No abstract available.
Diagnosis* ; Prostate* ; Prostatic Neoplasms* ; Ultrasonography*

No abstract available.
Lithotripsy* ; Shock* ; Ureter* ; Ureteroscopy*

No abstract available.

No abstract available.
Diagnosis* ; Ultrasonography* ; Varicocele*

Patients with advanced urothelial tumors that relapse or persist following conventional therapy have poor prognosis. Management of the patients with recurrent local or disseminated urothelial tumors presents a difficult clinical problems. In 1985 Sternberg et al reported 71% of significant tumor regression and 50% of complete clinical remission with M-VAC (methotrexate, vinblastine, doxorubicin and Cisplatin) combination chemotherapy for treatment of advanced urothelial transitional cell carcinomas. Herein, we have experienced 13 cases of M-VAC combination chemotherapy in advanced urothelial tumors. Complete and partial remission was in achieved 46.2 per cent of the patients clinically, while 15.4 percent had a minor response and 38.4 per cent had progression with median survivals of 11.5, 8.5 and 7.4 months. Toxicity was significant. 15.4 per cent of the patients having experienced nadir sepsis, 30.8 per cent mucositis and 7.6 per cent cardiac toxicity. Median cycle length varied from 31.6 to 41.7 days for the first and 5th cycle respectively. This regimen has been efficacious in selected patients with advanced urothelial tumors.
Carcinoma, Transitional Cell ; Doxorubicin* ; Drug Therapy, Combination ; Humans ; Mucositis ; Prognosis ; Recurrence ; Sepsis ; Vinblastine*

No abstract available.
Hernia*

In adenomatous polyposis coli there are many colonic and extracolonic manifestations, and various combinations of these induce different clinical presentations and syndromes. We experienced a unique case of adenomatous polyposis of the large intestine and stomach in a 39-year-old man. In the colon, small cell neuroendocrine carcinoma rather than adenocarcinoma had developed, which did not contain adenomatous or carcinomatous foci. The adenomatous polyps in the colon were all small and sessile with no cancerous or precancerous change two years after the resection of the symptomatic gastric adenomas, even though the gastric adenomas were larger and showed dysplastic change. We think this case is another variant of adenomatous polyposis syndrome.
Adenocarcinoma ; Adenoma

Wilms` tumor originates from pleuripotential mesenchymal cells of the metanephrogenic blastema. Improvement on surgery and anesthesia, addition of radiation therapy and chemotherapy have produced remarkable improvements in survival over the past several decades. Twenty-eight patients with histologically confirmed diagnoses of Wilms` tumor were treated from l972 through l987 at the University Hospital, Keimyung University School of Medicine. l. Two year survival rate according to tumor stage was 80% in stage I, 7516 in stage II , 57.1% in stage III and 25% in stage IV and the overall 2 year survival rate was 57.1 1K . 2. Two year survival rate according to age was 75% in below l year, 50% between l to 2 years old, 54.5% between 2 to 6 years old and 60% above 6 years old. However, there seems to be no close relationship between age and prognosis. 3. Two year survival rate before 1978 was 45.5% and after 1978 was 45.5% and after 1978 it was 61.6% 4. There was 76.0 percent overall survival for those with negative nodes versus 33.3 per cent survival for those with positive nodes. 5. Two year survival rates of FH(Favorable Histology) and UH(Unfavorable Histology) were 68.2% and 16.7% respectively. There seems to be close relationship between FH and UH.
Anesthesia ; Child ; Child, Preschool ; Diagnosis ; Drug Therapy ; Humans ; Prognosis* ; Survival Rate

No abstract available.
Urinary Bladder Neoplasms* ; Urinary Bladder*

PURPOSE: The goal of this study is to show the effect of Transurethral Ethanol Ablation of Prostate(TEAP) on voiding symptoms in patients with benign prostatic hyperplasia. MATERIALS AND METHODS: Between May 2003 and May 2005, 17 patients diagnosed with BPH who were not appropriate candidates for anesthesia because of their poor general condition underwent TEAP and were evaluated. Ethyl alcohol(99%) was injected into the prostate with endoscopic guidance. A urethral catheter was inserted postoperatively. All patients were evaluated with uroflowmetry, postvoid residual urine, international prostatic symptom score(IPSS), and quality of life at 3 months post-operatively. RESULTS: The mean total alcohol dose was 9.5 cc, and a catheter was required for a mean of 4.8 days postoperatively. The subjects' mean International prostate symptom score was 29.9 points before TEAP, and decreased to 24.5 points after 3 months(p=0.001). Mean quality of life index decreased from 4.2 points before TEAP to 3.1 points after 3 months(p=0.002). There were no major complications such as severe bleeding, incontinence, or urethral injury. However, 7 patients needed additional medication to improve voiding symptoms. CONCLUSIONS: TEAP caused minimal complications while improving the international prostate symptom score and quality of life. TEAP may be considered an effective minimally invasive treatment option for patients with benign prostatic hyperplasia who are not appropriate for anesthesia because of their poor general condition.
Anesthesia ; Catheters ; Ethanol* ; Hemorrhage ; Humans ; Prostate* ; Prostatic Hyperplasia ; Quality of Life ; Urinary Catheters ; Urinary Retention*