Pyuria, pain and hematuria are the predominant symptoms in urologic diseases. Among them hematuria is the most important complaint referable to the urinary tract in both children and adults Accordingly, hematuria should never be ignored, and no matter how trivial the bleeding a complete urologic investigation into itscause is mandatory. A statistical survey was made on hematuria of the in-patientsin the Department of Urology at ST. Mary's Hospital, during the two years from August 1966 to July 1968 and the following results were obtained. 1. During that period. out of 437 cases who were hospitalized, 246 cases(179 males and 67 females) had hematuria, giving a rate of 5t percent (gross: 24 percent, micro-hematuria: 30 percent) 2. More than 70 percent of all the cases of hematuria processed were found to be calculus, tumor and tuberculosis of the genitourinary tract. 3. Most frequent incidences of hematuria 'were shown to be trauma in children, while calculus, tuberculosis and tumor in young and middle aged group, and tumor in old aged group as well. 4. Among 141 cases of micro-hematuria, grade I showed 78 cases(55 percent) 5. The location of bleeding in 1O5 cases of gross hematuria was in the kidney by 40 percent, bladder, ureter and urethra in that order of frequency.
Adult ; Calculi ; Child ; Hematuria* ; Hemorrhage ; Humans ; Incidence ; Kidney ; Male ; Middle Aged ; Pyuria ; Tuberculosis ; Ureter ; Urethra ; Urinary Bladder ; Urinary Tract ; Urolithiasis ; Urologic Diseases* ; Urology

A clinical observation on urethroplasty in 49 cases with urethral injury among 1150 patients which were admitted for urologic operation at department of urology, St. Mary's Hospital, C.M.C. during the period from Jan. 1966 through Aug. 1971 were performed. Of 49 cases, 37 cases were urethral rupture and remainder, urethral stricture. The urethral rupture was repaired by suprapubic urethroplasty and urethral stricture, by perineal urethroplasty (end to end anastomosis). The results were summarized as follows: 1. The rate of GU injury accounted for 9. 14% to the total operated inpatient and the rate of urethral injury for 46.7% to the G-U injury during 5 years and 8 months 2. The incidence of the urethral injury was the highest in the age of 21 to 30, and majority of the urethral injury (67.3%) was lied between the age of 21 and 50. 3. The most common cause of the urethral injury was car accident (57.1%) and others, recorded in the order of straddle injury and kick and blow. 4. Among 37 cases of urethral rupture, pubic bone fracture was associated in 19cases (51.4%). 5. Removal of urethral catheter after urethroplasty were 2~3 weeks in cases of urethral rupture and 1~2 weeks in the cases of urethral stricture. 6. 12 cases (100%) with urethral stricture were treated by perineal urethroplasty (end to end anastomosis).
Humans ; Incidence ; Inpatients ; Pubic Bone ; Rupture ; Urethral Stricture ; Urinary Catheters ; Urology

The clinical and intravenous pyelographic studies on 513 cases of Korean with normal or movable kidneys at St. Mary's Hospital, Catholic Medical College, during the period from January 1965 through September 1969 were performed Of 513 cases, 215 cases, normal kidneys and others, movable kidneys. The results were summarized as follows; 1. The center of the right renal pelvis in the supine position was at the level of the upper part of the second lumbar vertebra, and that of the left was located at the L1-L2 level in normal kidney 2. The angle between the long axis of normal kidney and the vertebral column was 6 degrees - 20 degrees, and no differences were noticed between the right and left side. 3. The range of the angular change obtained by the postural change from the supine to the erect was 1'-10' in normal kidney. 4. The ratio of the movable kidney of the male and female was 1:1.6, and that of the right and left was 20:1. The incidence of the movable kidney was the highest in the age of 31 to 40, and majority of the movable kidney (80.5%) was lied between the age of 20 and 50. 5. The most common clinical findings of the movable kidney wag flank pain (40.6%) and other findings were recorded in the order of hematuria, frequency of urination, palpable mass on the renal region, pyuria and indigestion. 6. Among 52 cases of microscopic hematuria, grade 1 showed 30 cases (57.7%). 7. 104 cases (35.0%) of the movable kidney showed no subjective symptoms. 8. 139 cases (46.6%) of the movable kidney showed poor drainage of contrast media during I.V.P. taken in erect position. 9. Only 25 cases (8.3%) of the movable kidney were treated by operation.
Axis, Cervical Vertebra ; Contrast Media ; Drainage ; Dyspepsia ; Female ; Flank Pain ; Hematuria ; Humans ; Incidence ; Kidney Pelvis ; Kidney* ; Male ; Pyuria ; Spine ; Supine Position ; Urination

