No abstract available.
Leg*

Adrenal cyst is a rare pathologic lesion in all patients which can pose difficult problems in terms of diagnosis and treatment. Most are small and found incidentally on autopsy. We report one case of a large adrenal cyst in a 54-year- old female with review of the literature.
Autopsy ; Diagnosis ; Female ; Humans

The flow rate nomogram was based on 204 flow rate measurements in l65 Korean normal men who ranged in age from 20 to 45 years. Using this nomogram, we tested 10 patients with clinically evident outflow obstruction by flowmetry. In 9 of the maximal flow measurements, the nomogram values were less than minus Z standard deviations. The maximal flow rate value after prostatectomy increased an average 2.41 standard deviations. (p=0.006) The use of flow rate nomogram appears to differentiate reliably normal from obstructed individuals and also is highly useful in the postoperative follow up of urinary outflow obstruction.
Follow-Up Studies ; Humans ; Male* ; Nomograms* ; Prostatectomy ; Rheology

Renal papillary necrosis is rare. It usually occurs in association with diabetes mellitus, pyelonephritis, urinary tract obstruction, analgesic abuse and sickle cell hemoglobinopathies. The basic pathophysiologic process in renal papillary necrosis appears to be ischemic necrosis. We experienced a case of renal papillary necrosis associated with diabetes mellitus. This 59 years old female was diabetic for 10 years and had persistent pyuria, not controlled with antibiotics. The excretory urography showed nonvisualized left kidney and retrograde pyelography showed multiple irregular filling defect in pelvis and ureter. The nephrectomized kidney showed typical findings of papillary necrosis, grossly and microscopically.
Anti-Bacterial Agents ; Diabetes Mellitus* ; Female ; Hemoglobinopathies ; Humans ; Kidney ; Middle Aged ; Necrosis* ; Pelvis ; Pyelonephritis ; Pyuria ; Ureter ; Urinary Tract ; Urography

BACKGROUND: Endothelin-1 (ET-1) production and ET receptor type B (ETRB) density in the kidney increase along the corticomedullary axis. Northern blot showed that preproET-1 mRNA message was higher in medulla than cortex. ETRB mRNA expression by nested RT-PCR was similar to that of ET-1 mRNA. This study was undertaken to evaluate the renal expression pattern of ET-1 and ETRB mRNAs by Northern blot and nested RT-PCR using a real-time RT-PCR technique. METHODS: The cortex and inner medulla of mouse kidney were dissected out and real-time RT- PCR was performed. Fluorescent ntensity of PCR was recorded using the DNA-intercalating dye SYBR green. Melting curve analysis was utilized for selection of sequence-specific PCR products. For the comparision of relative expression of mRNA in the cortex and inner medulla, Pfaffl's formula (Pfaffl MW: Nucleic Acids Res 29: 2003-2007, 2001) was used. RESULTS: Peak Tms of amplified beta-actin, ET-1 and ETRB genes from inner medulla were 88.2degrees C, 90.5degrees C and 85.5degrees C, respectively. In the cortex, expression of ETRB mRNA was greater on an average by 4.59 cycles (24.59=24 times more abundant) compared to that of ET-1 mRNA. In the inner medulla, ETRB message was 25 times greater than ET-1 message. When ET-1 mRNA expression was compared between cortex and inner medulla the ratio was 3.2, indicating that inner medulla contained three times more ET-1 mRNA than cortex. The expression ratio of cortex to inner medulla of ETRB mRNA was 3.3. CONCLUSION: These results suggest that ET-1 mRNA and ETRB mRNA are more abundantly expressed in medulla than cortex and that the distribution of these mRNAs may be intimately related to that of their respective gene products.
Actins ; Animals ; Axis, Cervical Vertebra ; Blotting, Northern ; Endothelin-1* ; Endothelins* ; Freezing ; Kidney* ; Mice* ; Nucleic Acids ; Polymerase Chain Reaction ; Receptors, Endothelin* ; RNA, Messenger*

A clinical observation was made on patients of renal injury at the Department of Urology, Presbyterian Medical Center, Daegu, Korea during the period from September 1970 through December 1978. The results were as follows: 1. Most favorable age was from 10 to 39 years(74%), sex ratio, male to female, was 4.4:1, and increasing trend of renal injury was observed. 2. The most common causes of renal injury were falling accident, kick and blow, traffic accident, and stab injury in order. 3. Renal injury was classified as minor injury(30%), major injury(52%) and shattered kidney with or without pedicle injury(18%). 4. Associated injuries were present in 9 patients. 5. Abnormal findings on D.I.P. were presented in 72% of renal injuries. 6. All minor injuries were treated conservatively, all shattered kidney or pedicle injuries operatively, and all major injuries were managed conservatively, except 30% of major injury in which nephrectomy was performed following failure of conservative treatment. 7. Complication was noted in 28% of conservative treatment and in 29% of operative treatment. 8. Patients manged by emergency surgical treatment had average 8.9 days hospital stay, conservative treatment 9.2 days and those by nephrectomy following failure of conservative treatment had average 24.1 days.
Accidents, Traffic ; Daegu ; Emergencies ; Female ; Humans ; Kidney ; Korea ; Length of Stay ; Male ; Nephrectomy ; Protestantism ; Sex Ratio ; Urology

Transverse testicular ectopia is a rare anatomical abnormality in which both gonads migrate toward the same hemiscrotum. Herein we report a case of transverse testicular ectopia in a 4 years old boy with review of literature.
Child, Preschool ; Gonads ; Humans ; Male

Posterior urethral valve is the most common obstructive abnormality in male children affecting both Kidneys and likely arise from maldevelopment of the mesonephric duct. We report a case of posterior urethral valve in 4 year old male child with brief review of literature.
Child ; Child, Preschool ; Humans ; Kidney ; Male ; Wolffian Ducts

The uroflowmetry was accurate, noninvasive method in the assessment of infravesical obstruction, but it was difficult to differentiate normal from obstructed individuals. The use of the flow rate nomogram appeared to differentiate reliably normal from obstructed individuals. The uroflowmetries using flow rate nomogram which was previously reported by our hospital, were performed on 35 BPH patients, 12 patients preoperatively and postoperatively (Group I) and 23 patients postoperatively only due to preoperative urinary retention (Group 2). The following results were obtained. 1. In group 1, the mean preoperative maximal flow rate was 9.4 (ml/sec) and the mean postoperative maximal flow rate was 15.3 (ml/sec). 2. In group 2, the mean postoperative maximal flow rate was 18.3 (ml/sec) 3. In group 1, nine of twelve patients (75%) were improved in the maximal flow rate. But six of twelve patients (50% ) were improved in the flow rate nomogram. 4. In group 2, fourteen of twenty-three patients (70%) were improved in the flow rate nomogram. In summary, this study shows much difference in the results between maximal flow rate and flow nomogram. So uroflowmetry using flow rate nomogram, we consider, will show more objective result in the evaluation of prostatectomized patient.
Humans ; Nomograms* ; Prostatectomy* ; Urinary Retention

No abstract available.
Intervertebral Disc*