1.Primary Localized Amyloidosis of Upper Urinary Tarct Treated by Renal Preserving Surgery.
Sang Hyun CHEON ; Kyu Rae KIM ; Choung Soo KIM
Korean Journal of Urology 2000;41(2):337-340
No abstract available.
Amyloidosis*
3.Early and Late Complications of Radical Retropublic Prostatectomy.
Jae Won LEE ; Choung Soo KIM ; Han Jong AHN
Korean Journal of Urology 2000;41(11):1409-1414
No abstract available.
Prostatectomy*
4.A case of intrascrotal calculi.
Korean Journal of Urology 1991;32(1):169-170
The stone disease of urinary tract is common and familiar to urologist. But intrascrotal calculus is a rare disease. It is believed to originate either as a fibrinous deposit in tunica vaginalis testis or as a remnant of the appendix testis or appendix epididymis that has undergone torsion and become freely movable. Herein I report a case of intrascrotal calculi in the patient who complained scrotal mass.
Appendix
;
Calculi*
;
Epididymis
;
Fibrin
;
Humans
;
Male
;
Rare Diseases
;
Scrotum
;
Testis
;
Urinary Tract
5.Significance of T1 Substaging on the Recurrence and Progression of Bladder Cancer.
Yong Jae KIM ; Kyung Hyun MOON ; Kyu Rae KIM ; Choung Soo KIM
Korean Journal of Urology 2000;41(11):1323-1328
No abstract available.
Recurrence*
;
Urinary Bladder Neoplasms*
;
Urinary Bladder*
6.Voiding Function in Women with Orthotopic Bladder Substitution: Initial Report, A Questionnaire Survey.
Dong Wook KIM ; Han CHUNG ; Choung Soo KIM
Korean Journal of Urology 2003;44(8):745-752
PURPOSE: Although the advent of orthotopic bladder substitution in women was a major achievement in the evolution of urinary diversion, the mechanism of voiding dysfunction remains to be fully understood. This is a report on the voiding function of the ileal neobladder, based on a questionnaire survey of 6 female patients. MATERIALS AND METHODS: Between 1995 and 2002, 7 of 10 women(mean age 56.1) that underwent an orthotopic bladder substitution were evaluated using uroflowmetry, bladder diary and voiding cystourethrography. Six patients completed the questionnaire. The mean follow-up period was 24.6 months(range 1 to 72 months). RESULTS: From the uroflowmetry, the mean maximum flow rate was 12.2ml/sec, with a low average flow rate(mean 6.2ml/sec), and the voiding time was considerably prolonged(mean 68.5sec). According to the bladder diary and questionnaire responses, although the frequency and tidal volume of micturition were normal, the majority of patients were conscious of retarded, intermittent, prolonged and weak streams, with straining during voiding. Of the 7 patients, 5(71.4%) achieved excellent daytime continence, but 6(85.7%) had nighttime incontinence. One patient was unable to void and required regular intermittent catheterization. Two patients sometimes, or often, performed self-catheterization due to residual urine. According to the questionnaire responses, 4(66.7%) of the 6 patients stated that their micturition status was better or the same compared with their preoperative status, and 4(66.7%) of the patients felt satisfied. The degree of inconvenience was low for every item and the limitation on daily life was considered minimal. Cystograms revealed a descent of the pouch and urethral angulation in the 3 patients with difficulty in urination or hypercontinence. CONCLUSIONS: Orthotopic bladder substitution after a radical cystectomy in women provides relatively satisfactory functional outcomes.
Catheterization
;
Catheters
;
Cystectomy
;
Female
;
Follow-Up Studies
;
Humans
;
Surveys and Questionnaires*
;
Rivers
;
Tidal Volume
;
Urinary Bladder Neoplasms
;
Urinary Bladder*
;
Urinary Diversion
;
Urination
7.Complications of the Ileal W-neobladder with Serous-lined Extramural Tunnel.
