No abstract available.
Laser Coagulation* ; Prostatic Hyperplasia*

No abstract available.
Carcinoma, Renal Cell* ; Survival Rate*

No abstract available.
Carcinoma, Renal Cell*

No abstract available.
Carcinoma, Renal Cell*

No abstract available.

No abstract available.
Carcinoma, Renal Cell*

Hemorrhagic cystitis remains a significant complication and morbidity after local radiation therapy to the pelvic region despite close attention to various preventive measures and it was poor response to multi-modality therapies. We have analyzed some factors affecting treatment of radiation hemorrhagic cystitis. 2,238 patients were admitted to the Department of Urology. Kosin Medical College, Pusan, Korea between May. 1985 and February, 1990. Among them 28(1.3%) cases were diagnosed in radiation hemorrhagic cystitis. The most common cause for radiation therapy was uterine cervical cancer(92.9%). The major symptoms were gross hematuria, frequency, nocturia, dysuria and nausea. Under the cystoscopy, the bladder mucosa was seen hyperemia, telangiectasia, mucosal edema and focal necrosis. The combined disease was 4 cases, radiation colitis in 2 cases, radiation proctitis in 1 case and neurogenic bladder in 1 case. There was statistical significant in recurrence rate between receive more than 4,600 rad and less than 4.600 rad (p<0.05). And there was statistically significant in consumption time for treatment between combined with urinary tract infection (41.7 %) and not combined with it (31.3 %)(p<0.05). The patients were controlled with cold saline irrigation, intravesical formalin instillation and hyperbaric oxygen therapy.
Busan ; Colitis ; Cystitis* ; Cystoscopy ; Dysuria ; Edema ; Formaldehyde ; Hematuria ; Humans ; Hyperbaric Oxygenation ; Hyperemia ; Korea ; Mucous Membrane ; Nausea ; Necrosis ; Nocturia ; Pelvis ; Proctitis ; Recurrence ; Telangiectasis ; Urinary Bladder ; Urinary Bladder, Neurogenic ; Urinary Tract Infections ; Urology

We analyzed the prognostic factors, such as sex, age, tumor shape, number, 1ocation, size, TNM stage, WHO grade, modified Bergkvist grade, treatment modality, cytology, type of progression, mitotic activity index(MAI), volume corrected mitotic index(M/V index) and pathologic grade, in a chort of 83 advanced transitional cell carcinoma of bladder who was followed for more than 3 years. N stage of TNM,WHO grade, modified Bergkvist grade and pathologic stage were related to mitotic indices(p<0.05), but cytology was related to MAI only (p<0.05).In univariate analysis of prognostic factors, sex, N and M stage of TNM, progression type, MAI & M/ V index and pathologic stage were related to 5-year survival during follow up. Multivariate analysis of prognostic factors, which were significantly related in univariate analysis, identified MAI as the most important factor(p<0.05), followed by M/V index, N stage of TNM, sex, M stage of TNM and progression type. The result show that advanced transitional cell bladder tumors can be efficiently categorized into prognostic groups by quantitative mitotic frequency analysis.
Carcinoma, Transitional Cell ; Follow-Up Studies ; Mitotic Index* ; Multivariate Analysis ; Prognosis* ; Sex Factors ; Urinary Bladder Neoplasms* ; Urinary Bladder*

This study is standard surgical measurement of the size of kidney in normal Korean population that might be basic data of renal size in comparison with radiographic and ultrasonographic measurement for clinical implies. The 235 cases of donors for renal transplantation were measured by the length, width, thickness, weight and the outer diameter of renal vessels as well as identification of branches of renal vein at the time of donor nephrectomy. These data were tested to statistically significant by T- test, ANOVA, Pearson correlation analysis and multivariate analysis. The mean values of renal size were 11.6+/-0.87 (9.2-15.4cm) x 6.1+/-0.81 (4.4-10.0cm) x 4.9+/-0.75(2.2-7.1cm) for male 11.7+/-0.77 (9.8-14.0cm) x 6.2+/-0.85 (4.5-10.0cm) x 5.O+/-0.77 (2.8- 7.1cm) and for female 11.4+/-0.96 (9.2-15.4cm) x 6.0+/-0.75 (4.4-8.2cm) x 4.8+/-0.7 (2.2-7.0cm). The mean value of renal weight were 183.1+/-36.92 (115.0-370.0gm) : for male 188.2+/-40.10 (120.0-370.0gm) and for female 177.6+/-32.41 (115.0-300.0gm). The width, thickness and weight of kidney were larger in male than in female (p<0.05). I found out that the age of donors did not affect the renal length, width, thickness and weight (p>0.05). The renal length, width, and weight increased proportional to the body weight (p<0.05). The renal thickness and weight were different in each range of the body height (P<0.05). The body weight had correlation with renal length (r=0.25), thickness (r=0.32), weight (r=0.36, p<0.001) and width (r=0.16, p<0.05). The body height was correlated well with renal length (r=0.20), thickness (r=0.18) and weight (r=0.25, p<0.05). The body weight was the most reliable factor affecting renal size and weight in multivariate analysis (p<0.05). The mean number of branches of renal vein was 0.36+/-0.63 (0.0-2.0) in right kidney and 3.12+/-0.76 (1.0-6.0) in left one. The mean diameter of the renal artery was 0.61+/-0.132 (0.3-1.0cm) and the mean diameter of the renal vein 1.46+/-0.132 (0.50-2.20cm). The radiographic measurement of renal size was larger than our surgical measurement. The mean renal length and width in radiographic measurement(IVP) were 12.1+/-0.70cm in right kidney, 12.1+/-0.65cm in left one and 6.4+/-0.54cm in right kidney, 6.8+/-0.45cm in left one versus 11.6+/-0.87cm, 11.6+/-0.89cm and 6.1+/-0.81cm, 6.1+/-0.84cm in surgical measurement. Surgical measurements of renal size of donors at the time of renal transplantation were real renal size despite of radiographic and ultrasonographic measurement and provided basic standard data for Korean population that might be utilized in approaching renal disease.
Adult* ; Body Height ; Body Weight ; Female ; Humans ; Kidney ; Kidney Transplantation ; Male ; Multivariate Analysis ; Nephrectomy ; Renal Artery ; Renal Veins ; Tissue Donors

The criteria for removal of failed renal allografts are not clearly defined. Between December, 1985 and June. 1991, 269 renal transplantations were performed at Kosin Medical Center, Pusan, Korea. Of these 29 lost renal allograft and transplant nephrectomy was carried out within 6 weeks of transplantation in 4 instances: 1 case because of ABO incompatibility and 3 due to oliguria, progressively increasing serum creatinine and enlarged tender graft despite of pulsing therapy. Of these a patients, one patient had rupture of transplanted kidney, 4 kidney allografts were removed at least 6 months after transplsntation: three had graft pain and tenderness, graft enlargement and persistent gross hematuria. The surgical approach was carried out through the transplantation incision. In the postoperative period, there were some complications: 2 of these were wound hematoma and bleeding which resulted in no further complication but in one case immediately after transplant nephrectomy sepsis resulted in death. In conclusion, absolute indication for tansplant nephrectomy was hyperacute rejection and if chronic rejection was present, it should be considered with clinical findings. During removal of the transplanted kidneys, we think it is benefit that the vessels were ligated "en mass".
Allografts ; Busan ; Creatinine ; Hematoma ; Hematuria ; Hemorrhage ; Humans ; Kidney ; Kidney Transplantation ; Korea ; Nephrectomy* ; Oliguria ; Postoperative Period ; Rupture ; Sepsis ; Transplants ; Wounds and Injuries