A clinical observation was male on 1,366 patients of gynecologic carcinoma with I.V.P., cystoscopy and T U.R. bladder biopsy at the Department of Urology, Presbyterian Medical Center, Keimyung University School of Medicine, Daegu, Korea during the period from September 1970 through December 1979. The results were as follows: 1. The most common gynecologic carcinomas were cervical carcinoma, adenocarcinoma (endocervical and endometrial), vaginal carcinoma, ovarian carcinoma, vulvar carcinoma, choriocarcinoma and leiomyosarcoma uteri. 2. Of gynecologic carcinoma patients, abnormal I.V.P. findings were noted in 12.96%, abnormal cystoscopic findings in 7.39% and T.U.R. bladder biopsy was done in 2.64% with positive findings in 47.22%. 3. Of cervical carcinoma, it was classified as follows : stage II b (33.81%). stage II a (30.96%), stage III b(16.07%), stage IV(13.O6%), stage IV(33.33%). stage III a(1.66%) and stage la(1.11%) in order. 4. Of cervical carcinoma, abnormal I.V.P findings were noted in 12.5%(stage I-1. 12%, stage II-5. 99%, stage III-34.82%, stage lV-71.43%) with abnormal cystoscopic findings in 6.8%(stage I-1. 12t, stage II-2. 20%, stage III-17. 89%. stage lV_64.29%). 5. Of cervical carcinoma, T.U.R. bladder biopsy was done in 9 cases of II b with 6 positive fin dings, 14 cases of III b with 4 positive findings and 5 cases of IV with 4 positive findings of gynecologic carcinoma. Therefore, it is emphasized that urologic evaluation including I.V.P. and cystoscopy should be per formed in all gynecologic carcinoma patients before treatment.
Adenocarcinoma ; Biopsy ; Choriocarcinoma ; Cystoscopy ; Daegu ; Female ; Humans ; Korea ; Leiomyosarcoma ; Male ; Pregnancy ; Protestantism ; Urinary Bladder ; Urology ; Uterus

A clinical observation was made on 57 cases of renal tuberculosis who were admitted to the Department of Urology, Capital Armed Forces General Hospital during the period from January, 1977 to December, 1979. The following results were obtained. 1. The incidence of renal tuberculosig wag 7.3% of all urological in-patients and male to female ratio was 4.7:1. The most common age group was 21 to 40 years (77.2%). 2. The site of lesion showed right to left ratio of 42.1% to 38.6% and bilateral in 19,3% of cases. 3. Vesical irritability symptoms were more frequent than other symptoms and less frequent ones showed generalized symptoms in 7 cases (12.3%) and epididymitis in 6 cases (10.5%). 4. 20(35.1%) of 67 cages bad been associated with tuberculosis other than kidney or past history. Among the 20 cases, tuberculous epididymitis was found in 9 cases (15.8%), pulmonary tubercu1osis in 6 cases (10.5%) and prostatic tuberculosis in 2 cases (3.5%) in order 5. On the intravenous pyelogram, nonvisualization of the kidney was viewed in 22 cases (38.6%). 0ther findings were calyceal destruction in 19 cases (33. 3%) and delayed visualization in 14 cases (24.6%). The most commonly viewed ureteral and vesical abnormal findings were dilatation in 19 cases (33.3%) and reduction in bladder capacity in 18 cases(31.6%) 6. The 49 operations were performed in 37 cases of renal tuberculosis. In unilateral renal tuberculosis, nephrectomy was Jone in 21 cases (88.9%), ureteric-reimplantation in 2 cases and Boari-flap in 1 case. Conservative surgeries in bilateral renal tuberculosis were ureteric reimplantation in 4 cases, nephrostomy in 3 cases, cutaneous ureterostomy, Boari flap, ureteroileocystoplasty and calycoileoileostomy in 1 cases each other.
Arm ; Dilatation ; Epididymitis ; Female ; Hospitals, General ; Humans ; Incidence ; Kidney ; Male ; Nephrectomy ; Replantation ; Tuberculosis ; Tuberculosis, Renal* ; Ureter ; Ureterostomy ; Urinary Bladder ; Urology

Various clinical evaluations were performed on 32 donors for renal transplantation which were done at the Department of Uro1ogy, Yonsei University Hospital. The following results were obtained. 1) Age and sex distribution Fifteen patients were third decade. Number of male and female patients 2) Relation between donor and recipient; Related: 27 cases, Unrelated` 5 cases. 3) HLA-Ag match between` donor and recipient; Four Ag macth: 2 cases, Three Ag match 2 cases Two Ag match : 22 cases, One Ag match : 6 cases, 4) Selected kidney side; Lt. side: 28 cases, Rt. Side : 4 cases 5) Complications; Visceral injury: 3 cases, Postoperative bleeding: 1 cases, Renal artery spasm (more than 30 minutes) 5 cases,
Female ; Hemorrhage ; Humans ; Kidney ; Kidney Transplantation* ; Male ; Nephrectomy* ; Renal Artery ; Sex Distribution ; Spasm ; Tissue Donors*

