A clinical observation on the vesicovaginal repair was done on24 cases admitted to the Dep. of Urology, Keimyung University Hospital, during the period from 1971 through 1981. Vesicovaginal fistula can be surgically repaired via vaginal route or transvesical extraperitoneal or transperitoneal technique and the following results were obtained. 1. Overall success rate of vesicovaginal fistula repair was 71% and that of simplified transperitoneal transvesical approach was higher than conventional method (88%). 2. Excision of the fistulas were facilitated by continuing traction on the Foley catheter, vaginal insertion of assistant`s finger and sand bag application below hip. 3. Preoperative infection with scar tissue, short duration, large sized fistula, inadequate exposure and dissection of bladder from vagina turned out to be main factors of the operative failure. 4. Wide exposure with tension free closure of well-vascularized peritoneal flaps and the judicious interposition of pedicled omentum have produced the most encouraging results and supravesical diversion by ileal or colonic conduit can be avoided. 5. Previous attempts for surgical repair seemed to have relation with success rate.
Catheters ; Cicatrix ; Colon ; Fingers ; Fistula ; Hip ; Omentum ; Silicon Dioxide ; Traction ; Urinary Bladder ; Urology ; Vagina ; Vesicovaginal Fistula*

Malignant fibrous histiocytoma, which is interesting because of its pleomorphic nature, is a rare soft tissue sarcoma possibly arising from histiocyte. The tumors are usually situated in the skin or subcutaneous tissues, especially of the extremities, but they may also involve deeper structures, such as the retroperitoneum or genital organs. Herin we report a case of malignant fibrous histiocytoma in the retroperitoneal space and discuss the pathologic and clinical features.
Extremities ; Genitalia ; Histiocytes ; Histiocytoma, Benign Fibrous ; Histiocytoma, Malignant Fibrous* ; Retroperitoneal Space ; Sarcoma ; Skin ; Subcutaneous Tissue

Although the rates of tuberculosis cases are continuing decline with advent of newer drugs, sporadic cases of urinary tuberculosis still occur. During last 5 years, we experienced 22 cases of reconstructive surgery and 18 cases of endourologic procedures for preservation of renal function. The following results were obtained: 1. Reconstructive surgeries including ureteroneocystostomy etc. were underwent in 22 cases and improvement were noted in 18 cases. 2. In 18 endourologic cases, there has been a substantial improvement in renal function, decrease in upper tract dilatation and relief of symptom. Average indwelling duration was 2.4 months and the mean number of dilatation per patient was 1.8 time. 3. Endopyelotomy and direct ureterotomy with ureteroscope are useful modalities in multiple ureteral stricture or upper ureter stricture. 4. It should be emphasized that percutaneous antegrade stent indwelling was more easier than retrograde technique especially in failure cases.
Constriction, Pathologic ; Dilatation ; Humans ; Stents ; Tuberculosis ; Tuberculosis, Renal* ; Ureter ; Ureteroscopes

Selected number of urinary E. coli isolates from patients were subjected to the tests to characterize in vitro properties, compared with the strains of normal flora in intestinal tract or other sources. Further studies were carried out for determination of the mechanism of pathogenesis by using rabbit as an experimental animal model. Both strains of 87E1 and 87E51 which had one type of pili, were eliminated rapidly 4 or 8 days after inoculation into renal pelvis of rabbit. On the contrary, 88E18 strain which had both types of pili successfully colonized in urinary tract and the rabbit died due to urosepsis after the 8th day of experiment. The result of bacterial count colonized in the tissue by colony forming unit (CFU)per gram were similar to those in the urine.
Bacterial Load ; Colon ; Humans ; Kidney Pelvis ; Models, Animal ; Stem Cells ; Urinary Tract ; Uropathogenic Escherichia coli* ; Virulence*

