A Case of Emphysematous Pyelonephritis / 대한비뇨기과학회지

Emphysematous pyelonephritis is an uncommon serious infection of kidney with parenchymal necrosis and spontaneous gas formation which generally occurs in patient with diabetes mellitus or urinary tract obstruction. We experienced a case of emphysematous pyelonephritis which occurred in 45 year-old diabetic woman and treated by surgical intervention.

A Case of the Congenital Vesical Diverticulum in Infant / 대한비뇨기과학회지

A vesical diverticulum is an abnormal pouch or sac lined with vesical mucosa protruding through the bladder wall. Most vesical diverticula are seen in elderly men in association with bladder outlet obstruction. Occasionally in children, primary or congenital vesical diverticulum is developed with no underlying disease, which produce many urologic problems. Herein we recently experienced one case of the congenital vesical diverticulum in 8-day-old male infant with hydronephrosis and dysuria.

Clinical Evaluation on Management of Urethral Stricture / 대한비뇨기과학회지

A clinical evaluation was made on patients with urethral strictures, who had been admitted to the Department of Urology, Kyungpook National University Hospital during 7 years periods from January, 1977 to December, 1983. The results were as follows: 1. Out of total 1979 inpatients, 105 were male patients with urethral strictures, giving rate of 5.4% 2. The most frequently involved age group was the 4th. decade being 24.7% of total and 64.6% was seen in age group of 20 to 49 years. 3. Trauma was the most frequent cause of urethral strictures(81%), followed in order of frequency by iatrogenic(11.4 %), inflammatory and post-operative cause. 4. Out of 121 patients with urethral trauma during the study period, urethral strictures were developed in 85 (70.2 %). According to the initial managements of urethral trauma, the incidence of stricture was 74.5% in the suprapubic cystostomy, 78.6% in the primary realignment and 55.9% in the Foley`s catheterization. 5. The treatment modality was surgical intervention in 54 patients and conservative management in 51. Success rates were 90.7% in surgical intervention and 84.3% in conservative managements. Success rate according to the permanent urethroplasty was 93.7% in the perineal end to end anastomosis (30 out of 32 patients), 70% in the transpubic urethroplasty (7 out of 10) and 100% in the Badenoch pull through procedure(4) and realignment(5). 6. As to the late complications, restructure was observed in 7 patients, impotence in 4, false tract in 3 and incontinence in 1.