Symptomatic Analysis of Men with Chronic Prostatitis/Chronic Pelvic Pain Syndrome

PURPOSE: Prostatitis is an extremely common syndrome that afflicts 2~10% of men and is now classified into NIH category. Of these, NIH category III(Chronic Prostatitis/Chronic Pelvic Pain Syndrome, CP/CPPS) varies widely in clinical presentation and response to treatment. We evaluated the characteristic symptoms of CP/CPPS based on NIH chronic prostatitis symptom index(NIH-CPSI), International Prostate Symptom Score(IPSS) and International Index of Erectile Function-5(IIEF-5) for the exploration of the future prospects of treatment. MATERIALS AND METHODS: 114 subjects agreed to participate in the study. The data from 99 patients were available for evaluation. The candidates with category IIIa and IIIb chronic pelvic pain syndrome were from 3rd decade to 6th decade for exclusion of effect of BPH. The NIH-CPSI, IPSS, IIEF-5 were used to grade symptoms and the quality of life impact at the start of the study. We investigated the correlation of the each domain of the scales categorized by age, location and multiplicity of the pain, and duration of the disease. Pearson's correlation method and ANOVA test were used for statistical analysis. RESULTS: Mean age of the patients was 41.1+/-8.5(3rd decade; 8 patients, 4th decade; 30, 5th decade 47, 6th decade 14). There were significant correlation between IPSS total score and urinary domain of NIH-CPSI (R=0.82), and irritative domain of IPSS and urinary domain of NIH-CPSI(R=0.76) with pearson's method. Analysis of the scores categorized by age revealed that there were no difference in 2nd, 3rd, 4th decade, but 6th decades had high IPSS total score. Analysis of the scores categorized by location and multiplicity of the pain revealed that the most common site of the pain was perineum(34.3%), and the patients who had 3 or more painful area had higher scores in all domains of CPSI and IPSS except pain domain of NIH-CPSI than the patients who had 1 painful area. Analysis of the scores categorized by duration of the disease revealed that the IPSS scores of the patients suffered during 1 year or more were higher than the patient suffered during 6months or less. There was no significant correlation between IIEF-5 and other scales. CONCLUSION: In our study there was significant correlation between urinary domain of NIH-CPSI and total score of IPSS. So, urinary domain of NIH-CPSI could be helpful index when alpha-blocker is used for the treatment of CP/CPPS. And alpha-blocker could be more effective in patients who are older and have longer duration of the disease and have multiple painful areas.

Clinical Experience with Penis Carcinoma / 대한비뇨기과학회지

A clinical experience was made on 14 patients of penis carcinoma admitted to the Department of Urology. Chosun University Hospital during the period from January, 1979 to December, 1987 and following results were obtained. 1. The incidence of penile carcinoma was 0.6% of total inpatients of the Urologic Department and 5.8% of genitourinary tract cancer. 2. Age distribution was between 42 and 78, showing highest incidence at 50-59 years old. 3. Clinical findings were ; mass 71.5%, ulcer 21.4% and inguinal lymphadenopathy 57%. 4. Clinical stages were distributed as follows : 2 cases in stage I, 6 cases in stage II, 5 cases in stage III, and 1 case in stage IV. 5. Surgical treatment were partial amputation only in 6 cases, partial amputation with lymph node dissection in 3 cases, total penectomy and lymph node dissection in 2 cases, total penectomy only in 1 case, circumcision only in 1 case. 6. Biopsy were performed in 7 cases whose lymph node were palpable and 4 cases were positive for metastasis (57.1 %).

A Case of Squamous Cell Carcinoma of the Scrotum / 대한비뇨기과학회지

Squamous cell carcinoma of the scrotum is rare, and in Korea, have not been reported. Prognosis depends upon surgical staging treatment is wide local excision with metastatic lymph node dissection. Recently we experienced a case of squamous cell carcinoma of the scrotum, which was treated with wide local excision with bilateral inguinal lymph node dissection, then, reviewed literature briefly.

A Case of Adrenal Ganglioneuroma / 대한비뇨기과학회지

Ganglioneuroma is generally considered to be the benign mature from of tumor arising from neural crest tissue. The great chain of sympathetic ganglia including the adrenal medulla accounts for the origin of most of ganglioneuroma. Complete surgical excision of adrenal ganglioneuroma is the treatment of choice. Herein we report a cases of adrenal ganglioneuroma in a 17-year-old male which is confirmed by surgical exploration and histopathologic examination.