Primary tumor of the renal pelvis and ureter is relatively rare disease, but usually malignant. It's prognosis is dependent upon the early detection, accurate diagnosis, procedure for treatment, and tumor grade and stage. Therefore, urologist should endeavor after accurate diagnosis and definitive treatment. A clinical observation was done on the 11 patients with renal pelvic tumor and the 3 patients with ureteral tumor at the Department of Urology, Kyungpook National University Hospital during the period of 4 years from January, 1978 to December, 1981. The results were as follows: 1. There were 9 men and 5 women, giving a ratio of 1.8 to 1. The average age at presentation of the 14 patients was 51.4 years. 2. On excretory urogram, nonvisualization of the kidney was the most prevalent sign in 10 patients. Retrograde pyelogram was done in 11 patients in whom findings of IVP were not sufficient for diagnosis. Renal angi0graphy was done in 9 patients. 3. Urine cytology was positive in 2 of 14 patients. 4. Of the 13 patients treated, 12 were proved to have transitional cell carcinoma, and 1 was leiomyoma. In 3 of the 11 patients with renal pelvic tumor, Concomitant ureteral tumor was present at diagnosis. And in 2 of the 11 patients with renal pelvic tumor developed subsequent urothelial tumors in the ureter and/or bladder after simple nephrectomy. 5. Nephroureterectomy including resection of a bladder cuff was done in 11 patients, and in 2 of these was also performed lymphadenectomy. Simple nephrectomy was done in 2 patients with renal pelvic tumor under the misdiagnosis of renaltuberculosis. 6. Postoperative complications developed in 3 cases, wound infection, pneumothorax, and death, in each case.
Carcinoma, Transitional Cell ; Diagnosis ; Diagnostic Errors ; Female ; Gyeongsangbuk-do ; Humans ; Kidney ; Kidney Pelvis* ; Leiomyoma ; Lymph Node Excision ; Male ; Nephrectomy ; Pneumothorax ; Postoperative Complications ; Prognosis ; Rare Diseases ; Ureter* ; Urinary Bladder ; Urology ; Wound Infection

PURPOSE: A retrospective review of the medical records of 168 patients who were evaluated for renal transplantation was undertaken to determine whether a voiding cystourethrography (VCUG) influenced the surgi cal care of the recipient. MATERIALS AND METHODS: Between June 1989 to May 1998, 168 patients received a transplantation at our center. These patients proceeded to transplantation, with all of them receiving a VCUG as part of their evaluation. We compared incidence of postoperative complications between normal VCUG group and abnormal group during follow up period (mean 31. 6 months). RESULTS: An urologic abnormality was identified by VCUG in 15 (8.9%) of 168 patients and all of them were vesicoureteral reflux (VUR). In 15 patients with VUR, grade of VUR were grade I in 2, grade II in 10, grade III in 2 and grade IV in 1. None of them with VUR required surgical intervention and had postoperative complications related to VUR. CONCLUSIONS: The VCUG is not essential for the preparation of potential recipients for renal transplantation and should be utilized selectively in individuals with a history of urologic disease or when urinary tract abnormalities are identified by physical examination or an abnormal urine analysis.
Follow-Up Studies ; Humans ; Incidence ; Kidney Transplantation* ; Medical Records ; Physical Examination ; Postoperative Complications ; Retrospective Studies ; Urinary Tract ; Urologic Diseases ; Vesico-Ureteral Reflux

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 clinical evaluation was made with particular attention to surgical management on patients with staghorn calculi who had been admitted to the Department of Urology, Kyungpook National University Hospital during 10 years periods from January, 1975 to December, 1984. The results were as follows: 1. Out of total 2,634 in-patients, 469 were due to urinary stones and 51 due to staghorn calculi. 51 patients with staghorn calculi were 2% of total admission and 11% of patients with urinary stones. 2. The calculus was unilateral in 50 patients (right in 25 and left in 25) and bilateral in 1. Of 5O unilateral staghorn calculi l was in left solitary kidney. 3. 49 patients had presenting symptomatology and 2 patients had no symptoms. The most common symptom was flank Rain(80.4 %). 4. Excretory urogram showed marked hydronephrosis in 8 cases, mild to moderate hydronephrosis in 3O normal collecting system in 3 and non-visualized kidney in 10. 5. Urine cultures yielded organism in 19 of 41 cases: E. coli, Klebsiella and Staphylococci in 4 respectively and Enterobacter in 3. 6. The treatment modality was surgical intervention .in 47 patients (48 operations) and conservative management in 4. 4S surgical interventions were nephrectomy in 10 and conservative treatment 38. Conservative surgery was extended pyelolithotomy in 12, extended pyelolithotomy with parenchymal extension in 11, anatrophic nephrolithotomy in 9, partial nephrectomy in 5, and extended pyelolithotomy with ureterocalicostomy in 1. 7. Except 6 cases with remnant calculi, no mortality and significant morbidity was found in 38 cases with staghorn calculi treated by conservative surgery.
Calculi* ; Enterobacter ; Gyeongsangbuk-do ; Humans ; Hydronephrosis ; Kidney ; Klebsiella ; Mortality ; Nephrectomy ; Urinary Calculi ; Urology

