A case of bilateral absence of vas deference with sterility is reported. By new 15O cases of congenital absence of the vas deference, rather a rare congenital anomaly, were reported.
Infertility

No abstract available.
Social Workers

No abstract available.

A study was made of the differences in clinical features and immunological aspects between herpes zoster patients with malignancies and those without malignant tumors. The results obtained from the retrospective review of medical records are as follows: Herpes zoster occurred more frequently in younger patients(less than twenty) with malignanciee as compared with the control group of the same ages,' Male was dominant among zoster patients with malignancies as is the contrary to contral group; Tihere were no marked differences in primarilly involved dermatomes between the two groups; Generalized varicelliform eruptiona were more common in zoster pa,tients with malignaneies than in control group, It seemed that zoster patients with malignancies complained of milder degree of pain. Zoeter patienta associated with malignancies were more frequently DNCB-negative and had decreased OKT3+ pan T cells, OKT4+ helper/inducer T cells as compared with control group, which suggest impaired cell mediated immunity in the former.
Herpes Zoster* ; Humans ; Immunity, Cellular ; Male ; Medical Records ; Retrospective Studies ; T-Lymphocytes

The clinical observation was made on 233 cases of pyelonephritis in the Department of Urology, Seoul Adventist Hospital, during the period from 1978 to 1980. The following results were obtained: 1. The incidence of pyelonephritis was 36.7% of the total number of in-patient admitted to the Department of Urology during this period. 2. The age ranged from 10 to 70 years and most favorable age was from 31 to 40 years for 45.3%. 3. The sex ratio of male and female was about 1 : 4. 4. The most common symptoms were flank pain (89. 0%) fever, chill (81. 1%), abdominal pain (34. 0%), lumbago (29. 2%), hematuria (76.4%) and others. 5. In urine culture. The most common organisms were E. Coli (72.9%). Staphylococcus aureus (19. 6%). Pseudomonas aeruguinosa (46%) In urine A.F.B. Stain, 26 cases (11. 0%) were positive. 6. On the I.V.P. findings of pyelonephritis, 83 (35.6%) cases were normal and 150 cases (64.4%) abnormal. 7. The underlying diseases associated with pyelonephritis were cystitis (31. 3%), diabetes or debilitating illness (6.9%), tuberculosis of urinary tract (11%), calculi of urinary tract (29%), congenital anomaly of urinary tract (4. 7%), instrumentation (1.9%), pregnancy (1%), etc. (7. 2%). 8. On treatment of pyelonephritis, 143 cases were performed with conservative, medical treatment, and other cases ware performed with operation, for examples: ureterolithotomy in 51 cases, nephrectomy 26 cases, nephrolithotomy, pyelolithotomy in 6 cases, T.U.R., partial nephrectomy in each 2 cases, etc. or with combined treatment.
Abdominal Pain ; Calculi ; Cystitis ; Female ; Fever ; Flank Pain ; Hematuria ; Humans ; Incidence ; Low Back Pain ; Male ; Nephrectomy ; Pregnancy ; Pseudomonas ; Pyelonephritis* ; Seoul ; Sex Ratio ; Staphylococcus aureus ; Tuberculosis ; Urinary Tract ; Urology

Because there is difficulty in the suture of renal pelvis, extended pyelolithotomy for the renal or pelvic calculi gives often complication such as urine leakage or infection, which result in the fibrosis and stricture of the region. Seven cases of renal stones are treated with new method using 8F Trumpet-shaped Nelaton Catheter. The proximal portion of the Nelaton Catheter inserted into the renal pelvis through the incised opening is made to arrive the lumen of the urinary bladder and the Trumpet-shaped distal portion is made to fix with the suture of the renal pelvis and capsules. After five to seven days, the catheter is removed by cystoscopic manipulation. It seems that the method is easy and feasible to decrease the complication of the extended pyelolithotomy for renal calculi.
Calculi ; Capsules ; Catheters* ; Constriction, Pathologic ; Fibrosis ; Kidney Calculi ; Kidney Pelvis ; Stents* ; Sutures ; Ureter* ; Urinary Bladder

