Extracorporeal shock wave lithotripsy(ESWL) is a newly accepted procedure for noninvasive treatment of urinary calculi. The clinical study was made in 109 patients(118 stones) with urinary stones who underwent ESWL. The results were as follows. 1. Among the 109 patients, 85 patients were male and 24 patients were female and age range of patients was from 18 years to 77 years with average 41.3 years. 2. In 118 stones, calyceal stones were 38 cases(32.2%), renal pelvis stones were 36 cases(30.5%), upper and lower ureter stones were 24 cases(20.3%) and 20 cases(17.0%), Staghorn calculi were 11 case(9.3%). 3. Stone free success rates depend on stone position and stone size. 4. Stones were completely fragmented in 95 cases(80,5%) and partially fragmented in 22 cases(18.6%). 5. Complications developed in 32 patients. There were colic pain in 26 cases, steinstrasse in 10 cases, fever in 6 cases, perirenal hematoma in 1 case and transient ileus in 1 case. 6. After ESWL, there were no significant changes in levels of alkaline phosphatase, amylase, GOT, GPT and creatinine except BUN. Levels of BUN were decreased significantly (p<0.05).
Alkaline Phosphatase ; Amylases ; Calculi ; Colic ; Creatinine ; Female ; Fever ; Hematoma ; Humans ; Ileus ; Kidney Pelvis ; Lithotripsy* ; Male ; Shock* ; Ureter ; Urinary Calculi*

Since 1984, 9 months regimen of chemotherapy have been adopted for the treatment of 22 patients (15 men and 7 women) suffering from genitourinary tuberculosis. Age range of patients was from 16 years to 68 years with average of 34.7 years. Urine culture for AFB were positive in 12 patients (54.6 %) and the other patients were diagnosed by radiologic, cystoscopic and histopathologic examinations In all 12 patients who had positive urine culture for AFB, urine has been sterilized within 3 months after treatment. The surgical managements with chemotherapy were performed in 9 patients. Toxic hepatitis due to drugs developed in 1 patient. The cost of chemotherapeutics spent in long term chemotherapy was 3 to 4 times higher than in short term chemotherapy. `There were no relapse bacteriologically during the follow up periods (3 to 22 months, average 10.4 months), but one patient has undergone ureteroneocystostomy due to UVJ stricture after completion of chemotherapy.
Constriction, Pathologic ; Drug Therapy* ; Drug-Induced Liver Injury ; Follow-Up Studies ; Humans ; Male ; Recurrence ; Tuberculosis*

A clinical observation was made on 92 patients of renal injury at the Department of Urology, Kyung Hee University during the period from January, 1980 to July, 1988. The results were as follows. 1. Among the 92 patients, 77 patients were male and 15 patients were female and most favorable age was 10 to 29 years for 41.3%. The most common injury was traffic accident for 39.1% and then fall down, assault, play and sport in order. 2. Associated injuries were seen in 34 patients, the most common injury was head injury. The most common clinical presentation was flank pain and tenderness for 92.4% and then hematuria, wound and bulging on flank, shock and abdominal pain in order. 3. Severity of renal injury was classified in 3 categories according to Scot's Classification. Among 92 patients, 50 patients were minor injury, major injury in 39 patients, pedicle injury in 3 patients. 4. Radiologic study was performed with excretory urography (86 cases), renal angiography (17 cases), RGP. (2 cases), abdominal sonography (7 cases) and abdominal C. T. was performed in recent years (12 cases). 5. All minor injuries were treated conservatively, pedicle injuries were nephrectomy, 21 patients of major injury were managed conservatively and 17 patients were managed operatively (14 cases: nephrectomy). 6. Among the 92 patients, complications were developed in 18 patients and then nephrectomy was performed in 5 patients.
Abdominal Pain ; Accidents, Traffic ; Angiography ; Classification ; Craniocerebral Trauma ; Female ; Flank Pain ; Hematuria ; Humans ; Male ; Nephrectomy ; Shock ; Sports ; Urography ; Urology ; Wounds and Injuries

