Ceftizoxime was administered to 30 cases with urinary tract infection for 7 days in the most cases at a daily dose of 1-2 gm intravenously or intramuscularly. The clinical efficacy of Ceftizoxime was as follows: Excellent results were obtained in 13 cases, good result in 14 cases and poor result in 3 cases, the overall effectiveness rate was 90% and no adverse reaction was noted in all cases. bacteriologically, 13 strains were isolated in 26 cases and 4 cases were bacteriologically unknown, and 2 strains in 3 cases, which were a case of proteus morganii and two cases of Pseudomonas fluoresces, were failed in treatment. Judging from the response to Ceftizoxime as shown in al Tables, Ceftizoxime is considered to be a very useful antibiotic in the treatment of urinary tract infection.
Ceftizoxime* ; Proteus ; Pseudomonas ; Urinary Tract Infections* ; Urinary Tract*

In spite of many available antibiotics and chemotherapeutics, genitourinary tract infection still remains as troublesome subject for urologist. Since we always interested in the effects and side effects of the new antibacterial agent in urinary infection, we administered indanyl carbenicillin 3-4 gm for 2-20 days to 58 cases of various urinary infections, patients for the preparation of surgical and endoscopic operation and for the prevention of septicemia after endoscopy. The results were obtained as follower 1) Among 3 cases of gonorrheal urethritis, 2 cease were cured rapidly and one case was improved. 2) Among 34 cases of chronic non-gonorrheal urethritis, 19 cases were cured and 9 cases were improved. 3) Among 4 cases of chronic prostatitis, one case was improved. 4) Among 5 cases of pyelonephritis. 4 cases were cured and one case was improved. 5) Among 12 patients who underwent soundation, endoscopy and T.U.R., postoperative infections were not found in 11 cases. 6) In 10 out of 34 cases of chronic non-gonorrheal urethritis, daily doses of 4 gm of indanyl carbenicillin were given orally for 12 days, and observation was done on the changes of clinical symptoms, urinalysis, hematology, blood urea nitrogen and liver function test before, during and after treatment. Excellent results were obtained in all 10 cases with only slight side effects such as indigestion, gastric soreness, nausea and abdominal distension.
Anti-Bacterial Agents ; Blood Urea Nitrogen ; Carbenicillin* ; Dyspepsia ; Endoscopy ; Hematology ; Humans ; Liver Function Tests ; Nausea ; Prostatitis ; Pyelonephritis ; Sepsis ; Urethritis ; Urinalysis ; Urinary Tract Infections* ; Urinary Tract*

For 10 years and 10 months duration from January 1966 to October 1976. 28 patients with bladder rupture (19 patients had intraperitoneal bladder rupture and 9 patients had extraperitoneal rupture) were observed, among 131 patients hospitalized with urogenital injuries. 1) In this series, the bladder rupture (28 patients) formed 21.4 per cent of the total number of urogenital injuries (131 patients). 2) The 28 patients comprised 22 male and 6 female cases. Three patients were belonged to the age group of 0 to 19 years old, 16 cases were 20 to 39 years old, 4 were 40 to 49 years old, 4 were 50 to 59 years old, and one was 62 years old. 3) Traffic accidents were responsible for the injury in 13 patients, direct blow in 4 patients, industrial accidents in 3 patients, iatrogenic injury in 2 patients, fall down in one patient and in one patient the bladder rupture developed during delivery. Spontaneous bladder ruptures were seen in 4 patients. 4) Of the 28 patients, 15 bad an associated fractured pelvis. Fractured of the both pubic rami were most frequent: 7 cases, unilateral pubic ramus fractures were the next, and acetabular fractures: 2 cases, separation of the symphysis pubis: 2 cases, fracture of wing of the ilium. one case and communized pelvic ring fracture : one case were also noted. 5) Diagnosis was made by retrograde cystography, cystoscopy and laparotomy. Ninety three per cent of the diagnosis was made by retrograde cystography. 6) Ten patients with intraperitoneal rupture and 8 patients with extraperitoneal rupture were treated by operative repair of the defect with suprapubic cystostomy and drainage of the perivesical space. Six patients with intraperitoneal rupture and one patient with extraperitoneal rupture were treated by operative repair of the defect with indwelling urethral catheter and drainage of the perivesical space. The remaining 3 patients died soon after arrival to hospital with heavy injury of several visceral organs and one died of preexisting bladder tumor. 7) There was a 14. 3 per cent mortality rate. Early diagnosis and adequate treatment of bladder rupture is essential to reduce mortality.
Accidents, Occupational ; Accidents, Traffic ; Acetabulum ; Adult ; Cystoscopy ; Cystostomy ; Diagnosis ; Drainage ; Early Diagnosis ; Female ; Humans ; Ilium ; Laparotomy ; Male ; Middle Aged ; Mortality ; Pelvis ; Rupture* ; Urinary Bladder Neoplasms ; Urinary Bladder* ; Urinary Catheters ; Young Adult

