A clinical observation was made on 136 cases of benign prostatic hyperplasia, admitted to the department of Urology, National Medical Center during the period from January 1970 to December 1981. The result are summarized as follows: 1. Incidence of benign prostatic hyperplasia was 6.1% to 2,226 total in-patients, 10.3% to 1,315 male in-patients and 23.3% to male in-patients 50 years old or more. 2. Majority of cases Was found in 7Ih and 8th decades (78.6%) with mean age of 68.9 years old. 3. Seventy one patients (52.2%) suffered from urinary retention prior to admission. 4. Mean interval elapsed from initial symptoms to visit was 26.8 months. 5. Method of operative treatment included 68 suprapubic prostatectomy, 10 retropubic prostatectomy and 5 T.U.R. 6. Mean weight of removed adenoma was 42.6 gm in suprapubic prostatectomy and 34.7 gm in retropubic prostatectomy. 7. Mean amount of blood transfusion was 700 ml in suprapubic prostatectomy, and 224 ml in retropubic prostatectomy. 8. Mean period of catheter drainage was 11.9 days in suprapubic prostatect0my, 13.3 days in retropubic prostatectomy and 5.4 days in T.U.R. 9. Mean duration of postoperative hospitalization was 17.8 days in suprapubic prostatectomy, 15.8 days in retropubic prostatectomy and 8 days in T.U.R. 10. Postoperative complications were delayed healing with suprapubic fistula, wound infection, prolonged bleeding 14 days or more, temporary incontinence, epididymitis, unable to void and pneumonia, in suprapubic prostatectomy and prolonged bleeding, wound infection, temporary incontinence and unable to void in retropubic prostatectomy.
Adenoma ; Blood Transfusion ; Catheters ; Drainage ; Epididymitis ; Fistula ; Hemorrhage ; Hospitalization ; Humans ; Incidence ; Male ; Middle Aged ; Pneumonia ; Postoperative Complications ; Prostatectomy ; Prostatic Hyperplasia* ; Urinary Retention ; Urology ; Wound Infection

No abstract available.
Breast* ; Hamartoma*

A clinical observation was made on the pediatric patients who had been admitted to the department of urology, National Medical center, from January 1971 to December 1981. The results were as follows: 1. Pediatric patients were 248 of 2092 total urologic patients giving a ratio of 11.9%, it revealed the tendency that the pediatric patients had been increasing yearly since 1971. 2. The prepubertal children(6 to 12 years of age) were most frequently seen and giving a rate of 35.9% of the pediatric patients. The ratio of male to female pediatric patients was 9.3:1. 3. The most common involved organ of disease was in testis giving a rate of 40.8%,urethral disease was 31.9% renal disease 12.5%, penile disease 5.2% etc. 4. The congenital anomaly was 128 case of 248 total patients. The hypospadia was 63 case, cryptorchidism 33 case, congenital hydronephrosis 9 case, etc. Hydrocele was 48 case, injury 20case, infectious disease 20 case, tumor 18 case, urolithiasis 9 case etc. 5. of 248 case,226 operations were done. The most common operation was hydrocelectomy in 46 case, orchiopexy was performed in 33 case, urethroplasty in 30 case, chordectomy in 28 case, nephrectomy in 22 case, lithotomy in 9 case, orchiectomy in 7 case etc.
Communicable Diseases ; Cryptorchidism ; Female ; Humans ; Hydronephrosis ; Hypospadias ; Male ; Nephrectomy ; Orchiectomy ; Orchiopexy ; Penile Diseases ; Testis ; Urolithiasis ; Urologic Diseases* ; Urology

Many patients whose chief complaint is headache caused by accident such as traffic accident, falling, or assaults visit to emergency center. Majority of these patients has mild or moderate symptoms, and there is no need to treat surgically. However, the fact that head injury can cause SIADH(syndrome of inappropriate secretion of antidiuretic hormone) is likely to be overseen. Acute hyponatremia might have been associated with death or permanent brain damage. Hyponatremia is best handled by early recognition and correction of a downward trend in the serum sodium. Unfortunately, this is often difficult in the head-injured patient, where hyponatremia may occur fairly rapidly and is confused by symptoms of head injury. when moderate to severe hyponatremia occurs, it is important to determine its etiology and expeditiously initiate corrective action. There has not been any reported case of the occurrence of symptomatic SIADH after mild head injury in Korea yet. The authors report the experience of three cases of symptomatic SIADH after mild head injury with review of the literatures.
Accidents, Traffic ; Brain ; Craniocerebral Trauma* ; Emergencies ; Head* ; Headache ; Humans ; Hyponatremia* ; Inappropriate ADH Syndrome ; Korea ; Sodium

Primary transitional cell carcinoma of the bladder was treated with prophylactic and therapeutic Intravesical thiotepa in 7 cases. In 5 cases of stage A tumor, postoperative follow up was averaged 10.8 months and 4 cases were tumor free (80%). In 2 cases of infiltrating tumor, the instillation was not effective. Thiotepa can be given safely in the 7 days post-operative period and no leukopenia and bladder irritation symptoms were occurred.
Carcinoma, Transitional Cell ; Follow-Up Studies ; Leukopenia ; Thiotepa* ; Urinary Bladder Neoplasms* ; Urinary Bladder*

