A clinical evaluation was made on 191 patients with urethral rupture and stricture, who had been admitted to the department of Urology during l3 years from l972 to 1984. We have tried the various methods in management of urethral rupture and stricture, such as 1) simple traction by balloon catheter 2) end-to-end anastomosis 3) perineal traction on the prostate 4) immediate cystostomy, and delayed urethroplasty in urethral rupture; 5) urethral dilatation 6) internal urethrotonry 7) end-to-end anastomosis 8) pull-through urethroplasty 9) transpubic urethroplasty 1O) scrotal inlay urethroplasty 11) perineal skin flap urethroplasty in urethral stricture. Especially, we have compared the primary realignment of urethral rupture with delayed urethroplasty Primary realignment with perineal traction on the prostate was most excellent in management of complete posterior urethral rupture, which had a low morbidity, complication, and cost. Immediate cystostomy, and delayed end-to-end anastomosis was good in management of complete anterior urethral rupture. We thought that the difference of result after primary. realignment or delayed urethroplasty of urethral rupture did not depend upon the alternative of them but the degree of urethral injury, surgeon's skill and the adequate application of them according to the state of patients at the time of urethral injury.
Catheters ; Constriction, Pathologic* ; Cystostomy ; Dilatation ; Humans ; Inlays ; Prostate ; Rupture* ; Skin ; Traction ; Urethral Stricture ; Urology

Continuous bladder irrigation with 1% alum solution was performed in 10 patients with various lesions in whom massive bladder hemorrhage persisted despite evacuation of clots and normal saline irrigation. Hematuria ceased promptly in all patients without any complication. So, we report them with the literature review.
Hematuria ; Hemorrhage* ; Humans ; Urinary Bladder*

Prepubertal male Sparague-Dawley rats were used to investigate the effects of unilateral testicular torsion on the contralateral testicular histology. All rats were divided into eight experimental group (5 animals each), one of which was used for experimental control (sham operation). We have examined contralateral testes to determine the effect of therapeutic orchiectomy or detorsion after active physical 720' torsion (six hrs., twelve hrs., twenty four hrs.) through hemi-scrotal incision, and the effect of torsion only for two weeks. The contralateral testes demonstrated significant decreased weights variously and smaller seminiferous tubular diameter in both the orchiectomy and detorsion groups compared to the torsion only group, and there was marked contralateral testicular alterations in the torsion only group compared to the control group. These studies indicate that testicular torsion will cause contralateral testicular damage, and these contralateral alterations may be caused by generalized perineal inflammatory responses rather than immunologic phenomenon.
Animals ; Humans ; Male ; Orchiectomy ; Rats* ; Spermatic Cord Torsion* ; Testis* ; Weights and Measures

Recently we experienced 10 cases of posterior urethral injury associated with pelvic fracture. Of these patients 5 underwent primary realignment with perineal traction on the prostate (Selikowitz method), and the other 5 underwent immediate cystostomy and delayed urethroplasty (Johanson method). Comparison of the post-operative complications didn`t appear to show significant differences in the 2 groups, although the numbers were small. But patients who performed immediate cystostomy and delayed urethroplasty showed some disadvantages of the long period of treatment, high charges, often multiple hard procedures and the long time of operation. Therefore in the initial management of posterior urethral injury, we think it better to take primary realignment in Korean socioeconomic circumstances, if the patient is not in the high risk.
Cystostomy ; Humans ; Prostate ; Traction

The incidence of testicular rupture by blunt trauma has been considered rare. But if testicular rupture has developed, the diagnosis of which is difficult. In the 50 cases of scrotal trauma patients, we investigated in the frequency of testicular rupture and early exploration in comparison with delayed exploration. Then the incidence of testicular rupture was in 46.1% of the cases of exploration, and early exploration of for scrotal trauma has resulted in higher testicular salvage rate than delayed exploration.
Diagnosis ; Humans ; Incidence ; Rupture*

The incidence of testicular rupture by blunt trauma has been considered rare. But if testicular rupture has developed, the diagnosis of which is difficult. In the 50 cases of scrotal trauma patients, we investigated in the frequency of testicular rupture and early exploration in comparison with delayed exploration. Then the incidence of testicular rupture was in 46.1% of the cases of exploration, and early exploration of for scrotal trauma has resulted in higher testicular salvage rate than delayed exploration.
Diagnosis ; Humans ; Incidence ; Rupture*

A clinical observation was made on 23 patients of renal staghorn calculi which were treated at the Department of Urology, Hangang sacred Heart Hospital, Hallym College. The results were as follows: 1. Patients ranged in age from 17 to 62 years and there were 12 males and 11 females, giving a male to female ratio of approximated 1.1 to 1. The right kidney was involved more than the left. Eleven patients (47.8%) had multiple renal calculi and 1 of the 23 patients had bilateral renal staghorn calculi. 2. As for methods of surgery, extended pyelolithotomy in 9 cases, nephrolithotomy in 5 cases, nephrolithotomy with partial nephrectomy in 1 case and nephrectomy in 8 cases were performed. 3. Postoperative complications included 3 cases of residual stone and 3 cases of urinary infection. 4. Recommendable surgical method for renal staghorn calculi is the preservation of kidney according to operation technique.
Calculi* ; Female ; Heart ; Humans ; Kidney Calculi ; Kidney* ; Male ; Nephrectomy ; Postoperative Complications ; Urology

A clinical observation was made on 23 patients of renal staghorn calculi which were treated at the Department of Urology, Hangang sacred Heart Hospital, Hallym College. The results were as follows: 1. Patients ranged in age from 17 to 62 years and there were 12 males and 11 females, giving a male to female ratio of approximated 1.1 to 1. The right kidney was involved more than the left. Eleven patients (47.8%) had multiple renal calculi and 1 of the 23 patients had bilateral renal staghorn calculi. 2. As for methods of surgery, extended pyelolithotomy in 9 cases, nephrolithotomy in 5 cases, nephrolithotomy with partial nephrectomy in 1 case and nephrectomy in 8 cases were performed. 3. Postoperative complications included 3 cases of residual stone and 3 cases of urinary infection. 4. Recommendable surgical method for renal staghorn calculi is the preservation of kidney according to operation technique.
Calculi* ; Female ; Heart ; Humans ; Kidney Calculi ; Kidney* ; Male ; Nephrectomy ; Postoperative Complications ; Urology

Renal oncocytoma has been recently defined histopathologically but many controversies have arised about its origin and differential diagnosis. Until the present time nearly all renal oncocytoma were considered to be benign nature, but rare cases have been reported to be metastasized. We reported a case of renal oncocytoma and synchronous contralateral renal cell carcinoma treated by radical nephrectomy on one side and enucleation on the other side.
Adenoma, Oxyphilic* ; Carcinoma, Renal Cell* ; Diagnosis, Differential ; Nephrectomy

Renal oncocytoma has been recently defined histopathologically but many controversies have arised about its origin and differential diagnosis. Until the present time nearly all renal oncocytoma were considered to be benign nature, but rare cases have been reported to be metastasized. We reported a case of renal oncocytoma and synchronous contralateral renal cell carcinoma treated by radical nephrectomy on one side and enucleation on the other side.
Adenoma, Oxyphilic* ; Carcinoma, Renal Cell* ; Diagnosis, Differential ; Nephrectomy