From April to October, 1988, 34 patients with ureteral calculi more than O.5 cm or smaller but impacted ureteral stone underwent pulsed dye laser lithotripsy under ureteroscopy. The results were as follows : 1. The locations of stone were upper ureter in 9(26.5%), mid ureter in 8(23.5%), lower ureter in 11(32.4%), and UVJ in 6(17.6%). 2. The success rates according to location were 66.7% in upper ureter, 87.5% in mid ureter, 91% in lower ureter, and 100% in UVJ and the average success rate was 85.3%. 3. The success rates according to stone size were 83% in 0.3-0.5 cm, 90% in 0.5-1.0 cm, and 75% in 1.0-2.3 cm. 4. The average procedure time was about 85 minutes, with a range of 30 to 120 minutes and the average hospitalization after laser therapy was about 3 days, with a range of 1 to 6 days. 5. There were 5 cases (14.8%) of failure due to upward migration of stone in 3 cases, ureteral injury in 1 case and ureteral stricture in 1 case. 6. Complications occurred in 10 patients (29.5 %), almost by ureteroscopy but laser induced complication was not found. Therefore, we confirm that laser lithotripsy is a safe and effective method for treatment of ureteral stone.
Constriction, Pathologic ; Hospitalization ; Humans ; Laser Therapy ; Lasers, Dye* ; Lithotripsy ; Lithotripsy, Laser ; Ureter* ; Ureteral Calculi* ; Ureteroscopy* ; Urinary Calculi

PURPOSE: The penis has been attracted to everyone associated with various diseases and sexual activity. Lots of materials and instruments has been applied to the penis for sexual arousal. Furthermore, those ar e usually made and applied in inappropriate ways by non-medical personnel. This resulted in lots of complications in various degrees. So, we investigated the real problems concerning various procedures performed on the genitalia by non-medical personnel. MATERIALS AND METHODS: We reviewed retrospectively medical records of 32 male and one female patients having complications which had been developed following some procedures on the genitalia by non-medical personnel from January 1995 to December 1999. These patients were analyzed according to characteristics of the patients, the methods, purposes, complications and treatments. RESULTS: Their age at first visit was various from 12 years to 70 years (mean, 35.8 years). At that time when procedures had been performed, their age were 12 years to 56 yeats (mean, 30.8 years) in 26 cases whose ages were identified. Among them 22cases (66.7%) were the married and 11 (33.3%) were the unmarried. Occupations were various and out-of-work were 10 (30.4%), commerce 8 (24.2%), firm worker 6(18.2%), student 5 (15.2%), and private job manager and the not-identified 2 (6.1%). according to the school career, the high school graduates were 18 (54.6%), the college graduates 7 (21.2%), middle school graduates 4 (12.1%), and 4 were under middle school. These procedures were performed for sexual satisfaction in 29 cases (87.9%) and for cheap and easy circumcision in 4 cases (12.1%), of which 26 cases (78.8%) had been performed by other person and 7 cases (21.2%) by himself. According to the materials used, 22 (66.7%) cases had been injected vaseline or paraffin in to the penis and one (3.0%) into the vulva, and one (3.0%) plicated his penile skin with rubber band using sewing needle, which 24 cases (72.7%) were for enlargement of the genitalia. 2 (6.0%) cases inserted plastic balls into the penile skin for sexual arousal of partner. 3 (9.1%) cases put a metallic ring, a ceramic ring, and a vacuum device over their penis for improving erection quality, respectively. 4(12.1%) cases had applied the commercially-maid self-circumcision devices over their prepuce, Complications were foreign body sensation, pain at erection, inflammation, skin necrosis, and septic condition, which were variable case by case. Treatments were removal of foreign materials and devices, necrotic tissue, and primary repair of defected skin, for that, in 2 (6.0%) cases, skin flap and graft were needed. CONCLUSIONS: Lots of complications, severe in some cases, had been developed on external genitalia following various procedures performed by medically unauthorized person. So, we have to strongly for their purpose and it would be rather harmful. At the same time, we have to strongly recommend the government to control strictly such materials and instruments not to be sold and used inappropriately.
Arousal ; Ceramics ; Circumcision, Male ; Commerce ; Female ; Foreign Bodies ; Genitalia ; Humans ; Inflammation ; Male ; Medical Records ; Necrosis ; Needles ; Occupations ; Paraffin ; Penis ; Petrolatum ; Plastics ; Retrospective Studies ; Rubber ; Sensation ; Sexual Behavior ; Single Person ; Skin ; Transplants ; Vacuum ; Vulva

