Endoscopically guided Foley catheterization was performed as an initial management of 32 patients with anterior urethral rupture and 7 patients with posterior urethral rupture during 6 years from December 1985 to April 1992. The duration of indwelling of the catheter was proportion to the degree and extent of the rupture. As a complication, urethral stricture was developed in 12 patients with anterior urethral rupture (8 patients with partial rupture and 4 patients with complete rupture), and 2 patients with posterior urethral rupture. The complication could be treated with endoscopic internal urethrotomy and some sounding with ease. We suggest that initial procedure have some profit as availability. simplicity. economy, reproducibility and diagnostic accuracy. And so, we would like to recommend this procedure as a initial management of urethral rupture.
Catheters ; Humans ; Rupture* ; Urethral Stricture ; Urinary Catheterization*

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

A papillary adeno-carcinoma of the renal pelvis is very rare tumor and mostly diagnosed by histopathologic findings. A 10-years-old female was admitted to Fatima Hospital with Rt. flank pain and intermittent gross hematuria.Herein, we report a case of papillary adeno-carcinoma of the renal pelvis.
Adenocarcinoma ; Female ; Flank Pain ; Humans ; Kidney Pelvis*

A clinical observation was made on the 16 cases of the ureteropelvic junction obstruction of the in patient in the Dept. of urology, Fatima hospital during the period from Jan. 1981 to 1985 and the followings were obtained. 1. The patient in this series were distributed from 4 month old to 61 years old and the male female ratio was 3: 1. 2. The obstruction was on the left side in 14 cases, on the right side in 2 cases. 3. The pathologic lesion encountered at ureteropelvic obstruction, are intrinsic ureteropelvic obstruction in 10 cases adhesion and fibrosis in 2 cases, high insertion in 1 case, aberrant vessel in 1 case and unknown in 2 cases. 4. The most presenting symptom was frank pain, affecting 11 cases and palpable mass with urinary tract infection was found 5 cases. 5. The degree of hydronephrosis was determined by urography, retrograde pyelography and ultrasonography, Grade 4 was found in 5 cases, Grade 3 in 5 cases, Grade 2 in 6 cases. 6. On laboratory examination, microscopic pyuria was found in 11 cases, microscopic hematuria in 3 cases, microscopic pyuria and hematuria in 3 cases and BUN was increased in 4 cases. 7. Dismembered pyeloplasty was done in 10 cases, spiral flap operation in 1 case, simple ureteropelvic anastomosis in 1 case and nephrectomy in 2 cases. Preliminary nephrostomy was done 1 case. Of the 12 repairs 10 were protected by nephrostomy drainage plus ureteral stent.
Drainage ; Female ; Fibrosis ; Hematuria ; Humans ; Hydronephrosis ; Infant ; Male ; Middle Aged ; Nephrectomy ; Pyuria ; Stents ; Ultrasonography ; Ureter ; Urinary Tract Infections ; Urography ; Urology

No abstract available.
3,4-Dihydroxyphenylacetic Acid* ; Animals ; Brain* ; Diazepam* ; Rats*

Radical hysterectomy with pelvic lymph node dissection (RHPLD) was considered as primary management of cervical cancer (stage I and IIa). RHPLD provides for resection of paracervical and paravaginal tissues at the lateral pelvic walls, transaction of the uterosacral ligament, ligation of uterine vessels and excision of pelvic lymph node from the surrounding vessels. The urinary tract disturbance was the most frequent and significant postoperative complication. Among 82 patients who had undergone radical hysterectomy with pelvic lymph node dissection for cervical cancer from July 1983 to December 1989, 43 patients who were treated for urologic complications, were reviewed retrospectively. The age distribution was even from 4th to 6th decades. The common urologic complications were neurogenic bladder dysfunction 28 (34.2%). Ureteral injury 15 (18.3% ), UTI 12 (14.6% ), stress incontinence 5 (6.1%). Each urologic complication and its management are discussed.
Age Distribution ; Humans ; Hysterectomy* ; Ligaments ; Ligation ; Lymph Node Excision* ; Lymph Nodes* ; Postoperative Complications ; Retrospective Studies ; Ureter ; Urinary Bladder, Neurogenic ; Urinary Tract ; Uterine Cervical Neoplasms

