Leiomyoma of the urethra is a rare condition, which is more common in female than in male subjects. A case of leiomyoma of the female urethra arising from the anterior lip of the external urinary meatus is presented. The mass was enucleated surgically and confirmed to be a leiomyoma pathologically.
Female* ; Humans ; Leiomyoma* ; Lip ; Male ; Urethra*

Recently the conception of Neuropathic bladder is being changed with the aid of the modern medico- engineering development and the advanced neurological knowledge. In this observation, we tried to investigate and prove the bladder detrusor and urethral sphincteric function in our suspected neuropathic bladder and its interrelationship on voiding. From Jan. 1980 to April 1981, cystometric-electromyographic (C.M.G.) investigation was performed in 44 cases with voiding difficulty without obstruction in lower urinary tract and suspected neuropathic bladder. The following results were obtained. 1. Cystosphincteric dyssynergia was noted in 12 cases (67%) of detrusor hyperreflexic 18 cases and in 10 cases (57%) of detrusor hyporeflexic 14 cases. Even though they have voiding difficulty or suspected neuropathic 14 cases. Even though they have voiding difficulty or suspected neuropathic bladder, normal C.M.G. findings were noted in 27%, but cystosphincteric dyssynergia in 33%. 2. In cervical vertebra injury, all of 12 cases were detrusor hyperreflexia, when cystosphincteric dyssynergia has noted in 18 cases (67%) and in thoracic vertebra injury 14 cases, detrusor hyperreflexia was noted in 2 cases (14%) and detrusor hyporeflexia in 8 cases (57%), and also cystosphincteric dyssynergia was noted in 6 cases (43%). 3. In sacral lesion 8 cases, detrusor hyperreflexia and detrusor hyporeflexia were noted in 2 cases respectively, and cystosphincteric dyssynergia (75%) was noted higher than that of cervical or thoracic cases. 4. The cases of less than 2 years in duration after vertebral injury or disease have cystosphincteric dyssynergia in 27%, but the cases of more than 2 years have cystosphincteric dyssynergia in 82%.
Ataxia ; Fertilization ; Reflex, Abnormal ; Spine ; Urethra ; Urinary Bladder ; Urinary Bladder, Neurogenic* ; Urinary Tract ; Urodynamics*

Quantitative determination of immunoglobulin was used in the diagnosis of prostatitis in seminal fluid and serum by radial immunodiffusion method. The study was performed in 11 normal healthy men and 20 prostatitis patients and they were compared with each other. Significant elevation of IgA in seminal fluid of patients with prostatitis was obtained.
Diagnosis ; Humans ; Immunodiffusion ; Immunoglobulin A ; Immunoglobulins* ; Male ; Prostatitis*

Bladder stone formation may be associated with intravesical foreign body, but bladder perforation due to intravesical foreign body with stone formation is rare condition and seems to be a first case in this country. The author is presenting a case of bladder perforation due to intravesical foreign body with a large stone formation in 15 years old female patient.
Adolescent ; Female ; Foreign Bodies ; Humans ; Urinary Bladder Calculi ; Urinary Bladder*

Penetrating and blunt abdominal trauma may injure the renal vasculature with to the renal circulation. The natural history of `missed` vascular injuries has been well documented and the emphasis of modern trauma management has been toward early diagnosis surgical management. We present 2 cases of `missed` renal arteriovenous fistula diagnosed by selective renal angiography at 13 years after explosive war injury and 6 months after blunt trauma with brief review of relevant literature.
Angiography ; Arteriovenous Fistula* ; Early Diagnosis ; Natural History ; Renal Circulation ; Vascular System Injuries

PURPOSE: We wanted to assess the efficacy of bipolar transurethral resection of the prostate (TURP) compared with standard monopolar TURP. MATERIALS AND METHODS: All 25 patients with symptomatic benign prostatic hyperplasia (BPH) who underwent TURP from July 2004 to June 2005 were retrospectively reviewed. Thirteen consecutive patients underwent standard monopolar TURP and 12 underwent bipolar TURP using the Gyrus PlasmaKinetic system. RESULTS: The mean weight of resection was 29.7g for the bipolar TURP and 22.5g for the monopolar TURP. The operative time was shorter (82.5 vs 98.1 minutes, respectively), the estimated blood loss was less (252 vs 268cc, respectively) and the mean post-operative hospital stay was shorter (5.3 vs 5.7 days, respectively) in the bipolar TURP group. However, these differences were not statistically significant. The acute complications were significant hyponatremia in one patient and clot retention in one patient after monopolar TURP, but no complications occurred after bipolar TURP. The maximal flow rate increased from 6.4 to 14.7ml/sec in the bipolar TURP group, and it increased from 6.7 to 15.2ml/sec in the monopolar TURP group. CONCLUSIONS: Compared to monopolar TURP, bipolar TURP can be easily and safely used for treating symptomatic BPH with less morbidity.
Bipolar Disorder ; Humans ; Hyponatremia ; Length of Stay ; Operative Time ; Prostate* ; Prostatic Hyperplasia ; Retrospective Studies ; Transurethral Resection of Prostate