Priapism is a condition in which persistent erection occurs unaccompanied by sexual excitation or desire. A case of priapism who underwent corpus-saphenous shunt procedure is in here described. Although attempts to relieve the erection were tried by ice water enema, evacuation of the sludged blood by needle aspiration and heparin injection, all conservative therapy failed. Prompt subsidence of erection was followed by corpus-saphenous shunt procedure.
Enema ; Heparin ; Ice ; Needles ; Priapism* ; Water

Two megaloureter wee by extensive resection of the ureter to shorten it's length and reduce it's caliber. A nephrostomy tube was inserted for temporary drainage of the kidney in one case. In both cases an operation on tire lower ureter sufficed. Results were satisfactory, with restoration of ureteral function and improvement in kidney drainage.
Drainage ; Kidney ; Ureter

Total of 311 cases who were admitted to pediatric departmenr of Kyung Hee University Hospital from October, 1971 to December, 1975 were studied clinically about the cases in various age group. The results are as follows. 1) Convulsion was most frequent in children between 6months and 3years (38%), but it was least frequent in children from 10years to 15 years (7%). 2) The most common cause of convulsions in children was febrile convulsion(30.5%). 3) Tetanus (50.9%) was most frequent cause of convulsion in the neonatal period. 4) Febtile convulsion was most common in infants from one month to six months. 5) The most common cause of conculsions in infants from six months to three years was febrile convulsion (47.8%). 6) In children more than three years of age, idiopathic epilepsy was most frequent cause of convulsion (3 to 10 years and 10 years to 15years , 36%, 72.7% respectively).
Child* ; Epilepsy ; Humans ; Infant ; Seizures* ; Seizures, Febrile ; Tetanus

The incidence of anencephaly ranges from 0.1 to 6.7 per 1,000 births. Female fetuses predominated, especially among prematures, with a ratio of between 3 and 7 to 1. The infants are either stillborn or die within a few days of birth. By about 23 days?gestational age the neural tube is complete, except for an opening at each end, the anterior and posterior neuropores. Failure of closure of the anterior neuropore causes anencephaly. Ultrasound scanning of the skull in the anencephalic fetus, measurement of alpha-fetoprtein countent in amniotic fluid may also ve of help in rntrauterine diagnosis. Four cases of anencephaly with mutiple anomalies experienced at nursery of Kyung Hee University Hospital were reported with brief review of related literaures.
Amniotic Fluid ; Anencephaly* ; Diagnosis ; Female ; Fetus ; Humans ; Incidence ; Infant ; Neural Tube ; Nurseries ; Parturition ; Skull ; Ultrasonography

Objectives: Recently, weight loss has emerged as a national concern in South Korea, and this has resulted in an increase in the frequency of use of central nervous system (CNS)-stimulating appetite suppressants. This study aimed to collect cases of psychotic disorders and bipolar disorders triggered by phentermine and phendimetrazine and explore the clinical features and courses. Methods: In this retrospective study, we analyzed the electronic medical records of patients and selected eight patients who developed psychotic symptoms and manic symptoms for the first time after taking phentermine and phendimetrazine. All cases were reviewed, and their clinical features and course were summarized. Results: All eight patients developed psychotic symptoms, and one had accompanying manic symptoms. The final diagnosis was appetite-suppressant-induced psychotic disorder in four patients, schizophrenia in three, and appetite-suppressant-induced bipolar disorder in one. In addition, three patients were diagnosed as having substance-use disorder. The key psychotic symptoms of these patients were hallucinations and paranoia. Conclusions These case findings suggest that phentermine and phendimetrazine can cause psychotic disorder, bipolar disorder, or substance use disorder and that medical professionals and the public should practice caution when prescribing and using these drugs.

