Clinical Observation on Benign Prostatic Hypertrophy / 대한비뇨기과학회지

A clinical study was made on 61 cases of benign prostatic hypertrophy, admitted to the Department of Urology, Korea General Hospital during the period from January 1977 to December 1982. The results were summarized as follows: 1. Benign prostatic hypertrophy were 61cases of all 1103 cases hospitalized, admission rate was 5.5%. 2. Majority of cases was found in 6th and 7th decades with mean age of 68.1 years old. 3. The presenting symptoms were frequency in 38cases, acute urinary retention in 35cases and dysuria in 20 cases etc. 4. The blood chemistry showed elevated BUN in 16 cases and elevated Creatinine in 7 cases. 5. The endoscopic examination was performed in 58 cases which revealed trabeculation in 35cases, inflammation in 33 cases and kissing of lateral lobes in 29 cases etc. 6. Hypertension in 14 cases and pulmonary tuberculosis in 8 cases were frequently associated with benign prostatic hypertrophy. 7. Methods of operative treatment were suprapubic prostatectomy in 32 cases, retropubic prostatectomy in 1 case, and suprapubic cystostomy in 9 cases. 8. Postoperative complications were temporary incontinence in 17 cases, delayed bleeding in 6 cases, wound infection in 3 cases, unable to void in 1 case and heart failure in 1 case.

Clinical Observation on 17 Cases of Prostatic Carcinoma / 대한비뇨기과학회지

A clinical study was made on 17 cases of .prostatic carcinoma, admitted to the Department of Urology, Korea General Hospital during the period from January 1975 to December 1982. The results were summarized .as follows: 1. The age distribution ranged from 48 to 81 years with mean age of 69 years. 2. The mean duration from onset of the symptoms to admission was 3 months with a range of 2 days to 4 years. The presenting symptoms were prostatic obstruction in 13 cases, acute urinary retention in 7 cases and gross hematuria in 4 cases etc. 3. Serum acid phosphatase level was elevated in 6 cases, 5 cases of whom had distant metastasis. 4. Biopsy of the prostate was performed by transrectal needle biopsy in 11 cases and transperineal needle biopsy in 3 cases. All cases revealed adenocarcinoma except 1 case which was transitional cell carcinoma. 5. Orchiectomy was done in 10 cases and estrogen therapy was done in 5 cases. 6. Follow up study was performed in 9 cases from 2 months to 48 months. During this period 2 patients were died. recurrence and distant metastasis were found in 5 cases.

A Clinical Observation on the Nephrectomized Patients / 대한비뇨기과학회지

A clinical observation was on the nephrectomized patients in the Department of Urology, Korea General Hospital, during the period from January, 1978 to December, 1981 and the following were obtained. 1. The total number of in-patients during the period was 723 patients and nephrectomies were performed in63 patients of the total Urologic operation (13.2%). 2. There were 40 males and 23 females with a ratio 1.7:1, patient ranged in age from 9 months to 69 years old and 71.4% of the patients were from 20 years old to 49 years old. 3. The common symptoms were flank pain (34.9%), hematuria (31.7%) and frequency (23.8%). 4. The causative diseases of the operated kidney were tuberculosis (31.7%), chronic pyelonephritis (15.9%),hydronephrosis (12.7%), renal stone (11.1%) and renal stone (11.1%) in order. 5. Flank approach was most frequently used (76.2%). 6. The postoperative complications were 12 cases (19.0%), which included 4 cases of wound infection, 2 cases of transient paralytic ileus, 2 cases of pneumothorax and 1 case of bleeding, pulmonary edema, duodenal fistula and death respectively. 7. 58 cases (92.0%) were discharged within 2 weeks after operation and 2 cases were hospitalized more than 1 month.

A Case of Sparganosis Infesting in the Scrotum / 대한비뇨기과학회지

Sparganosis is a parasitic infestation which is manifested principally in the cats or dogs, but many human infestations have not been reported uncommonly. In Korea, the reported cases of human sparganosis are more than 20 cases till now Moreover the urogenital infestation of sparganosis is rarely observed. We have experienced one case of sparganosis in scrotum, which would often be confused with the sperm granuloma.

