A clinical observation was made on 48 cases of benign prostatic hyperplasia, admitted during the period from January 1975 to June 1981 were studied clinically in the Department of Urology, Seoul Adventist Hospital. The results are summarized as follows. 1. The incidence of benign prostatic hyperplasia was 5.88% of total in-partients (1,227) and there was an increasing tendency of annual distribution from 3 patients (3.89%) in 1975 to 10 patients (11.62%) in June 1981. 2. The youngest age was 50 and the oldest 83. The mean age of 48 cases was 69.65 years and the seventh decade was most prevalent (54.17%). 3. The presenting symptoms of 48 cases, 43 cases (89.6%) were dysuria, 32 cases (66.7%) were acute urinary retention, 5 cases (52.1%) were frequency, 22 cases (45.8%) were hematuria, 17 cases (35.4%) were lower abdominal pain, 6 cases (12.5%) were pyuria, 5 cases (10.4%) were incontinence and 3 cases (6.3%) were nocturia. 4. The mean duration of symptom was 2.28 years. 5. The mean volume of residual urine was 502 ml. 6. Pyuria revealed in 28 cases (58.3%), Hematuria in 39 cases (81.3%), Culture positive in 24 cases (50.0%), Azotemia in 9 cases (18.8%). 7. Performed I.V.P. in all cases, and hydronephrosis was found in 7 cases (14.6%). 8. Performed endoscopy in all cases, and most common finding was trabeculation (81.3%). 9. Associated diseases present were cardiovascular in 5 cases, respiratory in 6 cases, gastrointestinal tract in 7 cases, urologic in 18 cases, and miscellaneous in 7 cases. 10. The mean weight of resected prostatic tissue was 9.75 gm. 11. The mean period of urethral catheter drainage was 6.5 days. 12. The mean period of postoperative gross hematuria was 5.25 days. 13. The mean period of postoperative hospitalization was 7.83 days. 14. Postoperative complications were cystitis in 22 cases (45%), temporary incontinence in 8 cases (16.7%), epididymitis in 3 cases (6.3%), delayed bleeding in 3 cases (6.3%), urethral strictures, vesical hematoma and delayed wound healing in each 2 cases (each 4.2%) and pyrexia in 1 case (2.1%). 15. Retrograde urethrography was performed on postoperatively about 1 month later. The mean length of the prostatic urethra was 5.72 cm preoperative, postoperative length was shortened to 4.77 cm.
Abdominal Pain ; Azotemia ; Cystitis ; Drainage ; Dysuria ; Endoscopy ; Epididymitis ; Fever ; Gastrointestinal Tract ; Hematoma ; Hematuria ; Hemorrhage ; Hospitalization ; Humans ; Hydronephrosis ; Incidence ; Male ; Nocturia ; Postoperative Complications ; Prostatic Hyperplasia* ; Pyuria ; Seoul ; Transurethral Resection of Prostate* ; Urethra ; Urethral Stricture ; Urinary Catheters ; Urinary Retention ; Urology ; Wound Healing

A clinical observation was made on 253 cases of lower one-third ureteral calculi among the total number of 1,438 in-patients admitted in the Department of Urology, Seoul Adventist Hopsital during the 7 years and 5 months from January 1975 to May 1982. The results of this observation are summarized as follows: 1. Among the total admissions (1,438 cases), those with urolithiasis were 406 cases (28.2%) and with lower 1/3ureteral calculi were 253 cases (62.3%). 2. The highest incidence on age distribution showed in 21 to 40 years (58.5%) and the sex ratio of male and female was about 1.3:1. 3. The most favored predirection of ureteral stone was lower 1/a of ureter in approximately 62.3% of all casesand the ratio between right and left was about 1.13:1. 4. The clinical symptoms of lower 1/3 ureteral stone showed lower abdominal pain in 93.7%, flank pain in 90.5%, nausea and vomiting in 56.1%, gross hematuria in 47.4% and vesical irritability in some cases. 5. Microscopic hematuria was presented in 87.7% and pyuria in 63.6%. 6. In lower 1/3 ureteral stones, hydronephrosis with or without functional deterioration was detected in 87.7%on excretory urograms, among them, moderate or marked hydronephrosis presented in 45.9%. 7. The most common size, below 0.5 cm in its diameter. 8. The Treatments of lower 1/3 ureteral stone were primary stone dislodger application and indwelled Dormia stone basket in 100 cases (39.5%), ureterolithotomy in 80 cases (31.6%), conservative treatement and spon-taneous expelling in 73 cases (28.9%). 9. The success rate of primary stone dislodger and indwelling of Dormia stone basket showed former in 45.8%, latter in 87.8%. 10. The mean duration of hospitalization was primary stone dislodger in 2.4 days, indwelled Dormia stonebasket in 4.8 days, ureterolithotomy in 13.4 days and conservative treatment in 3.6 days.
Abdominal Pain ; Age Distribution ; Calculi ; Female ; Flank Pain ; Hematuria ; Hospitalization ; Humans ; Hydronephrosis ; Incidence ; Male ; Nausea ; Pyuria ; Seoul ; Sex Ratio ; Ureter* ; Ureteral Calculi* ; Urolithiasis ; Urology ; Vomiting

