No abstract available.
Female ; Humans

PURPOSE: The object was to study prospectively the results of a modified intravaginal sling operation for the surgical treatment of female stress urinary incontinence using tension-free vaginal tape (TVT) as a new continence procedure. MATERIALS AND METHODS: 55 women with demonstrable stress urinary incontinence underwent a nonrandomized, prospective study using the TVT sling operation. Preoperatively the patients were evaluated with Stamey grade and urodynamic testing. After having TVT sling operation, we observed the postoperative results throughout the 1-year follow-up. RESULTS: The mean age of the patients was 52.8 years and mean operation time was 26.6 minutes. Mean duration of postoperative catheterization was 1.1 days. 35 patients (63.6%) were completely cured throughout the 1-year follow-up period, and 18 patients (32.7%) were significantly improved. They did not loose urine apart from an occasional leakage during severe cold. CONCLUSIONS: TVT sling operation is a safe, simple and effective procedure for the treatment of stress incontinence.
Catheterization ; Catheters ; Female ; Follow-Up Studies ; Humans ; Prospective Studies ; Suburethral Slings* ; Urinary Incontinence* ; Urodynamics

No abstract available.

A and B blood type isoantigens were investigated in 17 cases surrounding bladder cancer by means of the specific red cell adherence test (SRCA). The tissue specimen were classified into positive, intermediate and negative groups according to SR CA reaction of the primary tumors. The histologically normal epithelium was SRCA-positive in 86.2 % of the specimens in the positive group and 70.0% in the negative, group; for hyperplastic epithelium it was 76.4 % and 50.0% and for the dysplastic epithelium it was 60.0% and 53.3 % respectively. The results may indicate that dedifferentiation expressed as the loss of blood group isoantigens has occurred in the histologically benign epithelium of the tumor-bearing bladders and that its occurrences is frequent in the bladder, associated with SRCA-negative tumors.
Epithelium* ; Isoantigens* ; Urinary Bladder ; Urinary Bladder Neoplasms

No abstract available.
Cystitis, Interstitial* ; Dimethyl Sulfoxide*

The diagnostic methods of evaluating infravesical obstruction, especially in BPH, are based on symptoms, history, digital rectal examination, intravenous pyelography, ultrasonography, uroflowmetry and residual urine, etc. But these methods cannot accurately and objectively evaluate infravesical obstruction. We measured voiding cystometry with uroflowmetry and urethral pressure profile in 24 BPH patients by Dantec UD5500. We classified the degree of obstruction into obstructive, equivocal and nonobstructive types by Griffiths' obstructive nomogram and Type 0 - VI by Schaefer's nomogram after computer assisted pressure-flow analysis. Among 24 patients, obstructive type was in 12, equivocal type in 6, and nonobstructive type in 6 by Griffiths' obstructive nomogram. Based on Schaefer's nomogram, type 0 was in 4 patients, type I in 6, type III in 4, type IV in 2, type V in 4 and type VI in 4. In our analyzed urodynamic parameters, Qmax, Pdet, Pmuo, Atheo and URA had statistical significance(p<0.05). We consider Griffiths' obstructive nomogram and Schaefer's nomogram based on pressure flow plot are objective methods of accurately evaluating infravesical obstruction.
Digital Rectal Examination ; Humans ; Nomograms ; Ultrasonography ; Urodynamics ; Urography

Interstitial cystitis is prevalent in the 5th decade women, characterized by frequency, urgency and pelvic pain. To diagnose interstitial cystitis, NIH diagnostic criteria was used. Patients underwent overdistention and all patients were evaluated with IPSS symptom score and urodynamic study in preoperative period, post operative(POD) 1 week and 1 month. The age distribution was 4th decade in 1 patient, 5th decade in 3, 6th decade in 2, 7th decade in 4 and then above 7th decade in 2. Symptom durations was less than 7 years in 7 patients, between 7-10 years in 2 and more than 10 years in 3. Changes in bladder irritative symptom score between preop. and POD 1 week, and preop. and POD 1 month were 6.00+/-4.40(p<0.05) and 6.36+/-2.29(p<0.05) with statistical significance, respectively. Changes in obstructive symptom scores were 4.91+/-4.27(P<0.05) and 3.91+/-4.76(P<0.05) with statistical significance. On urodyna-mic study, the volume of first voiding sensation between preop and POD 1 week was 29.45+/-52.04(p>0.05) but statistically insignificant. However, the change between pre op. and POD 1 month was 97.45+/-90.29(p<0.05) with statistical significance. Difference in maximal capacity between preop. and POD 1 week was statistically significant as 87.55+/-126.39(p<0.05). Bladder functional capacity changes between with and without anesthesia was statistically significant(p<0.05) Postop. complications were bladder rupture in 1 case, and hematuria in 12. The results of overdistention was useful in the diagnosis and treatment of interstitial cystitis. Then more evaluation and follow up will be needed.
Age Distribution ; Anesthesia ; Cystitis, Interstitial* ; Diagnosis ; Female ; Follow-Up Studies ; Hematuria ; Humans ; Pelvic Pain ; Preoperative Period ; Rupture ; Sensation ; Urinary Bladder ; Urodynamics