During the last 10 years 8 months clinical observation has been done on 43 cases of cryptorchisms. 1. The cryptorchism has relatively high incidence rate among the anomalies of genitourinary tract (27. 2%). 2. The age group, most frequently seen, was between 6 to 10 and the average age visited the hospital at the first time is 11.4 years. It means 4 t 6 years later than age for the adequate treatment required. 3. Atrophy of the seminiferous tubules, interstitial fibrosis and poor or absent spermatogenesis were noted on the 8 cases of cryptorchid biopsies. 4. Hormonal therapy (Puberogen) was done on 16 cases and 8 cases were responded. But there was no complete descent of testis through this hormonal therapy.
Atrophy ; Biopsy ; Cryptorchidism ; Fibrosis ; Humans ; Incidence ; Male ; Seminiferous Tubules ; Spermatogenesis ; Testis

A clinical observation was made on 239 cases of benign prostatic hypertrophy, admitted to the Department of Urology, Korea University College of Medicine during the period of 9 years and 8 months from Jan. 1972 to Aug. 1981. Following results were obtained. 1. Amount of residual urine from 10 ml to 1,500 ml with average 304 ml. 2. Hypertension in 35 cases (14.8%)and pulmonary diseases in 29 cases (12.1%)were frequently associated with B.P.H. 3. E.K.G. was performed in 171 cases. Abnormal findings included L.V.H. in 38 cases (22.2%), arrhythmia in 11 cases (6.4%), but normal in 118 cases (69%). 4. In blood chemistry, blood urea nitrogen was elevated in 75 cases (31.4%)and creatinine was elevated in 69 cases (28.9%). 5. The most common endoscopic findings were trabeculation in 214 cases (89.5%), inflammation in 192 cases (80.3%), kissing of lateral lobes in 138 cases (58.7%)and elevated interureteric ridge in 71 cases (29.7%). 6. Methods of operative treatment were T.U.R. in 184 cases, retropubic prostatectomy in 7 cases and suprapubic prostatectomy in 3 cases.
Arrhythmias, Cardiac ; Blood Urea Nitrogen ; Chemistry ; Creatinine ; Hypertension ; Inflammation ; Korea ; Lung Diseases ; Prostatectomy ; Prostatic Hyperplasia* ; Urology

A clinical study on therapeutic effects and toxicity of Netilmicin(Neticin(R)) in urinary tract infection was performed in 47 patients with various degrees of impairment of renal function and the following results were obtained. 1. Among 45 patients with various urinary tract infection, Netilmicin brought total elimination of the bacteria in 38 patients, persistent infection(one Serratia, one Pseudomonas fluoresce.) in 2 patients superinfection with a resistant strain of Psuedomonas fluoresces and a Netilmicin-sensitive
Anti-Bacterial Agents ; Bacteria ; Colon ; Creatinine ; Cystitis ; Cystostomy ; Humans ; Kidney ; Netilmicin* ; Preexisting Condition Coverage ; Pseudomonas ; Serratia ; Superinfection ; Urinary Tract Infections* ; Urinary Tract*