OBJECTIVES: The Mood Disorder Questionnaire (MDQ) has been validated as a diagnostic screening instrument for the detection of patients with bipolar disorder, but some patients with bipolar disorder obtain false negative screens. So we investigated demographic and clinical characteristics in false-negative MDQ in bipolar patients. METHODS: The participants were 60 DSM-IV bipolar outpatients in remission. All completed the Korean version of the Mood Disorder Questionnaire (K-MDQ) and the Korean version of the Beck Cognitive Insight Scale (K-BCIS) and were assessed by a trained clinician on the Young Mania Rating Scale, the Hamilton Depression Rating Scale and the Global Assessment of Functioning scale. The patients were categorized into two groups according to their K-MDQ score excluding further two questions (MDQ > or =7 : K-MDQ-positives and MDQ <7 : K-MDQ-negatives). Differences in demographic and clinical characteristics between these two groups were analyzed. RESULTS: There were no statistically significant differences between K-MDQ-positives and K-MDQ-negatives on the demographic and clinical variables, except on the K-BCIS where K-MDQ-negatives reported significantly lower scores on the K-BCIS composite index and self-reflectiveness subscale. CONCLUSION: These results suggest that lack of insight is a confounding factor in screening for bipolar disorder using the K-MDQ.
Bipolar Disorder ; Depression ; Diagnostic and Statistical Manual of Mental Disorders ; Humans ; Mass Screening ; Mood Disorders ; Outpatients ; Surveys and Questionnaires

Renal artery aneurysms, previously considered to be rare, have been diagnosed more frequently in recent years mainly due to extensive use of angiography. Most aneurysms are asymptomatic, found incidentally, and their presenting symptoms may include microscopic or gross hematuria, flank pain and renovascular hypertension. The diagnosis may be highly suggestive when rim like calcification is exist on KUB with symptoms, and renal angiography is needed to confirm diagnosis. The treatment may be conservative or operative according to size and site. Operative management may include nephrectomy, revascularization, and aneurysmectomy. We report a case of left renal artery aneurysm with incomplete ring-like calcification in a 52-year-old hypertensive woman. The selective renal angiography showed renal artery aneurysm arising from the bifurcation of left main renal artery Because of the risk of aneurysmal rupture through its weak portion with incomplete calcification and the possibility of the renovascular hypertension due to anastomotic stenosis after aneurysmectomy, we performed nephrectomy.
Aneurysm* ; Angiography ; Constriction, Pathologic ; Diagnosis ; Female ; Flank Pain ; Hematuria ; Humans ; Hypertension, Renovascular ; Kidney ; Middle Aged ; Nephrectomy ; Renal Artery* ; Rupture

No abstract available.
Collagen* ; Humans*

A new data management system for urologic patient was designed by composing revised discharge summary and a computer program. The revised .discharge summary consists of more detailed clinical records and maintenance of clinical records during the follow-up period post discharge. The computer program was written in FoxPro Version 2.0 and the urologic code system was developed by applying some modifications on the international classification of diseases. The present program takes major advantages in easy and errorless entry and retrieval of data. These include pull-down menus using simultaneous input and coding system without any needs of typing the required codes for problem, management, and diagnosis. Data search and case statistics can be easily obtained with any combinations of problem, management, and diagnosis. The authors consider the present system, in which the revised discharge summary and computer program were closely linked, is very useful in patient data management.
Clinical Coding ; Diagnosis ; Follow-Up Studies ; Humans ; International Classification of Diseases ; Urology*

We performed a retrospective review to evaluate the result of the management on primary vesicoureteral reflux in 36 children (59 refluxing ureters) during a 11-year period (1980 to 1990). Based upon the international classification, the vesicoureteral reflux was grade 1 in 6 cases (11.1 %). grade II in 14 (23.7 %), grade II in 13 (22.1 %), grade IV in 15 (25.4%) and grade V in 11 (18.6%) and designed to compare the risk or benefit of medical and surgical treatment as initial management for this. The group or primary medical management included with total 42 ureters and as the results of the management the reflux was completely disappeared in average 8.2 months at 22 ureters and 13 ureters were secondarily operated because of progressed reflux to recurrent urinary tract infection despite of appropriate medical treatment. The group of primary surgical management included with 3 ureters of grade III, 7 in grade IV, 7 of grade V, total 17 ureters and then 1 ureter of which was re-operated due to progressed reflux, but all reflux were cured. And we checked the 99m technetium-dimercapto-succinic acid renal scan to detect renal scars at pre-treatment in 33 ureters (22 patients) and post-treatment in 21 ureters (14 patients). As the results, the renal scars were detected in 17 ureters at pre-treatment patients. And during follow up, there were no changes of the renal scar at post-treatment in 18 ureters, but a new scar was developed in 3 ureters (grade II in I, grade IV in 2) even though having medical treatment. The radionuclide renal scan was highly sensitive to detect the scar, so should be performed.
Child* ; Cicatrix ; Classification ; Follow-Up Studies ; Humans ; Retrospective Studies ; Ureter ; Urinary Tract Infections ; Vesico-Ureteral Reflux*

