No abstract available.

No abstract available.

Urinary tract dilation is one of the most common side effects during pregnancy. This is primarily a physiologic phenomenon that is typically more prominent on the right side, and it is caused by hormonal changes and mechanical obstruction. Occasionally, urinary tract dilation leads to more serious urinary tract problems such as infection, obstructive renal failure and urinomas. Urinomas are also known as pararenal pseudocysts, and they generally occur as a result of urinary system disruption, but they only rarely occur with pregnancy. We report here on an unusual case of extremely large bilateral perirenal urinomas that were detected during the postpartum period. This was successfully resolved by percutaneous drainage and ureteral stents.
Drainage ; Female ; Humans ; Hydronephrosis ; Postpartum Period* ; Pregnancy ; Renal Insufficiency ; Stents ; Ureter ; Urinary Tract ; Urinoma*

No abstract available.
Forearm* ; Free Tissue Flaps* ; Male ; Penis*

Atypical idiopathic central serous chorioretinopathy[ICSC] is a rare disease which is characterized with a bullous retinal detachment and may progress permanent visual loss due to subretinal fibrosis. The authors studied epidemiologic characteristics, efficacy of laser photocoagulation for visual prognosis and duration of serous detachment in 12 patients[17 eyes]with atypical ICSC and in 29 patients[31 eyes]with ICSC. Male predominance was noted in both groups. Bilateral involvement and poor final visual acuity were more prevalent in patient with atypical ICSC[p<0.05], which tends to develop in older age[p=0.128]. Laser photocoagulation shortened the duration of serous detachment in both groups, and improved the final visual outcome in patients with atypical ICSC[p<0.05]. There was no correlation between the duration of ICSC and the extent of serous detachment. In conclusion, more prevalent bilateral involvement and worse visual outcome were the features of atypical ICSC, but laser photocoagulation was effective to improve the final visual outcome and to shorten the duration of the disease.
Central Serous Chorioretinopathy* ; Fibrosis ; Humans ; Light Coagulation ; Male ; Prognosis ; Rare Diseases ; Retinal Detachment ; Visual Acuity

The authors retrospectively analysed epidemiologic characteristics, natural history and visual prognostic factors of submacular hemorrhage 2ndary to retinal arterial macroaneurysm in consecutive 10 patients. All the patients were female with mean age of 64.8 years and with hypertension in most cases.Typically, preretinal hemorrhage over submacular hemorrhage was the usual initial presentation.It took an average 2.9 months for the absorption of submacular hemorrhage.Average visual acuity was counting finger on initial visit and 0.3 on final visit. The initial visual acuity, the extent of submacular hemorrhage and the duration required for the absorption of it were statistically correlated with the final visual acuity[p<0.05]. But it was not the case with the extent of preretinal hemorrhage and the laser photocoagulation to macroaneurysm. As a conclusion, conservative treatment should be considered for the patient with tolerable initial visual acuity and with small extent of submacular hemorrhage 2ndary to retinal arterial macroaneurysm.
Absorption ; Female ; Fingers ; Hemorrhage* ; Humans ; Hypertension ; Light Coagulation ; Natural History ; Retinaldehyde* ; Retrospective Studies ; Visual Acuity

No abstract available.
Headache*

No abstract available.
Headache*

PURPOSE: Because the preoperative diagnosis of xanthogranulomatous pyelonephritis (XGP) is difficult due to its similarities to other renal diseases, the diagnosis is made postoperatively in most patients. The aim of this study was to improve preoperative diagnosis of this disease. MATERIALS AND METHODS: We reviewed clinical characteristics, laboratory and radiological findings, preoperative diagnoses, and operative methods of 6 patients with XGP who underwent operation from March 1991 to July 1998. Mean age was 49.8 years (range 28 to 80) and male to female ratio was 1 to 2. RESULTS: All 6 patients had flank pain and urinary tract infection. Among 6 patients, there were 3 patients (50%) with renal staghorn stone and 1 (16.7%) with ureteropelvic junction stricture. No patient was diagnosed as XGP preoperatively. Three patients (50%) diagnosed as pyonephrosis with staghorn stone preopratively underwent simple nephrectomy and 2 patients diagnosed as renal mass preoperatively underwent radical nephrectomy. One patient diagnosed as renal abscess extended to retroperitoneum and psoas muscle preoperatively was diagnosed as XGP through intraoperative frozen section biopsy of renal tissue and underwent partial nephrectomy and drainage. CONCLUSIONS: Preoperative diagnosis of XGP will be raised through better understanding of the clinical characteristics and radiologic findings of this disease.
Abscess ; Biopsy ; Constriction, Pathologic ; Diagnosis ; Drainage ; Female ; Flank Pain ; Frozen Sections ; Humans ; Male ; Nephrectomy ; Psoas Muscles ; Pyelonephritis, Xanthogranulomatous* ; Pyonephrosis ; Urinary Tract Infections

PURPOSE: We wanted to compare the effectiveness, safety and cost of performing extracorporeal shock wave lithotripsy (ESWL), and so we reviewed the outcomes of patients with urinary calculi that were treated with the EDAP LT-02 lithotriptor (LT-02) and the Sonolith Praktis lithotriptor (Sonolith). MATERIALS AND METHODS: 2,141 cases treated with the LT-02 and 198 cases treated with the Sonolith were retrospectively reviewed. The success rate and the number of sessions, according to the size and location of the stones, were statistically analyzed. Auxiliary measures, other treatment modalities, complications and the running cost of the entire treatment were also reviewed. RESULTS: The success rate (stone free or residual fragments <4mm in diameter) between the LT-02 and Sonolith, according to the stone size and location, showed no significant difference. The overall success rate was 96.4% and 96.5%, respectively. The mean number of treatment sessions was 3.0 for the LT-02 and 2.0 for the Sonolith. The efficiency quotient was 45.5 for the LT-02, which was lower than 54.0 for the Sonolith. No significant difference was observed in the occurrence rate of complications and the auxiliary measure rate between the LT-02 and the Sonolith. The cost of overall treatment was 1.33x10(6) won for LT-02 and 1.12x10(6) won for Sonolith. CONCLUSIONS: The results suggest that the efficacy of the Sonolith is approximately equal that of the LT-02. However, the Sonolith has superiority in reducing the number of treatment sessions and lowering the overall treatment cost.
Health Care Costs ; Humans ; Lithotripsy* ; Retrospective Studies ; Running ; Shock* ; Urinary Calculi