Clinical observation was done on 300 cases of chronic prostatitis who visited Urologic Department. Korea University Hospital during the period of 24 months from January 1, 1976 to December 31, 1977. The results are summarized as follows. 1. The age distribution was between I9 and 65, while 55 percent of total cases belonged to the age group of 20 to 29. 2. The decreased libido was complained in 3l cases (10.3%) of chronic prostatitis, among them, 22 cases be1onged to married group. while 9 cases to unmarried group. Among the married group, 17 patients including S patients who had had vasectomy previously were between the age of SO and 49.3. Asymptomatic cases were found in 4S patients (14.3%), while many others had vague symptoms such as urethral discomfort. urethral discharge. pain on urination and perineal discomfort. 4. The past history of nonspecific urethritis were found in the l58 cases (52.7%). The duration of the infection was between l month to 6 months in 84 cases (53.1%), and between 13 months to 24 months in 49 cases (3l%). 5. Urinalysis were within normal limits in 229 cases (76.3%). Microscopic examination of prostatic fluid and urine shred wag done in all cases and in 249 cases (83%) revealed the presence of infection.
Age Distribution ; Humans ; Korea ; Libido ; Prostatitis* ; Single Person ; Urethritis ; Urinalysis ; Urination ; Vasectomy

Pertutaueous transluminal angioplasty is the treatment of choice for renovascular hypertension in cases due to the renal vascular occlusion which is not severe enough to pass dilatation catheter. The advantages of percutaneous transluminal angioplasty are the use of local anesthesia, its noninvasiveness without surgical risk, feasibility of repetition and shorter hospital days compared with surgical methods. We are presenting a case of renovascular hypertension due to atherosclerosis cured by percutaneous transluminal angioplasty with the review of literatures.
Anesthesia, Local ; Angioplasty* ; Atherosclerosis ; Catheters ; Dilatation ; Hypertension, Renovascular*

Prostatic abscess is seen infrequently. Furthermore small abscess or microabscess accompanied with BPH or chronic prostatitis is likely to be overlooked and very difficult to diagnose with history and physical examination due to obscurity of its clinical symptoms. We have experienced frequent pus discharge from resected area of prostate during transurethral resection in patients with BPH and/or chronic prostatitis. And through clinical observation of 32 patients with BPH and 7 patients with chronic prostatitis whom we had treated by transurethral resection of prostate following results were obtained. 1. Prostatic abscess was found in 26 cases of 39 patients with BPH and/or chronic prostatitis during transurethral resection of prostate. 2. Transvesical and transrectal ultrasonography of prostate may increase the chances to diagnose small abscess with sensitivity of 46%. 3. Urinary tract infection and concomitant prostatic calculi with lower urinary tract obstruction were important predisposing factors in formation of prostatic abscess. 4. Diabetes mellitus was accompanied in 5 cases of 26 patients of prostatic abscess. 5. Definite drainage with transurethral resection of the gland and the use of broad spectrum antibiotics brought good results.
Abscess* ; Anti-Bacterial Agents ; Calculi ; Causality ; Diabetes Mellitus ; Drainage ; Humans ; Physical Examination ; Prostate* ; Prostatitis ; Suppuration ; Transurethral Resection of Prostate ; Ultrasonography ; Urinary Tract ; Urinary Tract Infections

New bactericidal agent, Cefazolin was administered intramuscularly or intravenously in 1-3 divided doses of 1-3 grams daily in 30 cases of genitourinary tract infection and following results were obtained. 1) Among 12 cases of pyelonephritis, excellent effect was obtained, in 8 cases 2 cases were good and no improvement was noted in 2 cases. 2) Among 6 cases of acute cystitis. excellent in 4 cases and good in 2 cases was noted. 3) Among 4 cases of benign prostatic hypertrophy, excellent result in 1 case, good it 1 case and to improvement in Z cases was noted. 4) Among 3 cases of chronic non-gonococcal urethritis, 2 cases were good and no improvement in l case was noted. 5) Among 2 cases of gonorrhea, no improvement in l case and recurrence in 1 case was noted. 6) No improvement noted in 2 cases of chronic prostatitis and 1 case of prostatic abscess. No serious side effects were observed except slight dizziness in one case.
Abscess ; Cefazolin* ; Cystitis ; Dizziness ; Gonorrhea ; Prostatic Hyperplasia ; Prostatitis ; Pyelonephritis ; Recurrence ; Urethritis ; Urinary Tract Infections* ; Urinary Tract*