A clinical observation of the prepuce was made on 3,302 men from examined in the Department of Urology, Capital Military Hospital and the following results were obtained. 1. Redundant prepuces were found in 2,789 cases with incidence of 84.5%. 2. Phimosis were found in 17 cases with incidence of 0.6%. Of 17 cases, 12 cases were congenital phimosis and 5 cases were found acquired phimosis. 3. Paraphimosis were found in 8 cases giving a rate of 0.3%. 4. Circumcised men were found in 166 cases, with incidence of 5.0% of all cases.
Animals ; Female ; Foreskin* ; Hospitals, Military ; Humans ; Incidence ; Male ; Paraphimosis ; Penis* ; Phimosis ; Urology

A study on the penile size was made on 702 Korean male of In-patients and Out-patients to the department of Urology, Capital Military Hospital, during the period from May 1, to July 31, 1971. The patient's ages were ranged from 21 to 31. The length of the penis was measured from the symphysis pubis to the apex of the penis with a tape measure and following results were obtained. 1. The mean length of the penis in a non-erected state was 8.0cm., and in a erected state was 12.7 cm. The average ratios erected length/non-erected length of the penis were 1.9 in a small sized group and 1.4 in a large sized group. 2. The mean circumference of the penis in a non-erected state was 8. 1 cm., and in a erected state was 11.0 cm. The average ratios erected circumference/non-erected circumference of the penis were 1.5 in a small sized group and 1.2 in a large sized group. 3. A slight correlation can be seen between the mean length and circumference of the penis. In a non-erected state, the mean of length and circumference of the penis were equaled and in an erected state, the mean of length of the penis was slightly large than the mean of circumference of the penis.
Hospitals, Military ; Humans ; Korea* ; Male ; Outpatients ; Penis ; Urology

Penile horn is a peculiar form of penile wart disclosing excessive keratosis with unknown etiology. A case of penile horn arising on the circumcised wound 2 years after circumcision is presented with review of literatures.
Animals ; Circumcision, Male ; Female ; Horns* ; Keratosis ; Male ; Warts ; Wounds and Injuries

A case of 28 year-old female having vesico-sigmoido-ileal fistula associated with large bladder stone due to long-standing foreign body was presented with review of literatures.
Adult ; Female ; Fistula* ; Foreign Bodies ; Humans ; Urinary Bladder Calculi

A case of foreign body (a black rubber string of 60cm in length used for masturbation) in the bladder was presented in a 17 years old Korean boy and reported with review of literature.
Adolescent ; Foreign Bodies* ; Humans ; Male ; Rubber ; Urinary Bladder*

In portal hypertension, hepatopetal flow is rerouted away from the liver through collateral pathways to low pressure systemic vessels. Information about collateral pathways is relevant, especially when interventional procedure or surgery is contemplated, because inadvertent disruption of these veins can cause significant bleeding. Dynamic CT and spiral CT with a bolus injection of contrast material have to a significant extent recently replaced angiography. The porto-systemic collateral pathways have, however, been classified and described according to location or frequency in a majority of previous reports. This essay illustrates variable porto-systemic collateral blood flow pathways, with CT and angiography correlation.
Angiography* ; Hypertension, Portal* ; Liver ; Portasystemic Shunt, Surgical ; Portography ; Tomography, Spiral Computed ; Veins

Berardinelli-Seip congenital lipodystrophy 2 (BSCL2) gene is known to be associated with different clinical phenotypes; Silver syndrome, Charcot-Marie-Tooth type 2 with a dominant hand involvement and distal hereditary motor neuropathy type V (dHMN-V). Up to now, only two heterozygous mutations (N88S and S90L) in BSCL2 have been reported. We identified a N88S BSCL2 mutation in a dHMN-V family with a spastic gait by whole-exome sequencing. To our knowledge, this is the first report of a N88S BSCL2 mutation in Korean patient.
Exome ; Gait Disorders, Neurologic ; Hand ; Humans ; Lipodystrophy, Congenital Generalized ; Silver ; Spastic Paraplegia, Hereditary

