Clinical observation of 30 cases who underwent epididymectomy: especially, on the cases of tuberculous epididymitis / 대한비뇨기과학회지

A clinical investigation was undertaken on 30 patients who underwent epididymectomy during the period from April 1986 to November 1991. In this study. clinical reasons of epididymectomy were as follows: First, for confirming of tuberculous epididymitis( 19 cases). Second. for treatment of chronic epididymitis(8 cases). Third, for treatment of acute epididymitis(2 cases). Pathohistologic findings were tuberculous epididymitis( 15 cases), chronic epididymitis(9 cases), sperm granuloma(3 cases). cystadenoma(2 cases). spermatocele(1 case). The highest occurrence was observed in the age groups of 20 to 39(60%) in tuberculous epididymitis. 30 to 49(66.6%) in chronic epididymitis. Tuberculous epididymitis was presented clinically non-tenderful epididymal nodule 66%, tenderful epididymal nodule 33%, scrotal fistula 20%. Chronic epididymitis was tenderful epididymal nodule 80%. scrotal swelling 26.6%. In urine examination, tuberculous epididymitis was observed on pyuria 40%, hematuria I3%. and tubercle bacilli 1 case. Chronic epididymitis was pyuria 37.5%, urine culture(E. coli 10(5)/ml) 25%. Tuberculous epididymitis corresponds b 268 of total male patients with genitourinary tuberculosis. The lateralization showed 46% in the left 33% in both side, 20% in the right. The most common affected region of epididymis was diffuse(40%). followed by tail 33%, head 26%. Associated tuberculous lesions. lung 25%, kidney 13%. vas 33.3%, testis 20%.

Clinical observation on renal injury: 66 cases / 대한비뇨기과학회지

The clinical observations were made on 66 patients of renal injuries during the period from 1985 to 1991) The results were as follows: I. The renal injuries were classified as contusion, laceration, rupture, pedicle injury according to Cass and Luxenberg`s classification. The patient numbers of each group were 42 (63.6%), 11 (16.3%).11 (16.3%) and 2 (3%). 2. The sonography was useful by complementary diagnostic tool of excretory urography in major renal injuries. 3. The computerized tomography was useful in diagnosing combined injuries and detecting injuries which were not detected in excretory pyelography. 4. The treatment of many. major renal injuries could be done conservatively with detailed and accurate diagnosis using computerized tomography.

A case of fibroepithelial polyp of the ureter diagnosed with ureteroscopic finding and biopsy / 대한비뇨기과학회지

The differential diagnosis of benign tumors from other intra-ureteric lesions was difficult. But. recently. it is easy due to developed diagnostic procedures. such as ureteroscopy. We herein report a case of fibroepithelial polyp of the left ureteropelvic junction which was diagnosed with ureteroscopic finding and biopsy with brief review or literatures.