A kidney containing more than 1000 cc fluid in its collecting system is generally defined hydronephrosis. A 23-years.old Korean soldier was diagnosed as having giant hydronephrosis (content: of 2000cc) associated with ureteropelvic stricture on urogram. It was improved with Foley-Y-Plasty.
Constriction, Pathologic ; Humans ; Hydronephrosis* ; Kidney* ; Military Personnel

No abstract available.
Leiomyosarcoma*

BACKGROUND: Adult with congenital heart disease represents a new category of specialized cardiovascular interest that requires the cooperation of a number of medical and surgical disciplines, and also requires the interactions among traditional departmental jurisdiction. Uninterrupted, long-term continuity care is essential if the concerns inherent in this new and increasing patient population are to be addressed. The purpose of this study was to analyze the clinical characteristics of congenital heart disease in adolescents and adults. METHODS: Between October 1994 and July 1996, retrospective follow-up records and registry chart of 229 consecutive patients with congenital heart disease for over 16 years in GUCH (grown-up congenital heart) clinic were reviewed by a physician and a nurse specialist. RESULTS: There were 126 female and 103 male GUCH patients with the mean age of 34+/-14.6 years old. Among the 229 patients, there were 179 natural survivors, those without cardiac repair, and 50 postoperative survivors. Congenital heart defects were 167 shunt legions, 17 obstructive and valvular legions, 14 tetralogy of Fallot, 15 complex congenital heart anomalies and 16 others. Among the 179 natural survivors; 122 (68%) required heart surgery or continuous medical surveillance, and among the 50 surgically repaired survivors; 37 (74%) required reoperation for residual heart defects, constant medical treatment or consultation from other medical divisions. The reasons for the hospital vistis were:cardiac operation or cardiac diagnosis in 128 (56%) patients, symptomatic heart conditions in 43 (19%), routine heart examinations since childhood in 31 (14%) and others in 27 (11%). Also, the patient compliances were higher in the GUCH clinic than the traditional departmental jurisdiction (p<0.001). CONCLUSIONS: To achieve continuing care for the patients with congenital heart disease in adolescents and adults, it is important to develope a specialized clinic addressing the specific needs of the congenital heart disease in adolescents and adults.
Adolescent* ; Adult* ; Diagnosis ; Female ; Follow-Up Studies ; Heart ; Heart Defects, Congenital* ; Humans ; Male ; Reoperation ; Retrospective Studies ; Specialization ; Survivors ; Tetralogy of Fallot ; Thoracic Surgery

A clinical observation was made on 53 patients of cryptorchism who had been admitted to the Department of Urology, Kangnam Sacred Heart Hospital during the period from January, 1980 to January, 1983. The following results were obtained: 1. Only 22 patients (41.5%) visited hospital in preschool age (7 years old) and 50 patients (94.3%) before the age of 25. 2. 44 patients (83%) had unilateral involvement and right side (56.6%) was more frequently affected. Bilaterally was noted in 9 patients (17%). 3. 59 testes were surgically explored, 2 cases were confirmed as monorchism. Of the 59 testes, 47 (79.7%) were located in the inguinal canal, 8 (13.6%) in the prepubic region and 2(3.4%) in the abdomen. 4. Among the 59 explorations, 50 cases (84.8%) were found .the hernial sac. Other complication and associated diseases were contralateral hydrocele, ventral curvature of penis, prosis, entropion, intestinal obstruction, triology of Fallot, acute glomerulonephritis and seminoma. 5. Orchiopexy was performed on 53 testes (93%), 4 cases were performed the orchiectomy because of testicular atrophy and excessive short spermatic cord.
Abdomen ; Atrophy ; Cryptorchidism* ; Entropion ; Glomerulonephritis ; Heart ; Humans ; Inguinal Canal ; Intestinal Obstruction ; Male ; Orchiectomy ; Orchiopexy ; Penis ; Seminoma ; Spermatic Cord ; Testis ; Urology