Hongsik KIM ; Hanjong AHN ; Choung Soo KIM
Korean Journal of Urology 1999;40(8):992-996
PURPOSE: Radical cystectomy has been a standard method in the treatment for invasive bladder cancer. Recently the orthotopic substitutions have been generally performed for urinary diversion. Ghoneim introduced a new method for orthotopic substitution which has used relatively short segment of ileum, and the method is regarded to have few complications. We performed this method for our study and analyzed the results and complications. MATERIALS AND METHODS: Among total 29 patients underwent ileal W-neobladder with serous-lined extramural tunnel, 27 patients had invasive bladder cancer and the remaining two patients had contracted bladder with vesicoureteral reflux. There were 25 male patients with the mean age of 59.2 years(45-70) and 4 female patients with 61.8 years(51-68). Mean follow-up period for the entire group was 8.4 months(3?17 month). History taking, physical examination, and complete laboratory tests were performed postoperatively and IVP or CT scan was taken at 3 month and 9 month after the operation for the evaluation of recurrence and upper tract change. RESULTS: The average operating time was 8 hours 35 minutes(420-670 min). Paralytic ileus developed in two patients and wound dehisced in 4. In all 29 patients, vesicoureteral reflux was not detected. Stricture of ureteroileal anastomosis was observed in 4 left renal units. We performed percutaneous nephrostomy and antegrade double J stenting on all the patients with stricture primarily, but one patient underwent neoureteroileostomy because of the failure of the primary management. Four patients complained enuresis, but no daytime incontinence was observed. There were no clinical symptoms of complications in all 29 patients and no metabolic acidosis was observed in laboratory tests. CONCLUSIONS: Serous-lined extramural tunnel method of orthotopic substitution showed an acceptable and safe reservoir with a large capacity at low pressure and absence of reflux with relatively short segment of ileum.
Acidosis
;
Constriction, Pathologic
;
Cystectomy
;
Enuresis
;
Female
;
Follow-Up Studies
;
Humans
;
Ileum
;
Intestinal Pseudo-Obstruction
;
Male
;
Nephrostomy, Percutaneous
;
Physical Examination
;
Recurrence
;
Stents
;
Tomography, X-Ray Computed
;
Urinary Bladder
;
Urinary Bladder Neoplasms
;
Urinary Diversion
;
Vesico-Ureteral Reflux
;
Wounds and Injuries
8.Clinical Observation on the Surgical Approaches in the Management of Vesicovaginal Fistula.
Myung Soo CHOO ; Tae Hyo KIM ; Sang Guk CHUNG ; Han CHUNG ; Hong Sik KIM ; Kun Seok KIM ; Choung Soo KIM
Korean Journal of Urology 2000;41(2):294-298
No abstract available.
Vesicovaginal Fistula*
9.Change of Serum Prostate-specific Antigen with Age in Korean Men.
Changseung LIU ; Jin Hyung LEE ; Choung Soo KIM
Korean Journal of Urology 2007;48(8):782-788
PURPOSE: Prostate-specific antigen(PSA) is believed to be the most useful tumor marker available for prostate cancer. Our intension was to establish the normal pattern of PSA changes with age and initial PSA to provide baseline data from which disease progression might be detected. MATERIALS AND METHODS: Patients, who received serum PSA screening test more than twice, between January 1997 and December 2005, at the health center of Asan Medical Center, were selected for this investigation. The PSA levels of 27,439 adult males, aged between 20 and 79 years, with no known prostate disease, were determined using the Tandem-R PSA assay (Hybritech). The PSA values were determined at the baseline and after 1 to 8 years. To estimate the increase in the level of serum PSA according to age, a one-way ANOVA test was carried out. Every change in an individual's PSA level was compiled to plot curves of the PSA according to the initial age and initial PSA. The PSA doubling times were also calculated with different PSA values at different ages. RESULTS: The mean PSA levels according to age steadily increased, and were directly correlated with age(p<0.001). These increases were greater for those in their fifties and most severe after their sixties. The future PSA and doubling time of an individual can be predicted based on his age and known history of PSA. CONCLUSIONS: The model indicates the expected rises in the PSA level in relation to age and the PSA doubling times in healthy Korean men. This will provide baseline data from which disease progression might be detected.
