A Clinical Observation on Injuries of External Genitalia / 대한비뇨기과학회지

A clinical observation was made on 27 cases of injuries of external genitalia of the in-patient in the department of uro1ogy, Capital Armed Forces General Hospital during the period from January. 1977 to December, 1978. The results were as follows: 1) The rate of genitourinary injuries accounted for 19.5 per cent to the total admission patients during Z years. Twenty-nine per cent of all injuries were in patients with injuries of externa1 genitalia and they accounted for 5. 7 per cent to the total admission. 2) Most favorable age was in from 20 to 30 years for 96 per cent. 3) Kick or blow was the most frequent cause of the injuries (66.7%) and the next iatrogenic. Straddle fa11, automobile accident. gun shot and suicidal attempt were listed not less frequently. 4) Majority of injuries of external genitalia involved scrotum and testes. 5) 5cases (18.5%) of injuries of external genitalia were associated with injuries of other organs, especially with urethral injuries in 3 cases. 6) Surgical treatment was done on 20 of 27 cases of injuries of external genitalia and conservative treatment was done on others. In all scrotal explorations, drainage and compression dressing were utilized. These were resulted in a decrease of edema and hematoma formation. 7) Complications, such as chronic nonspecific epididymitis, hydrocele or hematocele etc., resulted from conservative treatment that had been done in 5 (75%) of 7 cases.

6 Cases of Modified Dismembered Pyeloplasty in Hydronephrosis / 대한비뇨기과학회지

The dismembered Foley Y-plasty and Anderson-Hynes pyeloplasty are in principle the same operation for the correction of hydronephrosis secondary to obstruction at ureteropelvic junction. The differences between the former and the letter are that Anderson used a downward and continuous 0000 suture for a watertight closure, while Foley proposed upward and interrupted 0000 sutures about 2mm. apart for accurate tissue approximation and minimal interference with wound margin blood supply. We used downward and interrupted 0000 suture so-called modified dismembered pyeloplasty as mixed type, with a use of nephrostomy and stenting in 6 cases of hydronephrosis secondary to ureteropelvic obstruction during the period from January, l978 to June, l979. They were observed for 6 to l8 months and the results were as follows: 1) Hydronephrosis secondary to ureteropelvic obstruction was caused by congenital stricture in 4 kidneys, aberrant vessel in 1 kidney and congenital stricture with aberrant vessel in 1 kidney. 2) Of 2 cases of aberrant vessel, one was cut and the other not cut because of ischemia of corresponding lower pole. 3) In all case, Ureteral stenting was done with nephrostomy. But complication, such as urinary 1eakage, did not occurred in any cases. 4) On the follow up, the result was fair in 1 case and good in others.