Today, genitourinary tuberculosis as well as tuberculosis of other organs have decreased in its incidence with development of antituberculosis drugs. However, it is still very frequent in Korea. There are still great deal of difficulties in finding Mycobacterium tuberculosis from urine because of variations in method of taking urine sample and techniques of examination. For these matters, early diagnosis was difficult indeed. For this reason, we performed amplification of Mycobacterial DNA from urine by use of the Polymerase Chain Reaction, and urine AFB smear from Apr., 1993 to Feb., 1994 and achieved following results. l. In order to increase sensitivity and specificity, we performed nest PCR. and primers used each cases were a) INS1 and INS2, which amplify 245-base pair sized DNA, b) Pt3 and Pt6, which amplify 188-base pair. The sequences of primers were INS1 (5'-CGTGAGGGCATCGAGGTGGC-3'), INS2 (5'- GCGTAGGCGTCGGTGACAAA-3'), Pt3(5'-GAACGGCTGATGACCAAACT-3'), and Pt6( 5'-ACGTAGGCGAACCCTGCCCA-3') (Table l). And after 30 cycles of amplification, unique Mycobacterium tuberculosis DNA band was found ( Figure). 2. Total number of confirmed genitourinary tuberculosis were 35 cases, 19 cases were positive in both PCR and AFB smear, other 15 cases were positive only in PCR and in one case, PCR was negative but positive in AFB smear (Table 2).
DNA ; Early Diagnosis ; Incidence ; Korea ; Mycobacterium tuberculosis* ; Mycobacterium* ; Polymerase Chain Reaction* ; Sensitivity and Specificity ; Tuberculosis

Nonfunctioning carcinoma of adrenal cortex is a rare disease and approximately 120 patients with nonfunctional adrenal cortical carcinoma have been reported in the world literature since first description of Rolienston and Marks in 1898. We report a case of nonfunctioning adrenal cortical carcinoma in a 47-year-old female patient, which was suspected by clinical investigation and confirmed by exploration and microscopic examination.
Adrenal Cortex* ; Adrenocortical Carcinoma ; Female ; Humans ; Middle Aged ; Rare Diseases

Nonfunctioning carcinoma of adrenal cortex is a rare disease and approximately 120 patients with nonfunctional adrenal cortical carcinoma have been reported in the world literature since first description of Rolienston and Marks in 1898. We report a case of nonfunctioning adrenal cortical carcinoma in a 47-year-old female patient, which was suspected by clinical investigation and confirmed by exploration and microscopic examination.
Adrenal Cortex* ; Adrenocortical Carcinoma ; Female ; Humans ; Middle Aged ; Rare Diseases

19 patients with transitional cell carcinoma of the ureter and pelvis operated upon at Taegu Presbyterian Medical Center during the past 10 years are reviewed from August, 1970 through August, 1980. Clinical observation and results are summarized below: 1. The range in age was from 38 to 78 years, average 56 years and there were 17 men and 2 women. 2. Those patients without renal function, as shown by the IVP, tended to have neoplasms of a higher grade and stage, and had a median survival of only 32.5 months. 3. Vesical carcinoma was demonstrated subsequently in 57 per cent without a history of bladder cancer. The interval from initial treatment to diagnosis of bladder cancer in these patients ranged from 1 month to 4 years, with a median of 19.8 months. It is recommended that endoscopy should be an integral part of the follow up examination. 4. The over-all 5-year survival rate of 38 per cent was influenced by the grade, the stage and renal function. Other factors such as age end sex of the patient and multiplicity of tumors, did not have a significant influence on survival.
Carcinoma, Transitional Cell ; Daegu ; Diagnosis ; Endoscopy ; Female ; Follow-Up Studies ; Humans ; Male ; Pelvis ; Protestantism ; Survival Rate ; Ureter ; Urinary Bladder Neoplasms ; Urinary Tract*

No abstract available.
Forearm*

The accepted treatment for significant obstruction of the ureteropelvic junction has in general been open operative surgery. However, attention has recently been drawn to the efficacy of percutaneous pyeloplasty. We experienced the twenty-eight patients of the UPJ obstruction during a 10-year period. Of these patients 20 have underwent open pyeloureteroplasty and 8 were performed percutaneous pyeloplasty. Among these 8 patients, 5 were undergone endopyelotomy only and 3 were dilated successfully by balloon dilation after endopyelotomy. The results led us to evaluate these modalities for treatment of UPJ obstruction and the initial results of percutaneous pyeloplasty were encouraging.
Humans