PURPOSE: Transurethral resection of the prostate (TURP) is the gold standard treatment for symptomatic benign prostate hyperplasia, but significant complications are associated with this procedure. The aim of this study was to compare the standard TURP with the high power (80W) potassium-titanyl-phosphate laser (KTP/532; Greenlights PVTM laser system; Laserscope, San Jose, USA) to elucidate the efficacy and safety of laser treatment. MATERIALS AND METHODS: We performed comparative trials of 40 patients suffering with symptomatic bladder outlet obstruction due to benign prostatic hyperplasia from February 2005 to June 2005. Twenty patients were treated with TURP (Group I) and 20 patients were treated with KTP (Group II). All patients were assessed preoperatively and at an interval of 3 months postoperatively based on the International Prostate Symptom Score (IPSS), the quality of life (QoL) index, changes in maximum urinary flow rate (Qmax), and the postvoid residual urine (ml). The safety parameters we evaluated included the operative time (minutes), the postoperative catheterization time (day) and the blood loss (ml). The Kolmogorov- Smirnov & Shapiro-Wilk test, Student's t-test, Student's t-test (paired), and Fisher's Exact test were performed for statistical analysis. RESULTS: The mean age of each group was 68.9+/-9.9 years (group 1) and 63.9+/-9.7 years (group II), and the prostate weight was 49.5+/-15.4cc and 45.0+/-17.3cc, respectively. The mean operation time was shorter for group II (27.7+/-13.6min) than for group I (48.1+/-22.6min) (p<0.05). The mean catheterization time was 5.6+/-1.82 and 1.36+/-1.64 days, respectively, (p<0.001). The blood loss was lower in group II (11.7+/-11.4ml) than in group I (181.9+/-168.17ml, respectively) (p<0.001). CONCLUSIONS: In this preliminary short-term study, KTP Laser enucleation of the prostate was shown to be an effective alternative for treating benign prostate hyperplasia as compared with standard TURP.
Catheterization ; Catheters ; Humans ; Hyperplasia ; Laser Therapy* ; Lasers, Solid-State ; Operative Time ; Prostate* ; Prostatic Hyperplasia ; Quality of Life ; Transurethral Resection of Prostate ; Urinary Bladder Neck Obstruction

PURPOSE: Pseudomonas aeruginosa has emerged as one of the most problematic bacteria in modern hospital settings, and this organism is increasingly isolated as a nosocomial pathogen. Burn patients are particularly susceptible to Pseudomonas infection. Therefore, the accurate and sensitive microbiologic tests are needed for strict management of this prevalent microorganism. METHODS: A nested polymerase chain reaction test based on consecutive amplification of the lipoprotein genes, oprL and oprI, was designed and evaluated, in comparison with the conventional blood culture, for its ability to detect Pseudomonas aeruginosa in clinical materials of burn patients. RESULTS: Positive results of PCR based on oprL gene were observed only for Pseudomonas aeruginosa. All other bacteria (n=4) tested by this amplification method were negative. Also the lowest detection level was 1X101 bacteria per ml of blood samples. In addition, PCR afforded a significantly higher detection rate for Pseudomonas aeruginosa than the conventional blood culture technique in clinical materials of burn patients (25.9% vs. 8.6%). CONCLUSION: This study suggests that the nested PCR technique is highly specific and sensitive test for detectionof Pseudomonas aeruginosa, and therefore it may be a useful adjunct tool, in combination with other conventional techniques, for detection of Pseudomonas aeruginosa infection.
Bacteria ; Burns* ; Culture Techniques ; Humans ; Lipoproteins ; Polymerase Chain Reaction* ; Pseudomonas aeruginosa* ; Pseudomonas Infections ; Pseudomonas*