A case of Spontaneous Rupture of the Kidney Secondary to Renal Cell Carcinoma / 대한비뇨기과학회지

Spontaneous rupture of the kidney is rare. It usually occurs secondary to various kinds of underlying disease such as infection, hydronephrosis, calculous disease, benign or malignant tumor, renal artery aneurysm and arteriosclerosis. In most instances, it is an acute abdominal process which requires early diagnosis and immediate surgical exploration. We report a case of spontaneous rupture of the kidney secondary to renal cell carcinoma in a 44 year-old female.

Transfemoral Internal Spermatic Vein Occlusion for Varicocele Using a Stainless Steel Spring Coil / 대한비뇨기과학회지

Transvenous embolization of the internal spermatic vein appears to be at least as effective as open surgical correction in treating men with varicocele and it has several advantages ; (1) it requires only local anesthesia and a short hospital stay ; (2) there is no risk of damage to the spermatic artery : (3) the veins can be occluded accurately whatever the arrangement of any collateral vessels. We reported a technique for non-operative management of varicocele by a occlusion of the internal spermatic vein using stainless steel spring coil.

A Case of Epidermoid Cyst of Testis / 대한비뇨기과학회지

Benign tumors of the testis are rare, accounting for one percent of all testicular tumors including epidermoid cyst of the testis. Herein we report one case of epidermoid cyst of the testis and discuss the pathological criteria for diagnosis and clinical management of the lesion.

Clinical Observation of Varicocele Using a Phlebography / 대한비뇨기과학회지

Varicocele is a abnormal dilation of entire venous circulation of testis. The etiology of varicocele subfertility is not clear, but at least contributory to its development is a valvular insufficiency at the internal spermatic-left renal vein confluence. The aims of phlebography of the spermatic vein are to confirm the venous anatomy of varicocele, to establish the selection of treatment approach, and to prove the cause of postoperatively persistent varicocele. The transfemoral phlebography of internal spermatic vein was performed in 26 cases. passive reflux from the left renal vein to internal spermatic vein was observed in all cases. Distal nutcracker phenomenon(DNP) was observed in 6 cases, proximal nutcracker phenomenon(PNP) in 4 cases and suspicious PNP in 2 cases. The treatment of the varicocele was performed by Palomo`s procedure in 22 cases and by stainless steel spring coil occlusion in 4 cases. The persistent varicocele was found in 3 cases of Palomo`s procedure and 1 cases of coil occlusion.

Idiopathic Retroperitoneal Fibrosis: Report of a Case / 대한비뇨기과학회지

Idiopathic retroperitoneal fibrosis is a fibrotic process of the retroperitoneum that frequently produces ureteral obstruction. We report a case of idiopathic retroperitoneal fibrosis in a 22 year-old male patient with brief review of literatures.