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

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

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

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

Transperineal urethroplasty using the perineal-scrotal flap is recommended when an end-to-end anastomosis is not feasible, either because of a long stricture or severe scar secondary to previous operative failures. This technique seems to give better exposure than inlaid scrotal grafts and requires no special instruments other than the posterior urethral needles. A clinical observation was made on 10 patients of posterior urethral stricture who performed transperineal urethroplasty in the Department of Urology, Kangnam Sacred Heart Hospital, Hallym Medical College during the period from January. 1980 to January, l985. Among these 10 patients, 8 underwent by Blandy`s exteriorization operation and 2 underwent by intussusception into the prostatic urethra. The results in these cases. 6 had favorable results without voiding problems and 2 needed periodic urethral dilatation due to restricture. Impotence and incontinence was developed in 2 cases each other.
Cicatrix ; Constriction, Pathologic ; Dilatation ; Erectile Dysfunction ; Heart ; Humans ; Intussusception ; Male ; Needles ; Transplants ; Urethra ; Urethral Stricture* ; Urology

The results of the transurethral resection and open prostatectomy undergone on 87 cases of the benign prostatic hypertrophy from January 1980 to July l986 were reviewed and compared. The following results were obtained. l. TURP was performed in 52 cases of the benign prostatic hypertrophy and open prostatectomy in 35 cases. 2. Mean operation time was shorter in TURP than in open prostatectomy (77.7min. in TURP, 123.3 min. in open prostatectomy). 3. Mean weight of the resected tissue was 7.9gm in TURP and 37.3gm in open prostatectomy. 4. Mean amount of the transfused blood was 51ml in TURP and 627ml in open prostatectomy, and blood transfusion in TURP was required only in a few cases (7.7%). S. Mean duration of the postoperative catheter indwelling was shorter in TURP than in open prostatectomy(6.1 days in TURP, 11.1 days in open prostatectomy). 6. Mean duration of the postoperative hospital stay in TURP was shorter than in open prostatectomy (8.7 days in TURP, l5.4 days in open prostatectomy). 7. Most frequent complications were transient urinary incontinence and rebleeding, and their incidences were slightly higher in open prostatectomy than in TURP.
Blood Transfusion ; Catheters ; Incidence ; Length of Stay ; Prostatectomy* ; Prostatic Hyperplasia* ; Transurethral Resection of Prostate ; Urinary Incontinence

The purpose of this study was to evaluate the histologic difference that occured after trichloroacetic acid(TCA) chemical peel in an animal model that was pretreated with Tretinoin alone or Tretinoin-based combined pretreatment kit. Eight Hartley white guinea pigs were used in our study. The dorsal skin of the guinea pigs was divided into six equal squares(2x2 cm). Upper two areas of these six were not pretreated, middle two areas were pretreated for 4 weeks with Tretinoin alone and lower two areas were pretreated for 4 weeks with Tretinoin-based combined kit. Each guinea pig underwent chemical peel with 50% TCA. The wounded areas were biopsied at post-peeling 3 weeks and 6 weeks. The histology revealed that those animals pretreated with combined kit healed quicker than the animals pretreated with Tretinoin alone. This study implies that if patients are treated with Tretinoin-based-combined pretreatment kit before undergoing chemical peel, the pretreatment time will be shortened.
Animals ; Guinea Pigs* ; Guinea* ; Humans ; Models, Animal ; Skin ; Tretinoin* ; Wounds and Injuries

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

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