For the successful surgical treatment of genuine stress urinary uncontinence many procedures have been applied. We report on 36 cases of stress incontinence surgically treated by the tansvaginal procedure (19 cases) and retropubic procedure(17 cases) during the period from November, 1981 to October, 1991. The patient varied in age from 34 to 65 years in the transvaginal procedure and 26 to 68 years in the retropubic procedure(total mean age was 47.2 years). The surgical procedures were performed by Pereyra`s method 17 cases. Stamey`e method 2 cases. MMK's method 11 cases. Montague`s method 1 case. Burch`s method 5cases. Clinical symptom classification (grade I - Grade IV)of stress incontinence reported by Ball was used. There were symptom distribution of Grade I, 3 cases ; Grade II, 14 cases; Grade III, 2 cases in the transvaginal procedure. Grade I, 3 cases; Grade II, 11 cases : Grade III, 3 cases were done by the retropubic procedures. The success rate was 84% in the trensvaginal procedure and 89% in the retropubic procedure with minimum follow up of six months. Postoperative complications were urinary retention 8 cases, bladder perforation 1 case, vaginitis 1 case (total 59%) in the transvaginal procedures, while urinary retention10 cases. wound infection 1 case (total 70%) in the retropubic procedures. The values of post-operative days on catheter, operative time and postoperative hospitalization in the transvaginal procedures were 6.8+/-2.1 days. 91.6+/-23.2 minutes and 7.2+/-0.5 days, and in the retropubic procedures 6.9+/-3.2, 123.5+/-21.5 and 7.8+/-0.6 respectively (p<0.01). On the basis of the results we concluded that the transvaginal procedure had advantages including operative simplicity, extensive indication, rarer postoperative complication, compared with retropubic procedures.
Catheters ; Classification ; Follow-Up Studies ; Hospitalization ; Humans ; Operative Time ; Postoperative Complications ; Urinary Bladder ; Urinary Retention ; Vaginitis ; Wound Infection

Alternative treatment modalities for benign prostatic hyperplasia(BPH) have during the last few years been introduced including transurethral microwave thermotherapy(TUMT). The aim of this presentation is to compare a new non-surgical treatment to a well-established surgical procedure(TURP, open prostatectomy) and to report our updated early 3 months and late mean 15 months results of this TUMT versus operative therapy in patients with BPH. From Sep.1992 to Aug.1993, 33 and 29 patients who was underwent TUMT and surgical procedure respectively with BPH in Taegu Fatima Hospital have been followed for early 3 months, 26 and 22 patients for late mean 15 months. 1 The two groups were almost identical regard to mean age, prostate volume, modified Boyarsky symptom score, maximal and mean flow rate (P>0.05). 2. The modified Boyarsky symptom score decreased significantly from 19.5 to 6.7, at 3 months and 8.5 at l5 months after surgical procedure and from 18.9 to 9.8 at 3 months and 14.7 at 15 months after TUMT respectively. The decrease was more pronounced after surgica1 procedure at 3 and 15 months (P<0.01). 3. The maximum flow rate increased significantly from 3.4 to 16.0 at 3 months and 14.9ml/ sec at 15 months after surgical procedure and from 4.0 to 9.2 at 3 months and 6.2mI/sec at 15 months after TUMT respectively. The increase was more pronounced after surgical procedure at 3 and 15 months (P<0.01). 4. The improvement degree of the early 3 months and late mean 15 months was not significantly decreased at the late 15 months after surgical procedure t>0.05), but significantly decreased at the late 15 months after TUMT(p<0.01) respectively. 5. The degree of satisfaction of the patients themselves with each prescription was 96.6% at 3 months and 87.0% at 15 months after surgical procedure and 66.7% at 3 months and 34.6% at 15 months after TUMT respectively. To conclude, significant improvements were observed in both groups with regard to symptom score, maximal and mean flow rate. The improvements in all regards were more pronounced after surgical procedure, and improvement degree was significantly decreased at the late 15 months after TUMT. Therefore, our study suggest that the clinical results in treating the BPH patients with TUMT will be better with the proper patients selection and retreatment in the decreasing point of treatment effectiveness.
Daegu ; Humans ; Hyperthermia, Induced* ; Microwaves ; Prescriptions ; Prostate ; Prostatic Hyperplasia* ; Retreatment ; Treatment Outcome