A clinical observation was made on 74 cases of the renal transplantation in the Department of Urology, Catholic Medical College from March 1969 to February 1980. The following results were obtained. 1. Of 74 cases of the recipient 67 cases were male and 7 cases female, 3 decade was most common among them 2. The ureteroneocystostomy was performed as the method of the modified Politano-Leedbetter in 66 cases and extravesical Macliinnon in 8 cases. Our incidence of urological complications in the 74 renal transplants was 13.5% (10 cases). 3. The details of the complications were as follows: 1 was bladder leakage, 3 ureteral necrosis, 3 ureteral obstruction. 1 disruption of ureterovesical junction, 1 bleeding from ureterovesical junction and 1 was urine leakage from ureter. 4. Reconstruction of the bladder in the cases of bladder leakage was failed. Among the 9 ureteral complications, we acquired successful secondary 6 ureteroureterostomy and 3 ureteroneocystomy.
Female ; Hemorrhage ; Humans ; Incidence ; Kidney Transplantation* ; Male ; Necrosis ; Ureter ; Ureteral Obstruction ; Urinary Bladder ; Urology

Renal angiography provides the ultimate in detailed vascularization of the renal vessels and vascular architecture of kidney. It is used in diagnosis and treatment of renal diseases e.g. renal injury, tumor, cyst and inflammation. A clinical observation of renal angiography was made on 49 cases of renal diseases which had been admitted to the Department of Urology, National Medical Center from 1975 to 1979. The diagnostic accuracy of renal angiography was 87.8%.
Angiography* ; Diagnosis ; Inflammation ; Kidney ; Urology

There are many radiodiagnostic methods it renal diseases; intravenous pyelogram, retrograde pyelogram, antegrade pyelogram, nephrotomogram and renal angiogram. In recent years, ultrasonogram and computed axial tomogram were developed. They help for early detection and accurate diagnosis of renal disease Abdominal aortogram was described by dos Santos, a Portugese doctor in 1923. It was greatly advanced by Seldinger through his development of percutaneous method of transfemoral catheterization in 1956. Rentl arteriogram is a highly valuable diagnostic procedure. It appears clearly that selective angiography is a safe and excellent procedure for an early detection and accurate diagnosis of benign and maligtant disease In the past, selective renal angiography has been used mainly in diagnosis of surgical disease rather than those medical disease. But now, many information are available regarding the vascular disease, pyelonephritis, glomerulonephritis and renal tuberculosis, particularly with regard to changes in the small renal arteries And it supplied various information for anatomic vascular feature of donor kidney in renal transplantation. The intent of this report is to emphasize usefulness of this procedure in the diagnosis of certain lesion of kidney which was not clearly defined by conventional methods. Radiologic findings associated with conditions and presenting symptoms or signs were analyzed in 97 cases of renal angiogram, during the period of May 1972 to August 1978.
Angiography* ; Catheterization ; Catheters ; Diagnosis ; Glomerulonephritis ; Humans ; Kidney ; Kidney Transplantation ; Pyelonephritis ; Renal Artery ; Tissue Donors ; Tuberculosis, Renal ; Ultrasonography ; Vascular Diseases

A clinical observation was made on 35 patients with renal tumor who had been admitted to the Department of Urology, Kyungpook University hospital during the period from January, 1975 to December, 1979. The following results were obtained; 1) The incidence of renal tumor among total 1, O29 inpatients was 3.4% and 16.3% among the 214 genitourinary tumors. The most prevalent age group was fifth decade. There were 22 men and 13 women, for a ratio of 1.7`1. 2) histopathological analysis showed renal cell carcinoma in 16 cases, transitional cell carcinoma in 5 cases and Wilms` tumor in 4 cases, in order of frequency. 3) The most frequent symptoms and signs were palpable mass in 51.4%, flank pain in 45.7% and gross hematuria in 42.8%, but these were seen as the classical symptom triad in 11.4% of the patients. 4) Renal angiography was performed in 14 patients with renal tumor. 7 renal cell carcinomas, 2 Wilms` tumors, 3 transitional cell carcinomas and 2 renal cysts were accurately diagnosed. S) At the time of diagnosis distant metastases were found in 6 patients with renal cell carcinoma. 6) Treatment of renal tumors consisted of surgery and adjuvant radiation and/or chemotherapy. In renal cell carcinoma 3 simple nephrectomies, 9 radical nephrectomies and l pedicle ligation only were done. Post-operative radiation or chemotherapy was performed in 2 cases. It patients with Wilms` tumor 1 simple nephrectomy, 3 radical nephrectomies were performed and in all the patients combined radiation and/or chemotherapy after surgery were Jone for cure of tumor. In 5 patients with transitional cell carcinoma, 2 patients underwent simple nephrectomy and 3 patients nephroureterectomy with bladder cuff resection.
Angiography ; Carcinoma, Renal Cell ; Carcinoma, Transitional Cell ; Diagnosis ; Drug Therapy ; Female ; Flank Pain ; Gyeongsangbuk-do ; Hematuria ; Humans ; Incidence ; Inpatients ; Ligation ; Male ; Neoplasm Metastasis ; Nephrectomy ; Urinary Bladder ; Urology

