A case of Patent Urachus / 대한비뇨기과학회지

The patent urachus is the failure of complete urachal lumen closure results in a free communication between the bladder and the umbilicus. The urachus remains patent and urine leaks from the umbilicus. A 53 day old female infant was admitted to Seoul Red Cross Hospital due to urine leakage accompanied by varing purulent discharge from the enlarged protruding umbilicus, measuring 2 Cm x 2 Cm x 2 Cm, since birth. The fistulogram showed a long fistulous tract communicate with bladder and umbilicus. After complete resection of the urachus and umbilicus with a bladder cuff, the patient had no urine leakage from umbilicus. We report a case of patent urachus with some literature.

Four Cases of the Fournier's Gangrene / 대한비뇨기과학회지

Fournier described five patients with gangrene of male external genitalia in 1883 and emphasized three characteristics: (1) abrupt onset in young healthy male, (2) rapid progression to gangrene,(3) absence of discernible cause. But more recent reports described genital gangrene as occurring in any age group and 4 patients in our cases, the mean age was 46 years with an age range of 31 to 59 years. Predisposing causes were as follows: case 1. prostatic calculi, Buerger's disease, case 2, perianal abscess, case 3, diabetes mellitus, case 4, tuberculous spondylitis accompanied by paraplegia and bed sores, liver cirrhosis. The duration of symptoms prior to the development of gangrene varied between 4 to 10 days. The cultured organisms were as follows : case 1. Alpha-hemolytic streptococcus, case 2. E. coli, Alpha-hemolytic streptococcus case 3. Alpha-hemolytic streptococcus, case 4, Mycobacterium tuberculosis, proteus species. Reconstructive surgery of defected scrotum was performed postoperative 8 to 41 days (mean 28.7) and total admission period was 25 to 83 days (mean 46 days).

A Case of Vesical Endometriosis / 대한비뇨기과학회지

Endometriosis is the presence of normal endometrial tissue in an ectopic location. Its involvement of urinary tract occurs in up to 10 percent. Especially the incidence of vesical endometriosis is very rare. We report one case of vesical endometriosis that have been treated by partial cystectomy and then discussed with references to its unusual features management.

A Case of Urachal Adenocarcinoma of the Urinary Bladder / 대한비뇨기과학회지

Urachal cancer was described first in 1863 by Hue and Jacquin. Since then no more than 160 cases have been reported in the literature. In Korea only 3 cases have been reported Like this, urachal carcinoma is an uncommon neoplasm associated with a poor prognosis, partly because the location of the tumor favors a long silent course before detection that belies its aggressive nature. Recently we experienced a case of urachal adenocarcinoma which was treated successfully with partial cystectomy and en block excision of urachus including umbilicus and reviewed literature briefly.

Changes in the Prostate with Age: Evaluated by Ultrasonography / 대한비뇨기과학회지

It is necessary to understand the age-related growth and development of the human prostate gland because that it was almostly advanced benign prostatic hyperplasia which was the pathologic conditions associated with age and its symptoms tend to be progressive. But there is only a limited information of the natural history of the disease By ultrasonography, we made a study of the changes in prostate with age, the time that initiating benign prostatic hyperplasia and the degree of progression of the disease. The echo pattern, of diameter of the prostate of the maximum anterior-posterior (A-P), superior-inferior(S-I), and transverse(Tr.) were measured in 185 cases from the 20 years to over 80 years of age. The weight of prostate was calculated using formula(W=4/3rr3 X SG, W; weight, SG; specific gravity about 1.05mg/ml, r; radius of prostate in any dimension). The result were as followings. The average prostatic-length were 2.57+/-0.52cm in A-P diameter, 3.44+/-0.35cm in S-I diameter and 4.lO+/-0.02cm in Tr. diameter respectively In the pathologic B.P.H.. the diameter of A-P, S-I and Tr. were 3.72+/-0.35cm, 3.85+/-0.27cm and 4.73+/-0.28cm respectively. The average weight of prostate(gm., mean- S.D.) were 19.16+/-0.35gm in normal adults and 34.43+/-0.47gm in B.P.H. As the age-related events (years), the initial onset of B.P.H. was suspicious in the 5th decades, age that half male population will have pathologic B.P.H. was 62+/-7 years. The average age of onset of clinical symptoms was 63+/-5 years and the average for surgery was 66+/-5 years also.

A Case of Hypoplastic Ectopic Kidney in Pelvic Cavity / 대한비뇨기과학회지

The Author's are presenting a case of hypoplastic ectopic kidney in pelvic cavity with short ureteral length and ectopic ureteral orifice in vaginal vestibulum. The size of ectopic kidney was unusually small, chest nut size, as dislocated kidney congenitally which made put more effort then usual diagnostic approach to locate it.