PURPOSE: This study was designed to evaluate the clinical charateristics, surgical treatment and outcome of carcinoid tumors of the rectum. METHODS: A retrospective review of the charts of all patients treated for rectal carcinoid tumors at Kangbuk Samsung Medical Center between Jan 1989 and April 1998. Thirteen patients with rectal carcinoids tumors were treated. Follow-up data, histopathological information and surgical procedures were obtained from case notes. RESULTS: There were 10 men and 3 women. The ages ranged from 28 to 60 years (mean 41.1 years for all, 43.8 years for men and 32 years for women). Eight patients (61.5%) had no symptoms. Of the five patients, four complained of rectal bleeding (30.8%), and one complained of defecational difficulty (7.7%). Size of rectal carcinoid tumor was less than 1 cm in 7 patients (53.8%), between 1 cm and 2 cm in 2 patients (15.4%), in four patients (30.8%) larger than 2 cm. Three patients were treated in Abdominoperineal resection. Two patients underwent stapled low anterior resection. The remaining 8 patients underwent conservative resection (3 colonoscopic polypectomy and electrocauterization, 2 colonoscopic snaring biopsy, 2 transanal resection and one Mason's operation). The depth of invasion was contained within sutmucosa in 3 patients. Liver metastasis was found in 2 patients. Average follow-up time was 35.6 months. Two patients died of mutiple mestastasis (liver, bone, peritoneum) 9 and 30months later. CONCLUSION: We concluded that tumors smaller than 1 cm could be managed by local treatment whereas larger than 2 cm should be managed by radical treatment.
Biopsy ; Carcinoid Tumor* ; Female ; Follow-Up Studies ; Hemorrhage ; Humans ; Liver ; Male ; Neoplasm Metastasis ; Rectum ; Retrospective Studies ; SNARE Proteins

No abstract available.
Male ; Penis* ; Replantation*

No abstract available.
Exudates and Transudates*

No abstract available.
Hand* ; Skin* ; Transplants*

Diverticulum of the female urethra is rather unusual disease which is relatively frequent in older women in whom it occurs more often than males; it is most rare in the young. A case of urethral diverticulum that occurred in a 50 years old women was presented. This patient was performed physical examination, cystoscopy, cystourethrogram and urethral soundation in order to know accurate size, location, extension and contents of the diverticulum. The transvaginal resection of the urethral diverticulum was performed, and the postoperative complication was not occurred.
Cystoscopy ; Diverticulum* ; Female* ; Humans ; Male ; Middle Aged ; Physical Examination ; Postoperative Complications ; Urethra*

We experienced 2 cases of vesicovaginal fistula and obtained good results in the Department of Urology, Seoul Adventist Hospital, Seoul, Korea. The causes of vesicovaginal fistula were corrosive agent and prolonged labor, the ages were 42 and 52 years old, the locations were in the trigonal area in both cases and the sizes were 3cm and 1.5cm respectively. Both cases were treated successfully with suprapubic transvesical approach.
Humans ; Korea ; Middle Aged ; Seoul ; Urology ; Vesicovaginal Fistula*

No abstract available.
Pulmonary Artery*

STUDY DESIGN: A retrospective study OBJECTIVES: To introduce the technique of minimally invasive transforaminal lumbar interbody fusion and examine its clinical and radiologic results. SUMMARY OF LITERATURE REVIEW: Transforaminal lumbar interbody fusion with a mini-incision using a tubular retractor was recently developed. The aim of this procedure is to reduce the approach-related morbidity and achieve better results in an effective and safe manner. MATERIALS AND METHODS: Thirty eight patients were followed up for more than 1 year. Their mean age was 57 years and the mean follow-up was 19 months. The diagnosis was spinal stenosis, spondylolisthesis and recurred herniated nucleus pulposus in 22, 14 and 2 patients, respectively. The Oswestry disability index, intervertebral disc space height, fusion rate and complications were evaluated. RESULTS: The Oswestry disability index improved from 30 points (range, 50~16 points) to 10 points (range, 2-24 points) at the last follow-up. Thirty-four patients (90%) showed excellent or good results. The intervertebral disc space height increased from 8.7 mm to 10.8 mm. Two cases showed nonunion but the clinical results were good. Complications included one case of infectious spondylitis requiring antibiotics, one case of cage dislodgement requiring additional surgery and one case of a pedicle screw malposition showing no clinical symptoms. CONCLUSIONS: Minimally invasive transforaminal lumbar interbody fusion reduced the soft tissue injury and blood loss and shortened the recovery period compared to the traditional open techniques.
Anti-Bacterial Agents ; Follow-Up Studies ; Humans ; Intervertebral Disc ; Retrospective Studies ; Soft Tissue Injuries ; Spinal Stenosis ; Spondylitis ; Spondylolisthesis