Clinicopathologic Study of Trigonal Cystitis / 대한비뇨기과학회지

Twenty seven consecutive male and female patients with trigonal cystitis are divided into 2 groups on the basis of the presence or absence of the pseudomembrane(nest of squamous epithelium). One group consists of 15 patients with squamous epithelium and the other of 12 patients with no squamous epithilium on the cystoscopic biopsies from the vesical trigone. The clinical symptoms, physicochemical study and bacteriologic culture of urine, cystoscopic changes and histologic findings are compared between the two groups. 1. Both squamous and non-squamous epithelial groups show no significant differences in the clinical and cystoscopic findings. 2. Pathologic changes of the urothelium and lamina propria of the trigonal mucosa are identical with one to the other group. 3. Trigonal cystits with squamous epithelium occurs most frequently in sexually active premenopausal women and less frequently in the female of post-menopause and even rarely in the male. No age and sex predilection are found in the patients with trigonal cystitis without squamous epithelium.

Clinical Observation on the Cryptorchism / 대한비뇨기과학회지

A Clinical observation was made on 52 patients of cryptorchism who had been admitted to the Department of Urology, Korea General Hospital during the 8 years period from June, 1972 to May, 1980. The following results were obtained : 1. Patients ranged in age from 2 to 36 years and only 19 cases (37. 3%) visited our hospital in the preschool age. 2. Bilateral cryptorchism was found in 9 cases (17.3%) and of the unilateral 43 cases, right in 19 cases, and left in 24 cases. 3. Of the 61 testes, 33 (51. 1%) were located in the inguinal canal, 13 (21.3%) in the subinguinal region and 8 (13. 1%) in the abdomen. 4. Associated diseases and complications were found in 47 cases (90. 5%) and the most common diseases were hernia, which was found in 39 cases (75. 0%). 5. Treatment consisted of preoperative HCG injection in the dosage of 5,000 to 12,000 I. U on 6 prepubertal cases and 57 orchiopexies (93.4%) and 4 orchiectomies (6. 6%).

A Clinical Observation of In-patients with Pediatric Urological Diseases / 대한비뇨기과학회지

A clinical observation was made on 201 cases of pediatric in-patients with urological diseases in the Department of Urology, Korea General Hospital, from September 1, 1972 to August 31, 1979. The results obtained were as follows. 1) Among 1009 cases of urological in-patients for the past 7 years, 201 cases belong patients giving 19.9%. 2) Yearly number of pediatric in-patients showed no increasing tendency. 3) The proportion of male to female pediatric urologic in-patients was 17: 1. The preschool children (1 to 6 years of age) were most frequently seen and giving a rate of 44.8% of the pediatric urologic in-patients. 4) The most frequently involved organ was scrotal contents, giving a rate of 57.7%. Urethral diseases was 14.9%, penile diseases l0.9%, renal diseases 8.5%. 5) The congenital anomaly was most frequent, showing l55 cases of total pediatric urologic in-patients (77.2%). The most common disease of the congenital anomaly was hydrocele in 60 cases (29.9%) and cryptorchism 47 cases (23.4%), hypospadia 24 cases (11.9%), phimosis 16 cases (8.0%) in order. 6) Of 201 cases, operation was performed in 179 cases (88.6%). The most common operation was hydrocelectomy 60 cases (33.5%), orchiopexy 47 cases (26.3%), circumcision 22 cases(12.3%), chordectomy 17 cases (9.5%), urethroplasty 7 cases (3.9%) in order.

A Case of Retrocaval Ureter / 대한비뇨기과학회지

Retrocaval ureter is a rare congenital anomaly and its embryologic error is probably one of the vena cava rather than the ureter. Since 1893, when Hocbstetter first described this condition, about 200 cases have been reported. Herein we added a case of retrocaval ureter in 26 years old man.

Endoscopic Observation on the Ureteral Orifices in Normal Persons / 대한비뇨기과학회지

Vesicoureteral reflux bas been recognized to be an abnormal phenomenon in man, often associated with urinary infection and with both developmental and acquired renal abnormalities. Thus, meticulous endoscopic observation on ureteral orifice configuration is thought to be essential to the accurate diagnosis and the selection of the therapeutic method in management of the patients with diseases in bladder, ureter and kidney. So, endoscopic observation was made on 90 cases of the selected persons with normal findings on I. V. P. & retrograde cystogram, in the Department of Urology. Korea General Hospital, from March I, 1979 to August 31, 1979. The results obtained were as follows; 1) The ureteral orifice configuration of the patients belong to the tunnel shape (66 cases: 36.6%) & the slit shape (64 cases: 35.6%) in the majority. And the next was the oval shaped(32 cases: 17. 8%), the gutter shaped (18 cases: 10.0% in order. 2) There was some difference between male & female in the tunnel shaped (M: 43.1%, F: 25.0%) and the gutter shaped (M:5.2%, F:18.7%) but its difference was negligible, we thought. 3) Most patients (68 cases: 75.6%) had the same ureteral orifices in its configuration.