Two Cases of Primary Signet-Ring-Cell Adenocarcinoma of the Urinary Bladder / 대한비뇨기과학회지

Primary Signet-ring-cell adenocarcinoma of the urinary bladder is an extremely rare variant that promotes considerable interest, 21 cases reported as of 1981. Morphologically, this tumor is identical to signet-ring-cell carcinomas of the gastrointestinal tract, breast, lung and nasal cavity, and differentiation must be carried out with great care. Characteristically, primary signet-ring-cell adenocarcinoma carries a poor prognosis with early penetration of the mucosa, submucosa, and muscularis. This tumor is sessile, infiltrates early, extends locally to adjacent organs, and metastasized late. Many patients reported died of local extension with ureteral obstruction and uremia rather than wide spread metastasis. We are reporting two cases of primary signet-ring-cell adenocarcinoma of the urinary bladder treated with radical cystectomy and transurethral resection with radiotherapy, which died of local extension with ureteral obstruction and uremia, with pathological findings and review of the literatures.

Adenomatoid Tumor of Epididymis / 대한비뇨기과학회지

Adenomatoid tumor is extremely rare benign neoplasm occurring in the genital tract. They are mesothelial origin tumors and frequently found in the testis, epididymis, tunica vaginalis, or spermatic cord in male. But most adenomatoid tumors are found near or in epididymis. While in female they are usually located in the fallopian tube, uterus, and ovary. Adenomatoid tumors are usually small, firm or solid, and asymptomatic, these are clinically found or routine physical examination. They are usually less than 2cm in diameter, but may measure up to 5cm, Histologically the tumor consists of tubules and gland like spaces lined with cuboidal or flattened in a fibrous stroma. The tumor was first described and adenomyoma by Sakaguchi in 1915. Since that time there have been numerous case reports of similar tumors. But the term, adenomatoid tumor, introduced by Golde and Ash in 1945 seems to have been even more widely used. Recently we experienced a case of adenomatoid tumor of epididymis, which was found incidentally during physical examination and confirmed by excisional biopsy in a patient who complained lower abdominal pain.

Clinical Study on Transurethral Manipulation for Ureteral Stones / 대한비뇨기과학회지

The cystoscopic manipulation was performed in 82 cases of lower ureteral stones, 7 cases of mid ureteral stones and 4 cases of upper ureteral stones who visited the Department of Urology, during the period of 24 months from January 1st, 1984 to December 31st, 1985. Using Dormia stone basket in 73 cases and ureteral meatomy was performed in 20 cases and the results were as follows: 1. Dormia stone basket was used in 73 cases of ureteral stone. Immediate removal was successful in 24 cases, delayed removal in 37 cases (48 hours delay), so successful removal of stone was in 61 out of 73 cases. Failure in 12 cases, spontaneous delivery of stone was noted in cases 5 about 4-20 days after the application of Dormia stone basket did not pass through the portion of calculi and spontaneous delivery of stone was made in 14 cases after meatotomy. 2. Successful removal of stone was, mostly in proportion to the size of stone. 3. In 4 cases of upper ureteral stone, successful removal after indwelling of Dormia stone basket the position of stone for 48 hours. 4. Post management complications were fever in 12 cases, flank pain and low abdominal pain in 78 cases.

A Case of Retrocaval Ureter / 대한비뇨기과학회지

Retrocaval or postcaval ureter is a well-recognized venous congenital anomaly commonly causing ureteric obstruction. A 42 year-old male was admitted to Korea University Hospital because of right flank pain. The right AGP reveals the S-shaped coures of ureter and hydronephrosis. The ureteral and to end anastomosis was done with double J ureteral stent. Herein we present a case of retrocaval ureter with brief review of literatures.

A Case of Priapism / 대한비뇨기과학회지

Priapism is a relatively rare condition consisted of persistent painful erection, unrelated to sexual activity. The management is often delayed or ineffective, resulting in the development erectile bodies into impotence. The most common form in adult is idiopathic but in the childfood sickle cell disease is more common. Initial therapy consist of Analgesic, Antibiotic, Sedatives, Ice water enema, and Anticoagulant irrigation of corpus cavernosum. We used Hemo-Vac drainage which was continuous drainage from corpus cavernosum and obtained a good results.

A Case of Pyelitis and Ureteritis Cystica / 대한비뇨기과학회지

Pyelitis and ureteritis cystica which is characterized by cyst formations mucosa or submucosa of the ureter and renal pelvis caused by inflammation. We are reporting a case of ureteritis cystica with review of the literatures.