Eosinophilia is a common finding in premature babies during the neonatal period. Serial eosinophil counts were determined in 94 hospitalized, appropriately grown premature in fants whose gestational ages ranged form 28 to 36 weeks. The incidence, severity and etiologic factors of eosinophilia were retrospectively studied in premature infants, who were divided into three groups according to their gestational age. The results were as follows: 1) Absolute eosinophilia (>700/mm3)was documented in 46.8%(44/94). 2) The duration of TRN and antibiotics was cignificantly higher in infants with eosinophilia than withour eosinophilia (p<0.05). The gestational age of the infants with eosinophilia was significantly shorter than that of the infants without eosinophilia (p<0.05). The infants with eosinophilia started with bottle feeding significantly earlier than the infants without eosinophilia (p<0.05). 3) The infants younger than 30 weeks of gestational age have greater incidence of eosinophilia (75%) than the infant with the gestational age between 34 and 36 weeks (34.3%)(p<0.05). 4) The incidence of mild eosinophilia was higher in the group with gewtational age 30 weeks or below(37.5%)than in the group with gestational age between 34 and 36 weeks(17.1%)(p<0.05).Also, the incidence of severe eosinophilia was significantly higher in the group with gestational age 30 weeks or below(37.5%)than in the group with gestational age between 34 and 36 weeks(17.1%)(p<0.05). 5) Eosinophilia was more prevalent in the infants who received parenteral nutrition composed of glucose, amino acid and lipid(77.8%) than the infants who received only glucose(34.1%)(p<0.05). 6) Gestational age and birth weight were significantly lower in infants with severe eosinopilia than those of mild or moderate eosinophilia. The duration of TRN and antibiotics were significantly longer in infants with severe eosinophilia than those of mild or moderate eosinophilia (p<0.05). 7) The peak eosinophil count was observed significantly later in severe eosinophilic group (26.5 13.1 days)than in non-eosinophilic group(14.4 9.0 days)(p<0.05). The above results suggest that eosinophilia in premature infants may be the effecto of immature immunologic responses to the intravenous administration of extemal antigens like amino acid, lipid and antibiotics.
Administration, Intravenous ; Anti-Bacterial Agents ; Birth Weight ; Bottle Feeding ; Eosinophilia* ; Eosinophils ; Gestational Age ; Glucose ; Humans ; Incidence ; Infant ; Infant, Newborn ; Infant, Premature* ; Parenteral Nutrition ; Retrospective Studies

Following results were obtained from the light microscopic and stereomicroscopic observations of the breasts of rats treated with 9, 10-Dimethyl-1,2-Benzanthracene(DMBA). 1) Adenocarcinomas developed in 17 rats (24%) among 70 DMBA-treated rats. 2) Terminal and buds (TEB) were observed longer in DMBA-treated rats than in control group, but they finally disppeared 4 monthes after treatment. 3) Many hyperplastic alveolar nodules (HAN) developed in DMBA-treated rats. 4) There were no transitional lesions between TEB and adenocarcinoma or HAN and adenocarcinoma. 5) The number of lobules was decreased in DMBA-treated rats. On the other hand, terminal ducts were increased in number. These findings suggest that DMBA stimulate the regression of lobules and induce to form terminal ducts from which adenocarcinomas and HAN develop independently.
Rats ; Animals ; Adenocarcinoma ; Breast Neoplasms

No abstract available.
Hypothyroidism* ; Thyroid Gland*

No abstract available.
Hypothyroidism* ; Thyroid Gland*

BACKGROUND: Puffer fish can be the source of lethal flood poisoning in humans. Tetrodotoxin(TTX) poisonings are not infrequency seen in Korea, but there are few clinical reports. So we reviewed the patients of TTX poisoning and analyzed the clinical characteristics of patients. METHODS: A retrospective study was performed of 40 patients who visited Chung Ang Gil Hospital from Jan. 1, 1995 to May. 31, 1998 with a diagnosis of TTX poisoning by a review of patients' medical records and telephone inquiries, The diagnosis of TTX poisoning was made by causal links between consumption of puffer fish and the development of typical symptoms of tetrodotoxication. The clinical severity of the patients in this study was classified according to the classification of Fukuda. RESULTS: Mean age of the patients was 40 years. The highest incidence was in the 4th decade in 21 patients(52.5%). The ratio of male to female was 3.44:1, Seasonal distribution excluding cases in 1998 was 12 patients in spring, 6 in summer, 5 in autumn and 12 in winter. The mean interval between consumption and symptom onset was 137 minutes. Common initial symptoms were circumoral numbness(32 patients) and paresthesia of extremities(24 patients). Various symptoms were developed after ingestion of puffer flesh such as neuromuscular(39 patients), cardiovascular/pulmonary (23 patients) and gastrointestinal (16 patients) system. Mean recovery time from the onset of symptom was 22.00 hours. All were treated with symptomatic and supportive measures and recovered completely without sequelae. In 2 cases ventilatory supports were applied for 18.5 hours and 31.5 hours respectively.
Classification ; Diagnosis ; Eating ; Female ; Humans ; Incidence ; Korea ; Male ; Medical Records ; Paresthesia ; Poisoning* ; Retrospective Studies ; Seasons ; Telephone ; Tetraodontiformes*