Seventy six patients with renal injury admitted to the Department of Urology, Kyungpook National University Hospital during the least 6 and a half years were reviewed with particular attention to diagnosis and management. The injuries in this series were classified as minor, major and critical injuries according to Hodges classification. 32 patients were classified into minor injury, 41 patients into major injury and 3 patients into critical injury. Excretory urography was obtained in 75 patients and renal angiography only in 6 patients. 31 patients with minor injury were treated conservatively. Conservative management was done in 23 of 41 patients with major injury and the remaining 18 patients were managed surgically. 15 of 18 patients treated surgically in major injury were managed with conservative surgery (renorrhaphy in 9, partial nephrectomy in 5 and symphysiectomy in 1) and remaining 3 patients with nephrectomy. In major injury, 7 out of 23 patients treated conservatively and 3 out of 9 patients managed with renorrhaphy required nephrectomy subsequently due to complicating illness.
Angiography ; Classification ; Diagnosis ; Gyeongsangbuk-do ; Humans ; Nephrectomy ; Urography ; Urology

Ureteroceles can be classified as intravesical forms which terminate inside the vesical cavity and ectopic ones which terminate in the vesical outlet, urethra, or elsewhere. Most intravesical ureteroceles do not require operative intervention, except when they are obstructive because of harboring calculi, upper tract dilation or infection, and when the function of the intramural portion of the ureter appears irreparably injured. Two cases of intravesical ureterocele including a calculus, occurring in female patients, 27 and 37 years old. are presented with a brief review of the literature.
Adult ; Calculi* ; Female ; Humans ; Ureter ; Ureterocele* ; Urethra

Early detection of renal pelvic tumor is essential since the survival rate is markedly reduced if the lesion has invaded beyond the pelvic wall. Accurate preoperative diagnosis is of considerable practical importance. since the surgeon should choose an unique operative approach conducive to a nepbroureterectomy with removal of a cuff of bladder. Selective renal angiography plays an important role in the diagnosis of renal tumor, but little is known about the importance of selective renal angiography in renal pelvic tumor. We performed selective renal angiography in 9 patients with clinically diagnosed renal pelvic tumor in this department during 2 years and 4 months period from March 1979 to June 1981. 7 out of 9 patients were diagnosed with transitional cell carcinoma of the renal pelvis histologically and remaining 2, leiomyoma of the renal parenchyma and renal cell carcinoma. The angiographic findings in 7 patients with transitional cell carcinoma showed hypertrophy of the pelviureteral artery and a diminished branching of vessels in 5, respectively, and defects in the nephrographic phase, neovascularity and vascular displacement in 2 each.
Angiography ; Arteries ; Carcinoma, Renal Cell ; Carcinoma, Transitional Cell ; Diagnosis ; Humans ; Hypertrophy ; Kidney Pelvis ; Leiomyoma ; Survival Rate ; Urinary Bladder

Between 1980 and 1989, our experience of surgical management with 21 adrenal diseases was presented. There were 3 cases of Cushing's syndrome, 3 of primary aldosteronism, 6 of pheochromo cytoma, 5 of neuroblastoma, 2 of extraadrenal paraganglioma, 1 of adrenocortical carcinoma and 1 of adrenal cyst. The use of advanced radiographic and laboratory procedures resulted in the refinement of diagnosis and localization of tumors, enabling better surgical management of adrenal disorders. Among those, 19 cases underwent unilateral adrenalectomy and 2 cases of Cushing's disease underwent bilateral adrenalectomy. Surgical approaches to the adrenal gland were transperitoneal in 16 cases and extraperitoneal in 5 cases. Operative complications occurred in 11 cases. The incidence, however, of complications related to the operative approach was not significant except in 2 cases of postoperative ileus.
Adrenal Glands ; Adrenalectomy ; Adrenocortical Carcinoma ; Cushing Syndrome ; Diagnosis ; Hyperaldosteronism ; Ileus ; Incidence ; Neuroblastoma ; Paraganglioma

Byars approach for the repair of hypospadias is simple, sound and has reported the lowest incidence of fistula formation. This procedure has been used in the Department of Urology, College of Medicine, Kyung-pook National University during the last 3 years. During the period, a clinical observation was made on 7 hypospadias patients who had received the 2 stage operation(resection of chordee and uerthroplasty) using Byars procedure. Infection of surgical wound was the most frequent complication, however, fistula formations did not occur in any case. The urinary stream and the states of erection were good in all cases.
Female ; Fistula ; Humans ; Hypospadias* ; Incidence ; Male ; Rivers ; Urology ; Wounds and Injuries

A clinical evaluation was made on patients with urethral strictures, who had been admitted to the Department of Urology, Kyungpook National University Hospital during 7 years periods from January, 1977 to December, 1983. The results were as follows: 1. Out of total 1979 inpatients, 105 were male patients with urethral strictures, giving rate of 5.4% 2. The most frequently involved age group was the 4th. decade being 24.7% of total and 64.6% was seen in age group of 20 to 49 years. 3. Trauma was the most frequent cause of urethral strictures(81%), followed in order of frequency by iatrogenic(11.4 %), inflammatory and post-operative cause. 4. Out of 121 patients with urethral trauma during the study period, urethral strictures were developed in 85 (70.2 %). According to the initial managements of urethral trauma, the incidence of stricture was 74.5% in the suprapubic cystostomy, 78.6% in the primary realignment and 55.9% in the Foley`s catheterization. 5. The treatment modality was surgical intervention in 54 patients and conservative management in 51. Success rates were 90.7% in surgical intervention and 84.3% in conservative managements. Success rate according to the permanent urethroplasty was 93.7% in the perineal end to end anastomosis (30 out of 32 patients), 70% in the transpubic urethroplasty (7 out of 10) and 100% in the Badenoch pull through procedure(4) and realignment(5). 6. As to the late complications, restructure was observed in 7 patients, impotence in 4, false tract in 3 and incontinence in 1.
Catheterization ; Catheters ; Constriction, Pathologic ; Cystostomy ; Erectile Dysfunction ; Gyeongsangbuk-do ; Humans ; Incidence ; Inpatients ; Male ; Urethral Stricture* ; Urology