Microcystic adnexal carcinoma(MAC), or sclerosing sweat duct carcinoma, may best be considered as a sclerosing variant of ductal eccrine carcinoma. This tumor is a deeply invasive and aggressive neoplasm, which most commonly occurs on the skin of the upper lip, but it also occurs on the chin, nasolabial fold, or cheek. Local recurrence is common, however,metastases have not been reported. We have experienced 2 cases of microcystic adnexal carcinoma or sclerosing sweat ductal carcinoma, in lower lip including mandible bone, and in back. In the case of lower lip, the wide excision and partial mandiblectomy including 6 teeth and supraomohyoid neck dissection was performed, and the defect was covered with radial forearm free flap. For the prevention of lower lip drooping, we used the palmaris longus tendon which is harvested at the same time of flap elevation for the suspension of free radial forearm tissue. As the recipient vessel, the facial artery and facial vein was used. Immediately after the operation, the flap survival result was excellent, and the excised mandible bone and 6 teeth were replaced with denture. Fourteen months after the operation, the local recurrence is not notified. There was no difficulty of mastication nor speech, no lower lip drooping nor flap drooping. In case of back lesion, wide excision and split thickness skin graft was performed. We excised the lesion above level of the fascia. The split thickness skin was harvested from the left thigh, skin graft was performed on the fascia and completed in 10 days without loss.There is no local recurrence or specific complication except mild hypertrophic scar in the 10th month after the operation. We report these 2 cases with the review of literature that provide the guidance in treatment of microcystic adnexal carcinoma.
Arteries ; Carcinoma, Ductal ; Cheek ; Chin ; Cicatrix, Hypertrophic ; Dentures ; Fascia ; Forearm ; Free Tissue Flaps ; Lip* ; Mandible ; Mastication ; Nasolabial Fold ; Neck Dissection ; Recurrence ; Skin ; Sweat ; Tendons ; Thigh ; Tooth ; Transplants ; Veins

PURPOSE: Development of an implantable bladder volume sensor that could reduce complications and improve the quality of life for neurogenic bladder patients is assignment task that falls in the field of urology. Nevertheless, there is lack of research on whether biomaterials are biocompatible to the urinary bladder or not. Polyethylene glycol (PEG), polydimethylsiloxane (PDMS) and parylene-C are well known biocompatible materials in other fields of medicine. Because PEG is biodegradable and PDMS has a relatively low affinity to substrate with less durability than parylene-C, we evaluated the biocompatibility of parylene-C to the urinary bladde,r comparing of it to PEG and PDMS. MATERIALS AND METHODS: Nine rabbits were classified into three groups. Coin shaped aluminum substrates were affixed onto the external wall of the urinary bladder in each rabbit. At this point, the three rabbits which had substrates coated with PEG were assigned to group 1, those with PDMS were assigned to group 2 and those with parylene-C were assigned to group 3. In each group, one rabbit was sacrificed at one week, another rabbit was sacrificed at two weeks and the other rabbit was sacrificed at four weeks. At each time microscopic evaluation was done. To detect macrophages, we used fluorescence microscopy and applied MAC 387 staining. RESULTS: At one week, macrophage accumulation was observed on the external surface of the urinary bladder adjacent to the device no matter which material was used as a coating, but it had almost disappeared by four weeks. In addition, the inflammatory reaction was limited at the external surface of the urinary bladder, and did not expand into the muscular layer. CONCLUSIONS: With respect to biocompatibility, there was no difference among the three biomaterials. With its characteristics of durability and easy affinity regardless of the type of substrate, parylene-C would make an excellent coating material for a bio-device implantable into the urinary bladder.
Aluminum ; Biocompatible Materials ; Dimethylpolysiloxanes ; Humans ; Macrophages ; Microscopy, Fluorescence ; Numismatics ; Polyethylene Glycols ; Polymers ; Quality of Life ; Rabbits ; Urinary Bladder ; Urinary Bladder, Neurogenic ; Urology ; Xylenes