Renal cell carcinoma is an uncommon tumor in children and its prognosis is better in children than in adult one. This report describes two cases of renal cell carcinoma our Severance hospital and includes review of literatures. it children that were confirmed pathologically at All of them took place in 9 year old girls and they presented only gross hematuria without palpable mass or flank pain.
Adult ; Carcinoma, Renal Cell* ; Child* ; Female ; Flank Pain ; Hematuria ; Humans ; Prognosis

Twenty-nine premature ejaculation patients entered this study using audiovisual stimulation penogram(AVS-Penogram) to evaluate their dynamic blood flows in the penis. The patients, ages twenty seven through fifty-two(average 34 years), complained of short time-to-coital ejaculation less than 90 seconds. We performed Bulbocavernous Reflex Latency(BCRL) and Pudendal Nerve Somatosensory Evoked Potential (DNSEP) test in nineteen of them. According to the results of audiovisual stimulation penogram the patients were classified into two group: fifteen patients had type I (normal) finding and fourteen patients had type X a(unstable erection due to severe fluctuation in blood flow) Finding. Five patients(33%) of fifteen patients with type I (normal) penogram and eleven patients(78%) of fourteen patients with unstable type II n penogram complained of concomitant erectile failure(p<0.06). The age, time-to-coital ejaculation and the results of expressed prostatic secretion(EPS) were not statistically different between above two groups. Furthermore, all cases in whom BCRL and DNSEP was performed had normal results in both tests. This study indicates that premature ejaculation can occur combined with organic erectile failure seeing that the patients show an unstable hemodynamics, and that in such case premature ejaculation has to be treated with underlying organic causes of impotence.
Ejaculation ; Erectile Dysfunction ; Evoked Potentials, Somatosensory ; Hemodynamics ; Humans ; Male ; Penis ; Premature Ejaculation* ; Pudendal Nerve ; Reflex

PURPOSE: The subjective pain felt by patients during shockwave lithotripsy (SWL) and need of analgesics in patients with urinary stones were investigated. MATERIALS AND METHODS: Between September 2004 and January 2006, one hundred and ninety seven SWLs were undertaken (151 patients) using a SDS 5000 (spark gap type, Comed, Korea). Ninety-five and 102 cases proceeded without premedication (no analgesics group) and diclofenac sodium, 1mg/kg IM, respectively, 30 minutes before lithotripsy (analgesics group). After the procedure, the subjective pain was estimated using a prospective questionnaire, with a 10-point visual analogue scale. RESULTS: The average subjective pain scores were 3.77 and 3.25 in the non analgesics and analgesics groups, respectively. There was no significantly difference between the two groups. However, the pain scores in the analgesics group were significantly lower in females (3.37 vs. 4.71) and cases of first SWL (3.10 vs. 4.09). In the no analgesics group, the pain score was not affected by the laterality, stone size, location of stone and tolerability, but was affected by sex, age and number of SWL attempts. In the analgesics group, the pain score was only affected by age. Seventy eight percent (74/95) and 63% (64/102) of the patients in the no analgesics and analgesics groups agreed that analgesic should not be recommended to other patients. CONCLUSIONS: The subjective pain during SWL was tolerable; therefore, routine analgesics are not required. However, on the initial SWL in young female patient, the application of analgesics is considerable.
Analgesics* ; Diclofenac ; Female ; Humans ; Lithotripsy* ; Premedication ; Prospective Studies ; Questionnaires ; Urinary Calculi

Although prostatic calculi are common, complications are fortunately rare. Here, we report a case of prostatic calculi causing urethral obstruction. A 66-year-old man presented with severe voiding difficulty and urge incontinence. He was found to have multiple large prostatic calculi obstructing the prostatic urethra as well as several bladder calculi. Attempts at endoscopic removal were unsuccessful, which resulted in an iatrogenic urethral diverticulum due to fragmented calculi. The residual calculi and diverticulum were removed successfully by open surgery.
Aged ; Calculi ; Diverticulum ; Humans ; Prostate ; Urethra ; Urethral Obstruction ; Urinary Bladder ; Urinary Bladder Calculi ; Urinary Incontinence, Urge