The majority of hypospadias repairs can now be accomplished in one stage, providing a better result with reduced morbidity. To evaluate the efficacy of one stage repairs of hypospadias, a total of 83 patients treated with various urethroplasty technique was stratified according to 2 different stage repairs of hypospadias and compared to clinical outcome during the period of the last 15 years. The study included the age of the patients, anatomical variants of the hypospadias, accompanying congenital anomaly, the technique used, postoperative complication and management, success rate according to the technique used and the methods of urinary diversion. The method of repair was based on individual patient pathology. Transverse preputial island flap was the most common operation performed (n=24) followed by parameatal-based flap (n=15), meatal advancement and granuloplasty repair (MAGPI) in one stage repairs. Thiersch-Duplay (n=8), Belt-Fuqua (n=3), Byars (n=3), Modified Denis-Brown (n=7) techniques were performed in two stage repairs. Of the 83 cases of hypospadias, one stage repairs were done in 62 cases and two stage repairs in 21 cases and their successful outcome, defined as a controllable urinary stream, an acceptable cosmetic appearance and functional erection, was achieved in 60% and 51% respectively. The postoperative complication were fistula in 25 cases (18 in one stage repairs/7 in two stage repairs), stricture in 6 (4/2), wound dehiscence in 2 (1/1), diverticulum in 1 (1/0), persistent chordee in 1 (1/0). There were no significant difference between one and two stage repairs in success rate (60%/ 51%), so we thought that one stage hypospadias repairs could be applicable in most cases of hypospadias and gave satisfactory cosmetic and functional results with a low incidence of serious complications and low costs.
Constriction, Pathologic ; Diverticulum ; Female ; Fistula ; Humans ; Hypospadias* ; Incidence ; Male ; Pathology ; Postoperative Complications ; Rivers ; Urinary Diversion ; Wounds and Injuries

No abstract available.
Thyroid Gland* ; Thyroid Nodule*

BACKGROUND: Few studies have reported the results of arthroscopic coracoplasty concomitantly conducted with subscapularis tear. Therefore, this study was conducted to examine and compare the outcomes of arthroscopic subscapularis repair after arthroscopic coracoplasty using either the subacromial approach or rotator interval approach. METHODS: We retrospectively reviewed 51 patients who underwent coracoplasty with subscapularis repair. The patients were grouped according to whether the subacromial approach group (24 patients) or rotator interval approach group (27 patients) was used during coracoplasty. Preoperative and postoperative visual analogue scale scores, American shoulder and elbow surgeons scores, Korean shoulder scores, and range of motion (ROM) were assessed. Assessment of repaired rotator cuff tendon integrity was performed at 1 year after surgery using either magnetic resonance imaging or ultrasonography. RESULTS: At final follow-up, overall functional scores and ROM improved significantly in both groups when compared with preoperative values (p>0.05). The re-tear rates were not significantly different between groups; however, the rotator interval approach group showed a significant increase in ROM compared with that in the subacromial approach group (p<0.05). CONCLUSIONS: Arthroscopic coracoplasty conducted concomitantly with subscapularis repair can provide a satisfactory outcome. There were no significant differences between the two approach groups regarding final functional scores and re-tear rates. However, the rotator interval approach group showed a greater increase in ROM at final follow-up, especially in external rotation.
Arthroscopy ; Elbow ; Follow-Up Studies ; Humans ; Magnetic Resonance Imaging ; Range of Motion, Articular ; Retrospective Studies ; Rotator Cuff ; Shoulder ; Surgeons ; Tears* ; Tendons ; Ultrasonography

No abstract available.
Kidney Transplantation* ; Urinary Diversion*

No abstract available.
Laparotomy*

Positron emission tomography (PET) with 2-[F-18]-Fluoro-2-deoxy-D-glucose (FDG) was performed in ninteen patients who had benign musculoskeletal tumors in order to determine if there was a relationship between histologic grade of tumor and FDG uptake of tumor. These patients had been evaluated previously with computed tomography (CT) or magnetic resonance (MR) imaging or both. The diagnoses were confirmed with incisional or excisional biopsy or by radiographic follow-up. Generally high-grade tumors had significantly greater uptake of FDG than low-grade lesions . Benign lesions such as giant cell tumor, fibrous dysplasia, and osteofibrous dysplasia showed significant elevation of SUV (Standardized Uptake Value) above 4.0. On the contrary. The current studies suggest the utility of FDG-PET imaging as an adjunct to CT or MR imaging in the evaluation of benign tumors. And results of PET suggest benign tumors with high SUV are histologically active lesion and tend to be locally aggressive.
Biopsy ; Diagnosis ; Electrons* ; Follow-Up Studies ; Giant Cell Tumors ; Glucose* ; Humans ; Magnetic Resonance Imaging ; Positron-Emission Tomography

