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 12 cases of bladder tumor, 30cc of 2% methylene blue was introduced into the bladder, one hour previous to the transurethral biopsy, T.U.R. or segmental resection of the bladder, for the purpose of the staining of tumor tissue, and the following results were obtained. 1. This method was especially useful for the difference of tumor tissue in the cases of cystitis with tumor. 2. Most of the tumor tissue which was not covered with bladder mucosa stained in the deep blue so that one can easily identify tumor tissues from normal mucosa. 3. On operation, tumor masses could be resected easily because of obvious demarkation between the tumor mass and normal mucosa of the bladder. 4. In conclusion, this method was helpful to identify tumor tissues and useful for the removal of tumor remnants.
Biopsy ; Cystitis ; Methylene Blue* ; Mucous Membrane ; Urinary Bladder Neoplasms* ; Urinary Bladder*

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*

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*

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*

Possible role of chlamydia trachomatis (C. trachomatis) in non-gonococcal Urethritis and chronic prostatitis was investigated by enzyme immunoassay technique in a study of 85 cases of non-gonococcal urethritis and 23 chronic prostatitis cases. 1. C. trachomatis was detected from 21 (24.7%) of 85 non-gonococcal urethritis patients and third decade represented the highest positive rate. 2. C. trachomatis was detected from 5 cases (21.7%) of 23 chronic prostatitis patients. 3. A significantly higher positive C. trachomatis detection rate of 60. 7% was obtained from those with a profuse urethral discharge compared with those with a scanty discharge. 4. A significantly higher positive C. trachomatis detection rate of 52.3% was obtained from cases with no previous history of urethritis compared with those who had previous history of urethritis in 85 cases of non-gonococcal urethritis.
Chlamydia trachomatis* ; Chlamydia* ; Humans ; Immunoenzyme Techniques* ; Prostatitis* ; Urethritis*

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*

Renal tuberculosis is one of the most frequent disease in the urological field of Korea for a long period of time. A clinical observation of renal tuberculosis was made on the 50 cases admitted to the Department of Urology, Korea University Hospital from January 1968 to December 1975. The results summarized as follows: 1. The ratio of number of renal tuberculosis cases admitted against total number of urological inpatients is decreasing significantly every years. 2. 31 cases out of 50, belonged to the age group of 21 to 40. 3. Both kidneys were affected in 13 cases, while 21 cases in right side only and 16 cases in left kidney. 4. The important subjective symptoms were as follows: frequency in 54%, painful urination in 40%, flank pain in 40 %, gross hematuria in 38% and asymptomatic in 1 case. 5. 32% of the cases visited to the hospital within 6 months after onset of the symptoms. 6. 56% of the cases were associated with pulmonary tuberculosis. 7. Tuberculous epididymitis were complicated in 3 cases, bone tuberculosis in 1 case and squamous cell carcinoma of the bladder was found in 1 case. 8. Increased ESR were found in 42 cases and 43 cases were within normal range of BUN. 9. Urinary findings revealed proteinuria in 94%, hematuria in 74% and pyuria in 76%. Urine AFB was found in 26 cases (52%). 10. 18 cases of AFB culture was done with drug sensitivity test, which showed that INH was the most sensitive drug, but PAS and streptomycine were sensitive in high concentration of the drugs only. 11. On the urogram, non-visualization of the kidney was found in 20 cases and delayed visualization in 15 cases while abnormal ureteral findings noted in 18 cases. 12. Nephrectomy was performed in 23 cases out of 31 operated cases and nephrostomy was done in 7 cases. 13. Histopathological findings of 23 nephrectomized kidneys disclosed parenchymal tuberculous nodules in all cases and severely atrophic changes in 3 cases.
Carcinoma, Squamous Cell ; Epididymitis ; Flank Pain ; Hematuria ; Humans ; Inpatients ; Kidney ; Korea ; Male ; Nephrectomy ; Proteinuria ; Pyuria ; Reference Values ; Streptomycin ; Tuberculosis, Osteoarticular ; Tuberculosis, Pulmonary ; Tuberculosis, Renal* ; Ureter ; Urinary Bladder ; Urination ; Urology

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