Renal Arteriovenous Fistula after Renal Injury: Report of 2 Cases / 대한비뇨기과학회지

Penetrating and blunt abdominal trauma may injure the renal vasculature with to the renal circulation. The natural history of `missed` vascular injuries has been well documented and the emphasis of modern trauma management has been toward early diagnosis surgical management. We present 2 cases of `missed` renal arteriovenous fistula diagnosed by selective renal angiography at 13 years after explosive war injury and 6 months after blunt trauma with brief review of relevant literature.

A Case of Unilateral Renal Angiomyolipoma Associated with Tuberous Sclerosis / 대한비뇨기과학회지

Renal angiomyolipoma is a relatively uncommon benign tumor and may be associated with tuberous sclerosis, which is characterized by adenoma sebaceum, epilepsy and mental retardation. When a renalangiomyolipoma occurs with tuberous sclerosis, it can be easily diagnosed and the incidence of multiple and bilateral angiomyolipoma is high in patients with multiple sclerosis. Recently we experienced a case of unilateral renal angiomyolipoma associated with tuberous sclerosis which occurred in a 38 year-old housewife, who had right flank mass, adenoma sebaceum on the face, shagreen patches of the back and sublingual fibromas. So we report a case of unilateral renal angiomyolipoma associated with tuberous sclerosis with review of literatures.

Two Cases of Spontaneous Rupture of the Kidney / 대한비뇨기과학회지

Spontaneous rupture of the kidney is a rare condition which usually presents as an acute abdominal process requiring prompt diagnostic evaluation and proper therapy. We experienced 2 cases of spontaneous rupture of the kidney secondary to hydronephrosis in a 31 year old man and intrarenal artery aneurysm in a 62 year old woman. The operative procedures were nephrectomy in both cases.

Two Cases of Spontaneous Rupture of the Kidney / 대한비뇨기과학회지

Spontaneous rupture of the kidney is a rare condition which usually presents as an acute abdominal process requiring prompt diagnostic evaluation and proper therapy. We experienced 2 cases of spontaneous rupture of the kidney secondary to hydronephrosis in a 31 year old man and intrarenal artery aneurysm in a 62 year old woman. The operative procedures were nephrectomy in both cases.

Ultrasonic Evaluation of Renal Diseases / 대한비뇨기과학회지

Ultrasonography is a useful diagnostic modality in evaluating the non-visualized kidney on IVP because visualization by this technique depends only on the morphologic and acoustic characteristics of the kidney and is independent of renal function. This non-invasive technique can accurately guide percutaneous puncture of the collecting system, permitting antegrade localization of the obstructing lesion, and percutaneous nephrostomy under the ultrasonic guidance can be performed as a means for rapid, usually temporary, urinary diversion in patients with obstructive uropathy. Many causes of IVP non-visualization have a typical sonographic appearance. 35 patients with non-visualized kidney were examined ultrasonically and 13 AGP were carried out.

A Case of Prostatic Aspergillosis / 대한비뇨기과학회지

Aspergillosis is an infection produced by Aspergillus, a group of fungi, of low pathogenesity for human beings unless resistance is overcome by an overwhelming inoculum or debilitating illness. The disease may become disseminated or remain localized to the lung, ear, orbit or paranasal sinuses, but rare in prostate. We present a case in which this disease process involved the prostate.

Two Cases of Testicular Teratoma / 대한비뇨기과학회지

Teratoma of the testis is a type of mixed tumor made up of various kinds of tissue representing the three primitive layers of blastoderm. Recently we experienced two cases of testicular teratoma in 23-year-old male patients, so we report these two cases of testicular teratoma with review of literatures.

A Case of Prenephrectomy Renal Artery Embolization for Renal Cell Carcinoma / 대한비뇨기과학회지

Prenephrectomy therapeutic renal artery embolization by injecting gelfoam into therenal artery was done in a 47 year-old female patient with hypernephroma. This technique facilitated nephrectomy and decreased blood loss. A post-infarction syndrome characterized by flank pain, fever and nausea also occurred in this patient. We report our experience herein with review of literature.

A Case of Crossed Renal Ectopia / 대한비뇨기과학회지

A 71 years old housewife with epidermoid carcinoma of cervix was diagnosed as crossed renal ectopia (probably with fusion) incidentally by intravenous pyelography during baseline study of cervical carcinoma.