A clinical observation was made on 29 cases of bladder rupture who were admitted to the Department of Urology, In Je Medical College Paik Hospital in Pusan during the period from June, 1979 to August, 1983. The results are as followings; 1. Of 133 cases of genitourinary tract injury, bladder rupture were 29 cases (21.7%), there composed intraperitoneal bladder rupture 19 cases, extraperitoneal bladder rupture 10 cases. 2. The 29 cases Comprised 19 males and 10 females (male:female=l.9:1). The most prevalent age group of bladder rupture was 20 to 29 years, showing 13 cases of the total cases (44.8%). 3. The causes of bladder rupture were traffic accident observed in 11 cases (37.9%), direct blow 7 cases (24.1%), iatrogenic 4 cases (13.8%), stab wound 3 cases (10.3%) and spontaneous bladder rupture was seen in 1 case (3.5%). 4. The common symptoms and signs of bladder rupture were abdominal pain, lower abdominal distension and gross hematuria, so on. 5. The common associated injuries with bladder rupture were pelvic bone fracture 10 cases (34.5), Cerebral contusion 7 cases (24.1%), rib fracture 4 cases (13.8%), rupture of posterior urethra 3 cases (10.3%), so on. 6. The retrograde cystography was the most likely to accurately diagnose a ruptured bladder, but 1 case was revealed false negative cystograms because of the large hematoma within the pelvic cavity. 7. In all cases, immediate bladder repair and indwelling urethral catheter, with or without suprapubic cystostomy were performed. 8. We experienced postoperative complications such as, voiding difficulty, vesicocutaneous fistula and epididymo-orchitis, etc.
Abdominal Pain ; Accidents, Traffic ; Busan ; Contusions ; Cystostomy ; Female ; Fistula ; Hematoma ; Hematuria ; Humans ; Male ; Pelvic Bones ; Postoperative Complications ; Rib Fractures ; Rupture* ; Urethra ; Urinary Bladder* ; Urinary Catheters ; Urology ; Wounds, Stab

A clinical observation was made on 29 cases of bladder rupture who were admitted to the Department of Urology, In Je Medical College Paik Hospital in Pusan during the period from June, 1979 to August, 1983. The results are as followings; 1. Of 133 cases of genitourinary tract injury, bladder rupture were 29 cases (21.7%), there composed intraperitoneal bladder rupture 19 cases, extraperitoneal bladder rupture 10 cases. 2. The 29 cases Comprised 19 males and 10 females (male:female=l.9:1). The most prevalent age group of bladder rupture was 20 to 29 years, showing 13 cases of the total cases (44.8%). 3. The causes of bladder rupture were traffic accident observed in 11 cases (37.9%), direct blow 7 cases (24.1%), iatrogenic 4 cases (13.8%), stab wound 3 cases (10.3%) and spontaneous bladder rupture was seen in 1 case (3.5%). 4. The common symptoms and signs of bladder rupture were abdominal pain, lower abdominal distension and gross hematuria, so on. 5. The common associated injuries with bladder rupture were pelvic bone fracture 10 cases (34.5), Cerebral contusion 7 cases (24.1%), rib fracture 4 cases (13.8%), rupture of posterior urethra 3 cases (10.3%), so on. 6. The retrograde cystography was the most likely to accurately diagnose a ruptured bladder, but 1 case was revealed false negative cystograms because of the large hematoma within the pelvic cavity. 7. In all cases, immediate bladder repair and indwelling urethral catheter, with or without suprapubic cystostomy were performed. 8. We experienced postoperative complications such as, voiding difficulty, vesicocutaneous fistula and epididymo-orchitis, etc.
Abdominal Pain ; Accidents, Traffic ; Busan ; Contusions ; Cystostomy ; Female ; Fistula ; Hematoma ; Hematuria ; Humans ; Male ; Pelvic Bones ; Postoperative Complications ; Rib Fractures ; Rupture* ; Urethra ; Urinary Bladder* ; Urinary Catheters ; Urology ; Wounds, Stab

A clinical analysis was done on 134 cases with bronchial asthma who were admitted to the Department of Pediatrics Yeungnam University from May 1987 to October 1991. The results were as follows: 1) The peak age of bronchial asthma was under 2 years. The sex ratio of male to female was 2.9:1. 2) The outbreak of bronchial asthma was most common in fall, especially in September. 3) The past history of other allergic diseases were present in 22.4% of patients (30/134 cases), and the previous bronchiolitis in infancy were experienced in 12.7% of patients (17/134 cases). 4) According to the skin test for allergens done by RAST, the most common allergens were Mites and House dust. 5) Eosinophilia (T.E.C>250/min) was found in 29.1%t of patients, and elevated lgE level (>200 IU/ml) was found in 63.2% of patients. 6) No significant differences in the serum lgE level were found between male and female patients. No significant differences in the serum lgE level were found between asthma patients with and without other allergic diseases. 7) The serum lgE level of school aged patients was significant higher than that of preschool aged (p<0.01).
Allergens ; Asthma* ; Bronchiolitis ; Dust ; Eosinophilia ; Female ; Humans ; Male ; Mites ; Pediatrics ; Sex Ratio ; Skin Tests

PURPOSE: To investigate the localization and functional lateralization of the supplementary motor area (SMA) in motor activation tests in comparison to that of the primary motor area. MATERIALS AND METHODS: Seven healthy volunteers obtained echoplanar imaging blood oxygen level dependent technique. This study was carried on 1.5T Siemens Magneton Vision system with the standard head coil. Parameters of EPI were followed as ; TR/TE; 1.0/66.0 msec. flip angle : 90degree, field of view : 22cmx22cm, matrix : 128x128, slice number/slice thickness/gap : 10/4mm/0.8mm with fat suppression technique. Motor task as finger opposition in each hand consisted of 3 sets of alternative rest and activation periods. Postprocessing were done on Stimulate 5.0 by using cross-correlation statistics. To compare the functional lateralization of the SMA in the right and left hand tests, each examination was evaluation for the percent change of signal intensity and the number of activated voxels both in the SMA and in the primary motor area. Hemispheric asymmetry was defined as difference of summation of the activated yokels between each hemisphere. RESULTS: Percent change of signal intensity in the SMA (2.49-3.06%) is lower than that of primary motor area(4.4-7.23%). Percent change of signal intensity including activated voxels were observed almost equally in the right and left SMA. As for summation of activated voxels primary motor area had significant difference between each hemisphere but not did the SMA. CONCLUSION: Preferred contralateral dominant hemisphere and hemispheric asymmetry were detected in the primary motor area but not in the SMA.
Echo-Planar Imaging ; Fingers ; Hand* ; Head ; Healthy Volunteers ; Magnetic Resonance Imaging* ; Oxygen