Treatment and clinical evaluation of tumor marker were made on 24 patients with testicular tumors, which were admitted to the Pusan National University Hospital From Jan. l970 to Dec. l984. There were 6 cases of infantile type embryonal carcinoma and 6 cases of teratoma in children. In adult, there were 5 cases of seminoma, 2 cases of embryonal carcinoma, 2 cases of teratoma, 1 case of choriocarcinoma, 1 case of yolk sac tumor and l case of seminoma with embryonal carcinoma. Over 2 years follow-up study was made on 19 cases. The results are summarized as follows: l. 2-year survival rate was 6l.1%. 2. After initiation of PVB chemotherapy for advanced testicular tumor since l982, survival rate was improved. 3. The rates of elevated AFP were high in advanced nonseminomatous testicular tumor, therefore the survival rates were poorer in patients with elevation of serum AFP. But the difference of the survival rates between AFP positive and negative patients diminished during the latest 3 years.
Adult ; Busan ; Carcinoma, Embryonal ; Child ; Choriocarcinoma ; Drug Therapy ; Endodermal Sinus Tumor ; Female ; Follow-Up Studies ; Humans ; Pregnancy ; Seminoma ; Survival Rate ; Teratoma ; Testicular Neoplasms

The specific aim of the current study was to correlate the effects of partial outlet obstruction on the contractile responses of isolated strips of bladder smooth muscle to repetitive stimulation in the presence and absence of glucose. Adult male Sprague Dawley rats were subjected to partial outlet obstruction by the surgical placement of silk ligatures around the urethra. After two weeks, each rat was anesthetized and the bladder excised and isolated strip studies performed. After equilibration the strips were subjected to repetitive stimulations with FS, bethanechol, or KCI in the presence or absence of glucose. Both phasic and contractile responses were measured. The results are follows: 1. The maximal phasic response to FS was significantly decreased in the obstructed strips when compared to controls; no differences were noted for responses to bethanechol or KCI. 2. The tonic responses to all forms of stimulation were significantly decreased after obstruction; the tonic response to FS was decreased to a greater degree than were the tonic responses to bethanechol and KC1. 3. In the presence of glucose, the magnitude of phasic and tonic responses to bethanechol and KCl were well maintained in control strips during repetitive stimulation. 4. However, the phasic responses to FS were well maintained during repetitive stimulation whereas the tonic responses progressively decreased by approximately 60%. 5. In the absence of glucose, the tonic responses of control strips to all forms of stimulation were reduced to a greater degree than the phasic responses. 6. Partial outlet obstruction significantly reduced the phasic responses to FS, bethanechol, and KCI by 28.5%, 28.8% and 37.4% respectively and tonic response to FS was reduced to 28.6% of control value in glucose containing Tyrodes solution. Clinically significant reduction of bladder contraction is related to the reduction of glucose metabolism in obstructed bladder. Considering significant reduction of tonic response to FS, we think that neurotransmitter is major factor in contraction reduction in obstructed bladder.
Adult ; Animals ; Bethanechol ; Glucose* ; Humans ; Ligation ; Male ; Metabolism ; Muscle, Smooth ; Neurotransmitter Agents ; Rats* ; Rats, Sprague-Dawley ; Silk ; Urethra ; Urinary Bladder*

This is a case report of a pheochromocytoma which developed in a 62-year-old woman. The diagnosis of a pheochromocytoma originating from the right adrenal gland was incidentally established rentgenologically. Transthoracic adrenalectomy was undertaken, and e tumor weighing 33gm was obtained. A case of an elderly person with a nonfunctioning pheochromocytoma is with presented with review of the literature.
Adrenal Glands ; Adrenalectomy ; Aged* ; Diagnosis ; Female ; Humans ; Middle Aged ; Pheochromocytoma*