Adult
;
Chungcheongnam-do
;
Disease Progression
;
Humans
;
Korea
;
Male
;
Mass Screening
;
Prostate
;
Prostate-Specific Antigen*
;
Prostatic Neoplasms
10.Study for Treatment Effects and Prognostic Factors of Bronchial Asthma : Follow Up Over 2 Years.
Bo Young CHOUNG ; Jung Won PARK ; Sung Kyu KIM ; Chein Soo HONG
Tuberculosis and Respiratory Diseases 1997;44(3):559-573
BACKGROUND: Asthma causes recurrent episodes of wheezing, breathlessness, chest tightness, and cough. These symptoms are usually associated with widespread but variable airflow limitation that is partly reversible either spontaneously or with treatment. The inflammation also causes an associated increase in airway resposiveness to a variety of stimuli. METHOD: Of the 403 adult bronchial asthma patients enrolled from March 1992 to March 1994 in Allergy Clinics of Severance Hospital in Yonsei University, this study reviewed the 97 cases to evaluate the treatment effects and to analyse prognostic factors. The patients were classified to five groups according to treatment responses ; group 1 (non control group) : patients who were not controlled during following up, group 2 (high step treatment group) : patients who were controlled longer than 3 months by step 3 or 4 treatment of 'Global initiative for asthma, Global strategy for asthma management and prevention' (NHLBI/UNO) with PFR(%) larger than 8055, group 3 (short term control group) : patients who were controlled less than 1 year by step 1 or 2 treatment of NHLBI/WHO, group 4 (intermediate term control group) : patients who were controlled for more than 1 year but less than 2 years by step 1 or 2 treatment of NHLBI/HNO, group 5 (long term control group). patients who were controlled for more than 2 years by step 1 or 2 treatment of NHHI/WHO. Especially the patients who were controlled more than 1 year with negatively converted methacholine test and no eosinophil in sputum were classified to methacholine negative conversion group. We reviewed patients' history, atopy score, total IgE, specific IgE, methacholine PC2O and Peripheral blood eosinophil counts pulmonary function test steroid doses and aggrevation numbers after treatment. RESULTS: On analysis of 98 patients, 20 cases(20.6%) were classified to group 1, 26 cases(26.8%) to group 2, 23 cases(23.7%) to group 3, 15 cases(15.5%) to group 4, and 13 cases(13.4%) to groups 5. There were no differences of sex, asthma type, family history, smoking history, allergic rhinitis and aspirin allergy among the groups. In long term control group, asthma onset age was younger, symptom duration was shorter, and Initial pulmonary function was better. The long term control group required 1ower amounts of oral steroid, had less aggrevation during first 3months after starting treatment and shorter duration from enrollment to control. Atopy, allergic skin tests sputum and blood eosinophil, total IgE, nonspecific bronchial resposiveness was not significantly different among the groups. Seven out of 28 patients who were controlled more than 1 years showed negatively converted methachloine test and no eosinophils in the sputum. The mean control duration was 20.3α9.7 months and relapse did not occur. CONCLUSION: Patients who had asthma of onset age younger, shorter symptom duration better PFT, lower treatment initial steps, lower amounts of steroid needs and less aggravation numbers after starting treatment were classified in the long term control groups compared to the others.
Adult
;
Age of Onset
;
Aspirin
;
Asthma*
;
Cough
;
Eosinophils
;
Follow-Up Studies*
;
Humans
;
Hypersensitivity
;
Immunoglobulin E
;
Inflammation
;
Methacholine Chloride
;
Recurrence
;
Respiratory Function Tests
;
Respiratory Sounds
;
Rhinitis
;
Skin Tests
;
Smoke
;
Smoking
;
Sputum
;
Thorax