An endoscopically guided primary catheterization under local anesthesia was performed as an initial management of 11 patients with ant. urethral rupture, beginning Dec., 1985. According to the degree and extent of the trauma, endoscopically viewed, the duration of indwelling of the catheter varied from 8 to 30 days. Of the 9 partial ruptures, 7 have excellent results without stricture and 2 have short urethral stricture of 3mm length. Of the 11 ruptures, 2 were complete and resulted in 5mm length of short stricture, which can be easily treated with Endoscopic Internal Urethrotomy.
Anesthesia, Local ; Ants ; Catheterization* ; Catheters* ; Constriction, Pathologic ; Humans ; Rupture* ; Urethral Stricture

Several different techniques have been utilized for the correction of a varicocele. Urologists have operated by high ligation of the internal spermatic veins via an inguinal or retroperitoneal approach. Radiologists have embolized or sclerosed these veins by percutaneous venography. Recently, microsurgeons have diverted the internal spermatic veins. Although classical procedures for the varicocele have been used successfully to eliminate retrograde blood flow, improved techniques seen desirable because a growing list of unwanted effects have been cited in associations with these procedures. In this report, we describe a new technique(Goldstein microsurgical technique) for the management of varicoceles which combines microdissection of the cord, ligation of all the tributaries of internal spermatic vein. complete control of collateral and small cross collateral veins except the vasal vein via a low inguinal approach.
Ligation ; Microdissection* ; Phlebography ; Spermatic Cord* ; Varicocele* ; Veins

We report a case of primary adenocarcinoma of the urethra in 62 years old female. Primary carcinoma of the female urethra is an uncommon malignancy that accounts for less than 0.02 per cent of all cancers occurring in women. Adenocarcinoma is rare in the literature. Whereas squamous cell carcinoma and transitional cell carcinoma, which comprise the majority of urethral malignancies, arise form the squamous or epithelial cells lining the urethra, adenocarcinoma arises form the periurethral glands.
Adenocarcinoma* ; Carcinoma, Squamous Cell ; Carcinoma, Transitional Cell ; Epithelial Cells ; Female* ; Humans ; Middle Aged ; Urethra*

An in situ hypothermia technique allows ample exposure for a precise and bloodless disection as well as ample protection against ischemia and blood loss in the management of partial nephrectomy. The saline slush method is simple and requires material that is readily available in standard operating rooms. During the last 2 years. partial nephrectomy using the in situ hypothermia was performed with good results in 7 patients comprised 3 with renal stone and 4 with renal injury.
Humans ; Hypothermia* ; Ischemia ; Nephrectomy* ; Operating Rooms

A case of leiomyoma of the vaginal wall causing voiding difficulty is presented. Although vaginal leiomyoma is rare, it is actually the most common benign tumor found in vagina and the most frequent location is the anterior vaginal wall. Because of the close anatomical relationship with the female urethra and the anterior vaginal wall, the tumor is often responsible for urologic symptom and excision of the lesion is usually performed by urologist.
Female ; Humans ; Leiomyoma* ; Urethra ; Vagina

We report a case of left adrenal pheochromocytoma in 17-year-old girl, we observed all of vital sign were returned to normal in 19-th postoperative day
Adolescent ; Female ; Humans ; Pheochromocytoma* ; Vital Signs

Experience with retropubic prostatectomy in 12 cases of benign prostatic hyperplasia is presented. The operation was technically successful in all cases, even though there were no special instruments available. Operative blood transfusions were given to 2 patients (16.7 per cent). The weight of adenomatous tissue enucleated ranged from 30 to 100 gm., with an average of 46.2 gm. Hospitalization ranged from 9 to 16 days, with a meat of 11 days, The average operating time in this series, including vasectomy, was 79.2 minutes with a range of 55 to 110 minutes. Postoperative complications consisted of one patient with wound infection and patient with severe bleeding due to inadvertent dislodgement of the catheter. The authors believe that there would be broader indication of this approach on Korean patients with benign prostatic hyperplasia.
Blood Transfusion ; Catheters ; Hemorrhage ; Hospitalization ; Humans ; Meat ; Postoperative Complications ; Prostatectomy* ; Prostatic Hyperplasia* ; Vasectomy ; Wound Infection

No abstract available.
Cardiopulmonary Resuscitation* ; Telephone*

Cushing's syndrome refers to a clinical pictures that develops in a patient who are exposed to excess quantities of cortisol like substances. A case of Cushing's syndrome in 62-year-old man who was followed by a Nelson's syndrome after bilateral adrenalectomy is presented with brief review of literatures.
Adrenalectomy ; Cushing Syndrome* ; Humans ; Hydrocortisone ; Middle Aged

Primary malignant melanoma of the penis is very rare. No one case has been reported in Korea. A case of malignant melanoma of the glans penis in a 80 year old male is presented with a brief review of the literature.
Aged, 80 and over ; Humans ; Korea ; Male ; Melanoma* ; Penis*