrotum and the other remained in the left flank. The white ribbon worm-like structure was crawling in the subcutaneous tissue of the left scrotum. This 51 year lod male patient had an episode of intake of raw snake as a tonic 2 year ago in Kyungki-do, Korea.

Clinical Observation of Renal Tuberculosis / 대한비뇨기과학회지

Clinical observation of renal tuberculosis was made on 44 cases who were admitted to the Department of Urology. Seoul Adventist Hospital, during the period from January 1973 to December 1978. The results are summarized as follows: 1. During this period, the total number of in-patients was 782 among which 44 cases had renal tuberculosis. giving a rate of 5.6% of total in-patients. The ratio of the annual number of renal tuberculosis cases against total number of urologic in-patients is decreasing significantly. 2. 24 cases (54.5%= out of 44, were in the age group of 21 to 40, and male to female ratio was 1.6: 1. 3. Both kidneys were affected in 21 cases (47.8%), while l3 cases (29.5%) involved the left kidney and 10 cases (22.7%) the right one. 4. The frequent subjective complaints were as Follows: Frequency in 70.5%, gross total hematuria in 68.2%, painful urination in 56.8% and flank pain or dullness in 52.3%. 5. 43.2% of the cases visited the hospital within 6 months after onset of the symptoms. 6. 68.2% of the cases were associated with active or healed pulmonary tuberculosis. 7. Other presenting tuberculous lesions and combined diseases were as follows: Tuberculous epididymitis in 5 cases, tuberculous lymphadenitis in 3 cases, contracted bladder in 11 cases. Uremia in 4 cases and urinary stone in 3 cases. 8. Normal ranges of BUN and Creatinine were found in 34 cases and 37 cases respectively and in creased ESR was found in 28 cases. 9. Urinalysis findings revealed proteinuria in 72.7%, hematuria in 93.2% and pyuria in 84.1%. Urine AFB was found in 61.4% by Ziehl Neelsen`s method and in the 38.6% of negative stains, urine AFE culture revealed positive in 6.8%. 10. On the excretory urogram of 65 kidneys, functional changes are as follows. Nonvieualization in 41.6%, caliectasis in 3O.8%, hydrourettronephrosis in 23.6%. moth-eaten appear ance in 18.5% and contracted bladder in 25.0%. 11. Retrograde or antegrade pyelographic changes of the l9 non-visualized kidneys on excretory uro-gram are as follows: hydronephrosis in 52.6%, caliectasis in 36.8%, parenchymal destruction in 3l.6 % and cavity with pyonephrosis in 21.1%. l2. The patients were managed by chemotherapy only in 11 cases and combined chemotherapy and nephrectomy in 28 cases, nephrostomy in 13 cases and ileocystoplasty in 4 cases. 13. Histopathologic findings of 28 nephrectomized kidneys disclosed parenchymal tuberculous granulomas in all cases and severely atrophic changes in 1 cases.

A Case of Horseshoe Kidney with Multiple Renal Stones and Hydronephrosis / 대한비뇨기과학회지

Horseshoe kidney is a nonfatal anomaly of renal development characterized by fusion of one poles of both kidneys. Most clinical problems are caused by hydronephrosis and renal calculi. A case of horseshoe kidney with multiple renal stones and hydronephrosis in a 53 year-old woman is reported and literatures are reviewed. This case was diagnosed easily radiologically and treated successfully by pyelolithotomy & pyeloplasty.