Purpose: We assessed the effects of medication with dutasteride on serum prostate-specific antigen (PSA), PSA density (PSAD) and prostate volume to avoid unnecessary biopsies. Materials and Methods: Between 2005 and 2007 patients with serum PSA level of 4~10 ng/ml were recruited in this prospective study. Patients were treated with 0.5 mg of dutasteride once daily for 3 months. PSA, PSAD and prostate volume were measured at baseline and at the end of treatment. The patients with a high PSA level (> or =4 ng/ml) after medication with dutasteride had a prostate biopsy. The patients were divided as group I (prostate cancer; n=29) and group II (benign disease; n=55). We compared the changes of serum PSA, PSAD, and prostate volume change between two groups. Results: In group I, PSA, PSAD and prostate volume decreased from baseline means of 8.16 ng/ml, 0.23 ng/ml/cm3 and 46.81 cc to 5.69 ng/ml, 0.18 ng/ml/cm3 and 40.41 cc. The difference in PSA, PSAD and prostate volume was -0.2%, -2.1% and -3.6% for group I. On the contrary, in group II, PSA, PSAD and prostate volume decreased from baseline means of 7.65 ng/ml, 0.16 ng/ml/cm3 and 56.48 cc to 4.48 ng/ml, 0.11 ng/ml/cm3 and 51.35 cc. The difference in PSA, PSAD and prostate volume was -41.4%, -33.3% and -9.1% for group II. When 4.83 ng/ml and 0.15 ng/ml/cm3 were chosen as the PSA and PSAD cutoff levels after treatment with dutasteride, unnecessary biopsies could be avoided effectively. Conclusions: These data suggest that the magnitude of changes in serum PSA and PSAD after 3 months of dutasteride challenge could be useful to avoid unnecessary prostate biopsies in patients with elevated PSA level.
Azasteroids ; Biopsy ; Humans ; Prospective Studies ; Prostate ; Prostate-Specific Antigen ; Prostatic Neoplasms ; Dutasteride

PURPOSE: The treatment was done on benign prostatic hyperplasia (BPH) patients and BPH wth diabetes mellitus patients. Comparisons have been made before and after the treatment international prostatic symptom score (IPSS), quality of life index (QOL index), maximal flow rate (Qmax) and patient's satisfaction to find what kind of treatment results in the most effect and contentment. MATERIALS AND METHODS: 361 cases were chosen as subjects who were able to follow up for more than 3 months following the treatment. This retrospective study comprised of two groups; one is a BPH patients group (A group: n=246) and the other is BPH with DM patients group (B group: n=115). Each group was treated with medical or surgical therapy. The IPSS, QOL index, Qmax and patient's satisfaction were analyzed and compared between the groups. RESULTS: After medical therapy in the A group, the IPSS reduced from 18.8+/-4.3 to 10.8+/-2.8, QOL index from 3.9+/-1.0 to 2.1+/-1.7 and Qmax improved from 9.7+/-1.6ml/sec to 12.8+/-1.9ml/sec. In B group, from 19.4+/-4.7 to 15.2+/-3.6, 4.8+/-1.0 to 3.1+/-0.9 and 8.6+/-0.9ml/sec to 10.9+/-0.5ml/sec respectively (p<0.05). After surgical therapy in the A group, the IPSS reduced from 21.9+/-6.1 to 8.2+/-5.4, QOL index from 4.1+/-1.2 to 1.8+/-0.8 and Qmax improved from 8.6+/-1.7ml/sec to 16.6+/-2.9ml/sec. In B group, from 24.7+/-7.2 to 10.3+/-5.7, 4.3+/-1.5 to 2.2+/-0.7 and 7.7+/-1.8ml/sec to 14.0+/-1.8ml/sec respectively (p<0.05). In B group much more improvement was made than medical therapy group. CONCLUSIONS: In BPH with DM patients, the initial surgical therapy was found to have better effect than through medical therapy in the degree of the patients satisfaction, IPSS, QOL index and Qmax. We suggest that surgical therapy is good therapeutic option even in BPH with DM patients at short term postoperative period.
Diabetes Mellitus* ; Follow-Up Studies ; Humans ; Postoperative Period ; Prostatic Hyperplasia* ; Quality of Life ; Retrospective Studies