BACKGROUND: Desflurane is a new inhalation anesthetic with a low blood/gas solubility which should allow fast induction and emergence from anesthesia. This study was designed to compare the induction and recovery characteristics of gynecologic surgical patients receiving either desflurane or isoflurane with nitrous oxide for the maintenance of general anesthesia. METHODS: After standardized induction of anesthesia with fentanyl, propofol, succinylcholine and tracheal intubation, patients undergoing elective gynecologic surgery randomly divided into desflurane group (n=21) or isoflurane group (n=20). Induction and recovery time and the incidence of postoperative nausea and vomiting and recall were compared between the two groups. RESULTS: Although anesthetic conditions were similar during operation in the two groups, significant differences were noted in induction and recovery profiles from anesthesia. Induction time was 124+/-66 sec for desflurane vs. 422+/-257 sec for isoflurane (mean SD). The time required for the end-tidal concentration of anesthetics to decrease by 50% was 168.0+/-160.1sec for desflurane vs. 222.9+/-127.5sec for isoflurane. The time to response (eye opening follow simple command), orientation (recall of name and date of birth), reach 10 point of PAR (postanesthetic recovery) score and discharge from recovery room were significantly shorter after desflurane than after isoflurane (417.0+/-158.7 vs. 577.1+/-207.4sec, 591.0+/-193.0 vs. 800.0+/-326.0sec, 31.3+/-18.0 vs 41.8+/-15.0min, 66.9+/-27.2 vs. 80.1+/-11.8min, respectively). CONCLUSIONS: From the above study it can be concluded that a balanced anesthetic technique using desflurane as the main anesthetic has certain advantages compared with isoflurane in terms of faster emergence, however the frequency of side effects such as nausea, vomiting and recall during postoperative period were similar after both anesthetic drugs.
Anesthesia ; Anesthesia, General ; Anesthesia, Inhalation* ; Anesthetics ; Female ; Fentanyl ; Gynecologic Surgical Procedures ; Humans ; Incidence ; Inhalation* ; Intubation ; Isoflurane ; Nausea ; Nitrous Oxide ; Postoperative Nausea and Vomiting ; Postoperative Period ; Propofol ; Recovery Room ; Solubility ; Succinylcholine ; Vomiting

Inflammation may be linked to the pathogenesis of colorectal cancer. However, two conflicting observational results were recently reported on the relationship between the inflammatory marker C-reactive protein (CRP) and the risk of colorectal cancer. Few epidemiologic studies have examined the association between inflammatory markers and the risk of colorectal cancer. We prospectively examined the mortality and incidence risk for colon and rectal cancers among 424,419 Koreans (108,907 men and 315,512 women). The subjects were 40 to 95 years of age and from the Korean Cancer Prevention Study (KCPS) cohort. All subjects received medical examination from the National Health Insurance Corporation in 1993 and 1995. The maximum follow-up period was 10 years, and the follow-up periods began in January 1, 1994 and ended in December 31, 2003. An elevated white blood cell count (WBC) was associated with a higher mortality risk of colon cancer (highest versus lowest quartile: men, 1.55, 95% CI 1.10-2.18, p for trend = 0.0014; women, 1.51, 95% CI 1.12- 2.03, p for trend = 0.0049). Similarly, an elevated WBC was associated with a higher incidence risk of colon cancer (highest versus lowest quartile: men, 1.38, 1.09-1.76, p for trend = 0.0017; women, 1.46, 95% CI 1.20-1.78, p for trend= 0.0003). A positive linear trend was also observed in non- smokers. There was no significant association between WBC and the risk of rectal cancer. Our findings demonstrate that an elevated WBC is associated with an increase in both the mortality and incidence rates of colon cancer. These results support our hypothesis that inflammation increases the risk of colon cancer.
Smoking ; Risk Factors ; Rectal Neoplasms/epidemiology/mortality ; Prospective Studies ; Middle Aged ; Male ; *Leukocyte Count ; Humans ; Follow-Up Studies ; Female ; Colorectal Neoplasms/epidemiology/mortality ; Colonic Neoplasms/*epidemiology/mortality ; Cohort Studies ; Biological Markers ; Aged, 80 and over ; Aged ; Adult

To see the usefulness of CT in evaluation of response to treatment in patients with mediastinal tuberculous lymphadenitis (MTL), we analyzed the initial CT patterns and follow-up CTs or serial plain radiographs during 18 months antituberculous chemotheraphy in 58 consecutive patients. CT patterns of MTL at the beginning of treatment were categorized into solid type (n=8), low density with peripheral rim enhancement type (n=36), extranodal extension type (n=9) and calcified type (n=5). According to the response to treatment, each patients was categorized into prompt response group (response within the first three months and no residual lymph node after one year), slow response group (response after three months but residual lesion after one year), no response group (no change in size during 18 months treatment) and temporal increase group (temporal increase in size during the treatment but ultimately improved with chemotheraphy). Among 29 cases of prompt response group, 20 cases had large low-density areas, 6 cases had diffuse or extensive node involvement with extranodal extension or tracheal compression. Two patients with acquired immune derfciency syndrome belonged to this group. Fifteen cases of slow response group had low-density nedes in 7 patients and small solid or extranodal-extension nodes in 6 patients. They were associated with disseminated pulmonary tuberculosis, generalized lymphadenopathy or other organ(pericardium, brain, bone or abdomen) involvement. In 5 cases of no response group, there were 3 cases of calcified node and 2 cases of small solid nodes. Nine cases of temporal increase group included low density type of MTL only. And they were associated with disseminated pulmonary of endobronchial tuberculosis. In conclusion, response to antituberculous chemotherapy could be predicted in patients with MTL on the basis of CT findings before treatment.
Brain ; Drug Therapy ; Follow-Up Studies ; Humans ; Lymph Nodes ; Lymphatic Diseases ; Tuberculosis ; Tuberculosis, Lymph Node* ; Tuberculosis, Pulmonary