The purpose of this study was to assess the effectiveness of chemotherapy in addition to radiation therapy and surgical managements for Rhabdomyosarcoma in genitourinary fields. We have studied 11 cases of rhabdomyosarcoma who admitted to the Department of Urology. Korea University Medical Center, Anam and Kuro Hospital from March 1983 to March 1992 and concluded as follows: 1. 5 patients had prostatic Rhabdomyosarcoma, 4 patients in paratesticular Rhabdomyosarcoma, 1 patient in pelvic cavity and 1 patient in kidney. 2. Various radiologic imaging examinations were done: a. tumor sizes measured by CT scans ranged from 4 x 4 x 3 cm to 13 x 15 x 15 cm. b. paraaortic lymph node enlargement was found only in one patient. 3. According to IRS clinical grouping system, 4 patients belong to the group I ,one in group II. 5 in group m and one in group IV. 4. Grossly complete mass excision was done in 6 patients but it was impossible in another 5 patients due to bulky tumor mass. 5. The histologic classifications were embryonal( 7 patients), alveolar(2 patients) and pleomorphic type (2 patients). 6. 7 of 11 patients did not have adequate treatment: all 7 patients died of disease. The rest 4 patients were adequately treated with our protocol: 3 patients has responsed to prolocol and one patient had failed. 7. 6 of 11 patients treated with various modes of surgery initially such as complete excision of mass(3 patients), nephroureterectomy (one patient), urinary diversion (one patient), radical cystoprostatectomy (one patient)and 5 patients achieved complete remission with surgery for 40, 6. 14, 63 and 32 months, respectively. However 3 of these 5 patients had a local recurrence during the period of follow up: all 3 patients were died of Rhabdomyosarcoma and only 2 of5 patients were still alive without Rhabdomyosarcoma during follow up. 4 of 11 patients initially received pulse VAC chemotherapy, only one patient was achieved a complete remission for 72 months and he is still alive without Rhabdomyosarcoma. 3 patients achieved a partial response for 3, 8, 8 months but all patients died of disease.
Academic Medical Centers ; Classification ; Drug Therapy ; Follow-Up Studies ; Humans ; Kidney ; Korea ; Lymph Nodes ; Recurrence ; Rhabdomyosarcoma* ; Tomography, X-Ray Computed ; Urinary Diversion ; Urology

There was no definitive reported cases of urinary calculi. This study is to estate the value of urinary calcium, magnesium, uric acid and magnesium/calcium ratio in cases of urinary calculi. The amount of calcium, uric acid and magnesium in 24 hour urinary excretion was measured by OCPC, Uricase and titan yellow method in 56 cases of upper urinary calculi compared with 35 control group.The results were summerized as follows.l. The mean values of 24 hour urinary excretion of calcium were 193+/-26mg/day in stone formers and 15l+/-25mg/day in control group. The 24 hour urinary excretion of calcium in the stone formers were significantly higher than those of the control group. 2. The mean values of 24 hour urinary excretion of uric acid were 498+/-40mg/day in the stone formers and 371+/-6mg/day in the control group. The 24 hour urinary excretion of uric acid in the stone formers were significantly higher than those of the control group. 3. Urinary magnesium values have not been shown any significant differences between the group with urinary calculi and those of control group. 4. The mean values of 24 hour urine of magnesium to calcium ratio was 1.01+/-0.95 in stone formers and l.42+/-1.31 in the control group. The magnesium to calcium ratio in the stone formers were significantly lower than those of the control group. These results suggest that increased urinary calcium and uric acid level may play some role in the genesis of urinary stone but urinary magnesium value was not different in the two groups. We think that a decrease in the urinary magnesium to calcium ratio was the results of increased excretion of calcium rather than lowered excretion of the magnesium for the stone formers.
Calcium* ; Magnesium* ; Saturn ; Urate Oxidase ; Uric Acid* ; Urinary Calculi* ; Urolithiasis

We performed a clinicopathological study of nineteen patients with chronic inflammatory nodose lesions of the legs which responded to the treatment with isolniazid. The results were summarized as follows: 1. Seven patients had a personal or family history of tuberculcsis and all patients showed a high tuberculin sensitivity. But, no one showed the evidence of active pulmonary tuberculosis. 2. The inflammatory nodules and swelling of the legs were resolved within 12 months in all cases. Resolution of the nodules was more rapid than that of leg swelling. 3. The clinical characteristics of the patients with chronic inflanimatory nodules were the same as those of the cases with erythema nodosum or erytiema induratum reported previously in Korea. The basic histopathologic process of inflarr matory nodules seemed to be vasculitis.
Erythema Nodosum ; Humans ; Isoniazid* ; Korea ; Leg* ; Tuberculin ; Tuberculosis, Pulmonary ; Vasculitis

Malignant melanoma is an uncommon tumor in Korea. To the best of our knowledge, we could not find malignant melanoma with multiple myeloma in Korean literature. A 57-year-old male patient had a 4×5 cm sized, irregular bordered, dark brownish plaque on the left sole, which has extended gradually since about 1 year ago and showed an occasional bleeding tendency. Laboratory examinations revealed a low hemoglobin level, rouleaux formation on peripheral blood, monoclonal gammopathy of IgG-kappa type and Bence-Jones proteinuria. Bone marrow aspiration findings showed markedly increased immature plasma cells suggesting multiple myeloma. Histopathologic findings of the skin biopsy from the left sole revealed proliferation of atypical melanocytes. We performed a surgical excision with a skin graft for malignant melanoma and chemotherapy (melphalan, vincristine and prednisolone) for multiple myeloma.
Biopsy ; Bone Marrow ; Drug Therapy ; Hemorrhage ; Humans ; Korea ; Male ; Melanocytes ; Melanoma* ; Middle Aged ; Multiple Myeloma* ; Paraproteinemias ; Plasma Cells ; Proteinuria ; Skin ; Transplants ; Vincristine