ESWL has become the most widely advocated procedure for urinary calculi because of its minimal invasiveness and high effectiveness. Unfortunately, so far most urologist use push-up or push-down technique in the treatment of mid ureter stone with ESWL. Herein, we tried in situ ESWL with ultrasonographic targeting system (Lithostar ultra, Siemens Co., Germany) in 74 mid ureter stone patients. We could target the stone in 71 out of 74 patients (71/74, 95.6%) in semilateral position in the patients with upper half of mid ureter stone or in supine position in the patients with lower half of mid ureter stone The stone was successfully removed in sixty eight patients and the success rate was 9l.1% (68/ 74). The number of treatment session was 1 to 5 (mean 1.3+/-0.8) and the duration was 20-150 minutes (mean 46.4+/-19.7 minutes). Complications were gross hematuria in 5 cases(7.0%), severe colicky pain in 2 cases (2.8%). In conclusion, we think in situ ESWL with ultrasonographic targeting system is a recommendable treatment of modality in mid ureter stone patients.
Abdominal Pain ; Hematuria ; Humans ; Supine Position ; Ureter* ; Urinary Calculi

Pheochromacytoma, although occasionally present with adrenal cortical hyperfunction, is rarely associated with nonfunctioning adrenal cortical tumor. To our knowledge, eight cases of phemchromocytoma associated with adrenocortical adenoma have been reported in the literature, including a case in a Korean adult female. An adrenal mass is considered an incidentaloma when there is no history or physical findings suggesting an adrenal functional disorder or tumor. The majority of adrenal masses are nonfunctioning adrenocortical adenomas. In our case, left adrenal mass was found incidentally by ultrasonography after birth, done because of mother's oligohydroamnios. Abdomial CT study revealed an adrenal tumor, and a surgical resection was performed. The specimen showed a coincident pheochromocytoma and adrenocortical adenoma. The patient seems to be the first case of coexistence of nonfunctioning pheochromocytoma and adrenocortical adenoma in one adrenal tumor. We report this case with the review of literatures.
Adrenocortical Adenoma* ; Adult ; Female ; Humans ; Infant* ; Parturition ; Pheochromocytoma* ; Ultrasonography