Ureteroscopic management of ureteral calculi is now an established highly successful technique with low morbidity. Manipulation of calculi can be done under direct vision using flexible forceps or stone baskets. We also have used a laser lithotriptor to disintegrate stones that were too large to be removed by manipulation. Between April 1988 and July 1989, 136 ureteroscopic procedures were performed for removal of stone. The stones were removed successfully in 119( 87.5% ) procedures. Laser lithotripsy was used successfully to remove the stone in 70(51.5%) procedures. There were no immediate complications except one case of urine extravasation because of ureteral injury. We conclude that ureteroscopic management of ureteral calculi can be done safely if certain guide lines such as proper selection of patient, adequate equipment, and proper execution of the basic technique are adhered to strictly.
Calculi ; Humans ; Lithotripsy, Laser ; Surgical Instruments ; Ureter* ; Ureteral Calculi ; Ureteroscopy*

Condyloma acuminatum is a rare pediatric entity but its incidence is believed to be increasing in the pediatric population as well as in adults. The most commonly suspected etiology is sexual abuse, although congenital infection and contagious infection are known to occur. So, thorough medical and social evaluation is essential for protection and management of this disease in children. We report a case of condylomata acuminata occurred in 10 year old child's glans.
Adult ; Child* ; Condylomata Acuminata ; Humans ; Incidence ; Sex Offenses

Sclerosing lymphangitis of the penis is a rare disorder characterized by painless. firm. cord-like lesion in the coronary sulcus of the penis. Although sexual trauma may be causative factor the etiology is unknown. Histologic findings reveal hypertrophy and sclerosis of lymphatic vessel wells, and some cases show thrombus formation within dilated vessels. Most cases are self-limited and conservative management is indicated. We report two cases of sclerosing lymphangitis of the penis in a 37-year-old man and a 28-year-old man.
Adult ; Humans ; Hypertrophy ; Lymphangitis* ; Lymphatic Vessels ; Male ; Penis* ; Sclerosis ; Thrombosis

From April 1988 to July 1991. 203 cases of urinary stones, including 183 ureteral, 15 bladder and 5 urethral stones were managed by Candela MDL-1 Laser Lithotriptor under the ureteroscope. The success rates according to location were 68%(17,25) in upper ureter. 78.4%(29/37) in mid ureter, 93.4% (113/121) in lower ureter and 100%(20/20) in bladder and urethra. and the mean success rate was 88.2%t 179,203). The success rates according to stone size were 98.2% (54/55) in below 0.5cm. 87.6%(92,lO5) in 0.6-1.0cm, 75%(24/32) in 1.1-2.0cm and 81.8(9/11) in above 2. 1cm. The total cases of failure were 24. and the causes of failure were approach failure or poor visualization end upward migration. 9 cases of failure were managed by retried laser lithotripsy. 4 by ureterolithotomy and 5 cases were resolved in spontaneous passing. But 8 cases were lost in follow-up. The end mean success rate was 94.1%(191/203). 27 cases of gross hematuria and 34 of colic pain, which persisted more than 48 hours after operation. were managed conservatively. Also. in 5 cases of ureteral injuries. 2 cases were managed by surgical intervention and 3 by internal ureteral stent. Therefore. laser lithotripsy is a safe, effective and cost-effective single treatment modality in lower urinary tract stones. And if it is possible to maintain good visual field and to prevent upward migration. we will get the higher success rate in mid and upper ureteral stones.
Colic ; Follow-Up Studies ; Hematuria ; Lithotripsy, Laser* ; Stents ; Ureter ; Ureteroscopes ; Urethra ; Urinary Bladder ; Urinary Calculi* ; Visual Fields