A Case of Congenital Patent Urachus / 대한비뇨기과학회지

Urachal anomalies are very rare. Since Cabrolius' report of patent urachus in 1550, only 315 cases have been collected in the literature. Failure of the urachal lumen to close and completely obliterate causes one of several anomalies. These have been classified into four distinct entities by Blichert-Tott and Neilsen, Who also tabulated the incidence of each variant in the 315 reported cases : patent urachus , 48 per cent ; urachal cyst , 31 percent ; urachal sinus or alternating sinus, 18 per cent , and vesicourachal diverticulum, per cent . A brief discussion of embryology, symptoms , histopathology , diagnosis and treatment is made and a case of congenital patent urachus is reported here at Korea General Hospital.

Statistical Observation on In-patients of the Department of Urology in the Past 5 Years / 대한비뇨기과학회지

A statistical observation was made on 680 in-patients with age distribution and operative procedures in the Department of Urology, Korea General Hospital, during the period from January 1, 1973 to December 31, 1977.

Malakoplakia of Urinary Bladder Misdiagnosed as a Cancer / 대한비뇨기과학회지

This report deals with a case of malakoplakia of urinary bladder in a 68 year old female. The lesion of malakoplakia has been misdiagnosed as a neoplasm on several occasions in other institutes. This disease has been reported seldomly, and many urologists and pathologists alike have been unfamiliar to the lesion. An emphasis on the clinicopathologic features is made in order to prevent the serious misdiagnosis. The pertinent literatures are reviewed.

Pelvic seminoma in bilateral undescended testes / 대한비뇨기과학회지

The undescended testis is more liable to develop malignant disease than one in its normal anatomical position. This was recognized in 1918 by Gordon-Taylor, who saw two patients with malignant growths in an undescended right testis, regarded by others as having an appendix abscess. The tumor arising from seminiferous epithelium was given the name seminoma by Chevassu of Paris in 1906. He also sponsored the radical operation for malignant tumors of the testis. Subsequent therapeutic experience has shown such tumors to be usually radio-sensitive. Testicular tumors are rare. Figures for the incidence of such tumors are variable. Patton, Seitzman and Hewitt in a review 672 cases of testicular tumors found the incidence to present about 1 per cent of all malignant conditions in the male. It is well recognized that ectopic testis has a malignant potentiality greater than a normally placed testis. In a review of 7.000 recorded cases of testicular tumors by Gilbert and Hamilton (1940), 840 cases were found in undescended testes. They were observed that neoplasms are for more common in ectopic testes than in scrotal testes. Of patients with unilateral cryptorchidism and one testis tumor, 96. 8 per cent, had the tumor in the undescended testis. There is some suggestion of higher incidence of tumor in the testis retained in the inguinal canal than in the abdomen. Seminoma is the most common tumor to occur in abdominal ectopic testes. Intra-abdominal seminoma usually presents with secondary signs and symptoms, due to the anatomical position of the tumor. A case of seminoma in bilateral undescended testes, found in 29 years old Korean male is reported and added to the literature.

Statistical Observation on Outpatients, Inpatients and Operations in Department of Urology, Capital Army Hospital, Seoul, Korea (1962-1963) / 대한비뇨기과학회지

Clinical and statistical observation was made on outpatient inpatients and operations in Urology Department of the Capital Army Hospital during the period from Jan., 1962 to Dec. 1963 and the results (1) Clinical statistics on outpatients. 1) Total outpatient were 2213 cases, 2179 males and U females, and the male to female ratio was 64.1:1. 2) The number of outpatient increased in winter and decreased in summer. 3) According to age distribution, the majority of the patients (96.2%) where between 21 and 40 years of age. 4) The most common diseases were urethritis (35.7%) showing annual increase, while redundant prepuce, urolithiasis, injury of genito-urinary tract, nonspecific epididymitis and hydrocele, showing annual decrease. 5) Renal tuberculosis showed annual decrease and tuberculous epididymitis, annual increase. (II) Clinical statistics on inpatients. 1) The inpatients during 2 years were 241 cases which comprised10.9% of total outpatients. The male inpatients stood for 11% of total outpatient and the female inpatients, 5.9%. 2) The most common disease were renal tuberculosis, hydrocele, non-specific epididymitis, stones of kidney and ureter, tuberculous epididymitis, urethral rupture and scrotal hematoma. (III) Clinical statistics on operations. The number of total operations were 640 during 2 years. Circumcision comprised 34.0% of total operations, vasectomy, 30.6% Nephrectomy, 6.1% ; epididymectomy, 6.1%, hydrocelectomy, 4.1% and plastic surgery of urethra, 2.3%. One case of Bricker's operation was performed.