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.

Clinical 0bservation on 48 Cases of Transrectal Prostatic Biopsy / 대한비뇨기과학회지

Diagnosis of adenocarcinoma of the prostate based purely on digital rectal examination will be correct in only 70% of cases. Transitional cell carcinoma also arises in the prostate, as may more rarely sarcoma. The fibrous prostate, granulomatous prostatitis and stone may also result in a prostate that feels firmer than normal. Estrogen or orchiectomy will be of no benefit in these condition and may cause harm. Histological or cytological proof of the diagnosis is essential. Examination of prostatic tissue obtained by biopsy has been used to confirm malignancy or any type, judge the response of a tumor to either hormonal or cytotoxic manipulation and bacteriologic confirmation. The transrectal prostatic biopsy was performed on 48 cases of oriental, from May 1979 to February 1982. The results are as follows. 1. The patients ranged in age from 25 to 82 years old and the percentage of patients more than 50 years old is 85.4% (38 cases). 2. The highest reason of referral for prostatic biopsy is obstructive symptoms (62.5% - 30 cases). 3. As shown in table 3, only in 2 cases the specimens obtained with Silverman needle proved inadequate for a reliable diagnosis even though in 46 cases the specimens were thought to be adequate. In 46 cases, the highest disease is B.P.H. (73.9% - 34 cases), 2nd prostatic adenocarcinoma (17.5% - 8 cases), 3fd chronic prostatitis (4.3% - 2 cases) and normal prostate (4.3% - 2 cases). 4. There were 7 complications of transrectal prostatic biopsy and the hematuria (4 cases) was the most common.