A statistical observation of the relation of the distribution between the distribution of A.B.O groups and incidence of genitourinary tract tumors was made on 696 in-patients- one of the which was 123 from may, 1972 to January 1980 at Han Yang University Hospital, the other was 575 from January, 1970 to December, 1979 at S.N.U.H and Severance Hospital. The following results were obtained. 1. In the distribution of blood types, the occurrence of genitourinary tract tumors (exclude female reproductive system) was high among the patients with blood type A, but low in O. 2. The occurrence of urinary tract tumors was high in patients with blood type A, but low in O. 3. The occurrence male genital tract tumors was high in the patient with blood type A. 4. In each organs, the statistical significance was not noticed, except male bladder tumor.
Blood Group Antigens* ; Blood Grouping and Crossmatching ; Female ; Humans ; Incidence ; Male ; Urinary Bladder Neoplasms ; Urinary Tract

PURPOSE: Anogential distance (AGD) and the 2:4 digit length ratio appear to provide a reliable guide to fetal androgen exposure. We intended to investigate the current status of penile size and the relationship between penile length and AGD or digit length according to birth weight in Korean newborn infants. MATERIALS AND METHODS: Between May 2013 and February 2014, among a total of 78 newborn male infants, 55 infants were prospectively included in this study. Newborn male infants with a gestational age of 38 to 42 weeks and birth weight>2.5 kg were assigned to the NW group (n=24) and those with a gestational age<38 weeks and birth weight<2.5 kg were assigned to the LW group (n=31). Penile size and other variables were compared between the two groups. RESULTS: Stretched penile length of the NW group was 3.3+/-0.2 cm, which did not differ significantly from that reported in 1987. All parameters including height, weight, penile length, testicular size, AGD, and digit length were significantly lower in the LW group than in the NW group. However, there were no significant differences in AGD ratio or 2:4 digit length ratio between the two groups. CONCLUSIONS: The penile length of newborn infants has not changed over the last quarter century in Korea. With normal penile appearance, the AGD ratio and 2:4 digit length ratio are consistent irrespective of birth weight, whereas AGD, digit length, and penile length are significantly smaller in newborns with low birth weight.
Anthropometry ; *Birth Weight ; *Body Weights and Measures ; Cross-Sectional Studies ; Fingers/*anatomy & histology ; Gestational Age ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Male ; Organ Size ; Penis/*anatomy & histology ; Republic of Korea

PURPOSE: We assessed whether weight reduction is an effective intervention for the management of lower urinary tract symptoms (LUTS) and investigated the relationship between obesity and LUTS. MATERIALS AND METHODS: This was a prospective randomized controlled trial that enrolled obese men older than 50 years with LUTS. The study period was 52 weeks. All patients received standardized alpha-adrenergic blocker therapy for the treatment of benign prostatic hyperplasia (BPH) during the run-in period. Patients were randomized to receive either a standardized prerecorded video program on the general principle of weight reduction or a comprehensive weight reduction program. Patients were assessed at different time points with symptom assessment, uroflowmetry, transrectal ultrasound, and metabolic assessment. RESULTS: Sixty-five patients were allocated to each study arm. After the study period, no significant difference in weight reduction was found between the two arms. When the pre- and postintervention parameters were compared, none were statistically different between the 2 arms, namely nocturia, International Prostate Symptom Score, quality of life assessment, and uroflowmetry parameters. When the whole study population was taken as a single cohort, these parameters were also not significantly different between the group with a body mass index of 25 to <30 kg/m2 and the group with a BMI of 30 to 35 kg/m2. CONCLUSIONS: We found no association between obesity and LUTS. This could have been due to the less marked weight difference in our cohort. Whereas weight reduction may be an effective measure to improve LUTS, the implementation of a successful program remains a challenge.
Adrenergic alpha-Antagonists/*therapeutic use ; Aged ; Body Mass Index ; Humans ; Lower Urinary Tract Symptoms/*drug therapy ; Male ; Middle Aged ; *Obesity ; Prospective Studies ; Prostatic Hyperplasia/diagnosis/*drug therapy ; Quality of Life ; Severity of Illness Index ; Treatment Outcome ; *Weight Loss