A Clinical Experience on 30 Cases of Prostatic Carcinoma / 대한비뇨기과학회지

Recently prostatic carcinoma has been considered as an important disease in urologic field, because its occurrence rate is increasing year by year. A clinical study was made on the 30 patients of prostatic carcinoma. The results were as follows: 1. The incidence was 11.4% of all male patients who had G-U tract tumors. The patients age ranged from 52 to 87 years (mean age 69.9 years). 2. The major symptoms were prostatism (70.0%), acute retention, hematuria and pain. 3. On the transrectal palpation of prostate, 23 patients (76.7%) had hard nodules. 4. The clinical stage were stage A 3,B 4, C 1 and : D22; and the grade I 4, II 16 and III 18, respectively. 5. Among 15 patients of bone metastasis, 6 patients (40.0%) had no pain, 6 patients (40.0%) had normal acid phosphatase level and 5 patients (33.3%) had normal alkaline phosphatase level. No one had bone pain, elevated acid or alkaline phosphatase level in 5 patients who had no bone metastatic lesion. 6. The site of metastasis in stage D patients (22 cases) was bone 14, lymph node 9, lung 2 and testicle 1 case. 7. For the relief of infravesical obstruction (17 cases), open prostatectomy, TURP and suprapubic cystostomy were performed in 3, 8 and 6 cases, respectively. For the treatment of stage D patients (22 cases), orchiectomy only, DES, DES +orchiectomy and irradiation were performed in 1, 5, 15 and 5 cases, respectively. 8. Among the 18 patients who could be followed, 11 patients had survived more than 3 years. Four patients were proved to be dead. The causes of death were metastasis, myocardiac infarction and common bile duct cancer.

Urinary Schistosomiasis: A Case Report / 대한비뇨기과학회지

Urinary schistosomiasis(bilharziasis), caused by digenetic bloodfluke, is an endemic disease in Africa, Yemen, Saudi Arabia, Israel, Lebanon, Syria and Iran, but not in Korea. We report one case of urinary schistosomiasis in Korea, who worked in North Yemen, with the review of literatures.

True Hermaphroditism, 4 Cases Report / 대한비뇨기과학회지

True hermaphroditism is a very rare congenital anomaly, in which both an ovary and a testis or a gonad with the histologic features of both(ovotestis) is present. So the external and internal genital organs are abnormally differentiated. We report 4 cases of true hermaphroditism with the review of the literatures.

Echinococcal Cyst: A Case Report / 대한비뇨기과학회지

Echinococcal cyst is a rare disease in Korea. A 33 year old man who had lower abdominal discomfort for 4 months, and multiple cysts in intraperitoneal and retroperitoneal cavity on abdominal CT. scan. On abdominal exploration, the multiple were diagnosed for Echinococcal cyst. Thin case is the first documented case of multiple Echinococcal cysts among Koreans reported in the literature.

Management of 24 Lower Ureteral Obstruction -Especially Internal Stent Indwelling- / 대한비뇨기과학회지

The lower ureter is not so frequent site of the urinary tract obstruction. In lower ureteral obstruction, the obstruction should be relieved by any method for maintaining renal parenchyme. A clinical studies were made on the 24 ureters of the lower ureteral obstruction. This studies were mainly focused on the method of management by internal stent indwelling. The following results were obtained. 1. In etiology, acquired lower ureteral strictures were most common ; tuberculosis in 10 ureters, radiation in 6 ureters, pelvic lymphadenopathy in 4 ureters, and iatrogenic stricture in 3 ureters. Congenital UVJ stricture was only one ureter. 2. In the method of management, open surgeries were done in 10 ureters and endourologic methods in 14 ureters. 3. In 5 failures of the first management, open surgeries were done in 3 ureters and endourologic methods in 2ureters. The tuberculosis was the most of their etiology. 4. Complications in internal stent indwelled cases were flank pain, severe vesical irritation, migration into the bladder and the obstruction of the lumen of stent.