A Case of Bilateral Adrenal Ganglioneuroma / 대한비뇨기과학회지

The great chain of sympathetic ganglia which extends from the base of the skull to the pelvis, including the suprarenal medulla, accounts for the origin of the ganglioneuroma which compound with the matured ganglion cells and neural elements. The ganglioneuroma is non-functioning tumor, but occasionally this tumor accompanies with hypertension and diarrhea and increased excretion of vanilmandelic acid in urine. Recently we experienced a housewife with the bilateral ganglioma which developed at both suprarenal medulla and after successful removal of the tumors hypertension was controlled.

Clinical Observation on Transurethral Resection of Prostate and Suprapubic Prostatectomy for Benign Prostatic Hypertrophy / 대한비뇨기과학회지

Operations for benign prostatic hypertrophy was done on 48 cases during the last 3 years, 18 cases on suprapubic prostatectomy and 30 cases on transurethral of the resection prostate. A clinical comparative investigation was made between the suprapubic prostatectomy group and transurethral resection of the prostate group on the operation time, blood loss during or after the operation, the excised prostatic tissue weights , the duration of urethral catheter indwelling, the duration of hospitalization, complications, and the kinds or volume of irrigating solutions. The results were followed as; 1. The mean operation time was 89 minutes in transurethral resection of the prostate and 140 minutes in suprapubic prostatectomy. 2. The mean duration of the urethral catheter indwelling was 4 days in transurethral resection of the prostate and 6 days in suprapubic prostatectomy. The mean duration of hospitalization was 6 days in suprapubic prostatectomy. 3. Transfusion was done in 33.3% of transurethral resection of the prostate and 83.3% of suprapubic prostatectomy during or after the operation. The mean amount of trans fused blood was 1.4 pints in transurethral resection of the pro state and 3.7 pints in suprapubic prostatectomy. 4. Complication rates during the hospitalization was 26.7% in transurethral resection of the prostate and 38.9% in suprapubic prostatectomy. 5. The mean weights of excised tissue was 10.7gm. in transurethral resection of the prostate and 42.9gm. in suprapubic prostatectomy. 6. The mean amount of irrigating solution was 24,000cc in transurethral resection of the prostate.

Clinical Observation on Urologic Emergency / 대한비뇨기과학회지

Rapid and accurate management is necessary for the emergency patients, but there is a few comprehensive and analyzed references about them and still the definition and the criteria of the urologic emergency are not defined. So a clinical observation was made on 382 patients, admitted to the Department of Urology through the emergency room of the Severance hospital during 5 years from January, 1972 to December, 1976. They were observed as following orders; annual, age, sex, symptoms, emergency managements, diagnostic procedures, diagnoses, associated diseases, and mortality rate etc. The results are as follows: 1. Urologic emergency patients were 382 (male 265, female 117). They were 1.4 % of the patients admitted through the emergency room, and 19.3% of the in-patients of the Department of Urology. 2. Symptoms and signs of the urologic emergency were pain (209 cases), gross hematuria (48 cases), acute retention (42 cases), acute genitourinary infection (38 cases), genitourinary injury (66 cases), shock (13 cases), and uremia(24 cases). 3. I.V.P. was the most common diagnostic procedure, but bone X-ray and the cystourethrogram were more common in genitourinary injury. 4. Emergency managements were performed in 227 cases. Pain control was most common (52t), then indwelling of the Foley catheter and transfusion were next. 5. In pain, flank or abdominal pain was most common (191 cases) and the most common cause. was lower 1/3 ureteral stone. 6. The causes of the gross hematuria were genitourinary tumor (11 cases), calculi(10 cases), acute cystitis(9 cases), and acute pyelonephritis (7 cases). 7. Acute retentions were commonly developed in old aged men and the most common cause was B.P.H. (42. 9%), then urethral stricture (23. 8%). 8. Acute genitourinary infections were most common in 3rd decade women. 9. Genitourinary injuries were most commonly occurred in the spring (34. 8%). The most common cause was kick or blow (43.9%) and the most common organ was urethra (40%). The most common combined injury was pelvic bone fracture (36. 8%). 10. The causes of the shock were genitourinary injury(84.6%) and bladder tumor (15. 4%). 11. The most common cause of uremia was genitourinary tumor (25%), then ureteral stricture (20. 8%). 12. In 30 cases, the presumptive diagnoses were different from the definite diagnoses. 43.3% of them were suspected as urinary calculi, but confirmed as acute pyelonephritis, ureteral stricture and tumor etc. 13. Associated diseases were common in old aged patients and cardiovascular (33%) or respiratory diseases (28.4%) were common. 14. Conservative treatment was most commonly performed, but suprapubic transvesical prostatectomy was more common in acute retention. 15. 7 patients were died and the mortality rate was 1.8%.