No abstract available.
Humans ; Laparotomy* ; Nephrectomy* ; Tissue Donors*

No abstract available.
Laparotomy* ; Nephrectomy*

No abstract available.
Aneurysm* ; Renal Artery*

No abstract available.

Minimally invasive surgery has gained wide acceptance as a method of reducing postoperative pain and curtailing the convalescence period. We have devised a modified surgical technique of laparoscopy-assisted surgery through minilaparotomy. It is a hybridized form of conventional open and laparoscopic surgery and it combines the benefits of both techniques by reducing postoperative pain and scarring as in laparoscopy, but at the same time maintaining the safety of conventional open surgery. From January 1992 to September 1999, we performed laparoscopy-assisted surgery through minilaparotomy in 167 patients. The operative time for laparoscopy-assisted surgery through minilaparotomy ranged from 79 to 290 minutes (mean 125). There was no conversion to open surgery, no peri- or postoperative complications, and only 3 patients needed a blood transfusion at any stage. Pain was significant on the first day but resolved quickly. All patients resumed consistent oral intake on the second day. All patients commenced ambulation by the second postoperative day and were able to resume full ambulatory activity by the fourth postoperative day. The final would size did not exceed 10 cm in size and all patients expressed satisfaction with their wounds. In conclusion, we believe that laparoscopy-assisted minilaparotomy surgery is a truly minimally invasive technique maintaining the advantages of conventional surgery. Our method could become a first-line approach for simple nephrectomy, living donor nephrectomy and radical nephrectomy, as well as surgery for kidney and ureter stones.
Adolescence ; Adult ; Aged ; Child ; Human ; Kidney/surgery* ; Laparoscopy* ; Laparotomy* ; Middle Age ; Nephrectomy ; Ureter/surgery*

Vesicoureteral reflux bas been recognized to be an abnormal phenomenon in man, often associated with urinary infection and with both developmental and acquired renal abnormalities. Thus, meticulous endoscopic observation on ureteral orifice configuration is thought to be essential to the accurate diagnosis and the selection of the therapeutic method in management of the patients with diseases in bladder, ureter and kidney. So, endoscopic observation was made on 90 cases of the selected persons with normal findings on I. V. P. & retrograde cystogram, in the Department of Urology. Korea General Hospital, from March I, 1979 to August 31, 1979. The results obtained were as follows; 1) The ureteral orifice configuration of the patients belong to the tunnel shape (66 cases: 36.6%) & the slit shape (64 cases: 35.6%) in the majority. And the next was the oval shaped(32 cases: 17. 8%), the gutter shaped (18 cases: 10.0% in order. 2) There was some difference between male & female in the tunnel shaped (M: 43.1%, F: 25.0%) and the gutter shaped (M:5.2%, F:18.7%) but its difference was negligible, we thought. 3) Most patients (68 cases: 75.6%) had the same ureteral orifices in its configuration.
Diagnosis ; Female ; Hospitals, General ; Humans ; Kidney ; Korea ; Male ; Ureter* ; Urinary Bladder ; Urology ; Vesico-Ureteral Reflux

Twenty seven consecutive male and female patients with trigonal cystitis are divided into 2 groups on the basis of the presence or absence of the pseudomembrane(nest of squamous epithelium). One group consists of 15 patients with squamous epithelium and the other of 12 patients with no squamous epithilium on the cystoscopic biopsies from the vesical trigone. The clinical symptoms, physicochemical study and bacteriologic culture of urine, cystoscopic changes and histologic findings are compared between the two groups. 1. Both squamous and non-squamous epithelial groups show no significant differences in the clinical and cystoscopic findings. 2. Pathologic changes of the urothelium and lamina propria of the trigonal mucosa are identical with one to the other group. 3. Trigonal cystits with squamous epithelium occurs most frequently in sexually active premenopausal women and less frequently in the female of post-menopause and even rarely in the male. No age and sex predilection are found in the patients with trigonal cystitis without squamous epithelium.
Biopsy ; Cystitis* ; Epithelium ; Female ; Humans ; Male ; Mucous Membrane ; Postmenopause ; Urothelium

No abstract available.
Humans ; Spinal Cord*

A clinical observation was made on 201 cases of pediatric in-patients with urological diseases in the Department of Urology, Korea General Hospital, from September 1, 1972 to August 31, 1979. The results obtained were as follows. 1) Among 1009 cases of urological in-patients for the past 7 years, 201 cases belong patients giving 19.9%. 2) Yearly number of pediatric in-patients showed no increasing tendency. 3) The proportion of male to female pediatric urologic in-patients was 17: 1. The preschool children (1 to 6 years of age) were most frequently seen and giving a rate of 44.8% of the pediatric urologic in-patients. 4) The most frequently involved organ was scrotal contents, giving a rate of 57.7%. Urethral diseases was 14.9%, penile diseases l0.9%, renal diseases 8.5%. 5) The congenital anomaly was most frequent, showing l55 cases of total pediatric urologic in-patients (77.2%). The most common disease of the congenital anomaly was hydrocele in 60 cases (29.9%) and cryptorchism 47 cases (23.4%), hypospadia 24 cases (11.9%), phimosis 16 cases (8.0%) in order. 6) Of 201 cases, operation was performed in 179 cases (88.6%). The most common operation was hydrocelectomy 60 cases (33.5%), orchiopexy 47 cases (26.3%), circumcision 22 cases(12.3%), chordectomy 17 cases (9.5%), urethroplasty 7 cases (3.9%) in order.
Child, Preschool ; Circumcision, Male ; Cryptorchidism ; Female ; Hospitals, General ; Humans ; Hypospadias ; Korea ; Male ; Orchiopexy ; Pediatrics ; Penile Diseases ; Phimosis ; Urethral Diseases ; Urologic Diseases* ; Urology

Seventy-nine patients of bladder neck suspension using an extraperitoneal variation of laparoscopic surgery were performed for the treatment of stress urinary incontinence. Using a balloon dissector the anterior vesical pelvic space is secured. The bladder neck suspension similar to the Burch operation was performed through a laparoscopic procedure. Symptoms of patients were assessed preoperatively and at one and six months following surgery. Operative times and complications were also evaluated. Success rate was 89.8% at six months. Complications such as bladder perforations were observed. Laparoscopic extraperitoneal bladder neck suspension-(LEBNS) is a viable option to the conventional methods of suspension, it has definite cosmetic advantages, is devoid of intraperitoneal dissection and adhesion, and has a comparable success rate.
Adult ; Aged ; Bladder/anatomy & histology/*surgery ; Female ; Human ; Laparoscopy/methods ; Length of Stay ; Middle Age ; Postoperative Complications ; Quality of Life ; Retrospective Studies ; Urinary Incontinence, Stress/*surgery