The isolated rabbit kidney was perfused with the blood collected from the donor rabbits. in order to investigate the substrates taken up by the rabbit kidney as the fuels of energy source. Perfusion pressure was set at 150 mmHg which was within the range of autoregulation. Blood glucose was determined by the Somogyi-Nelson method, and O2 and CO2 contents in renal artery and vein were measured by the VanSlyke mercury manometric technique. Radioactivity of 14CO2 in the blood sample derived from 14C-UL-glucose was measured by use of liquid scintillation counter. Respiratory quotient (R.Q.) of rabbit kidney was calculated from the CO2 production and O2 consumption rate. Relative specific activity (R.S.A.) of CO2 was also calculated from the specific activity of plasma glucose and specific activity of CO2. The results were as follows: 1) Average renal blood flow was 1. 41 ml/min-gm kidney. 2) COs content of renal artery and vein were 13.6 mM/L and 15. 5 mM/L respectively. (AV. difference of CO2... 1.9mM/L) and O. content of renal artery and vein were 13.6 vol% and 8.3 vol%. (Av-difference of O2.., 5. 3vol%) 3) COs production rate (VCO2) was 5l. 6 uL/min-gm kidney and O2 consumption rate(VO2) was 73. 6uL,min.gm kidney. Therefore respiratory quotient of kidney was O. r3. 4) Glucose concentration in the perfused blood was 242mg% and the specific activity of plasma glucose was 4, 439 c.p.m/,mgC of glucose. 5) The specific activity of CO2 was 40c,p.m/mgC of CO2 and the relative specific activity was 0.90%. From the above results, it was concluded that glucose is almost not used as the fuel of energy source in the rabbit kidney as found in human and dog kidneys, and suggested the possibility that fats such as free fatty acids are utilized as predominant energy source.
Animals ; Blood Glucose ; Dogs ; Fats ; Fatty Acids, Nonesterified ; Glucose ; Homeostasis ; Humans ; Kidney* ; Metabolism* ; Perfusion ; Rabbits ; Radioactivity ; Renal Artery ; Renal Circulation ; Scintillation Counting ; Tissue Donors ; Veins

A clinical study was made on 47 cases of undescended testes during 9 years, from March 1973 to February 1982. The results obtained as follows: 1. The age distribution varies from 3 to 35 and 12 cases (26%) were between 21-25 years old. 2. Bilateral undescended testes were found in 8 cases, and in the cases of unilateral, right in 27 cases and left in 12 cases. 3. Of the 57 undescended testes, most popular location was inguinal type in 31 testes. (56.4%). 4. Hormonal therapy was done on 11 cases and among them only 2 cases of unilateral type responded with partial descent. 5. Orchiopexy was performed on 45 cases and orchiectomy on 2 cases. 6. Of the several methods of orchiopexy, dartos pouch method revealed high success rate (91%).
Age Distribution ; Cryptorchidism* ; Male ; Orchiectomy ; Orchiopexy ; Testis

To determine the value of ultrasonography for the diagnosis of testicular rapture due to blunt trauma, we reviewed 69 patients of blunt scrotal trauma, which were evaluated by ultrasound before treatment. Thirty patients were managed conservatively, of which 3 cases were explored lately due to persistent pain or mass, and 39 explored immediately. Of the 30 patients treated conservatively the injury was resolved in 27. Surgical exploration of the 42 cases revealed testicular rupture in 29 and simple hematocele in 13. Analysis of the 29 cases with testicular rupture demonstrated that orchiectomy rates were 20% in early exploration and 53% in delayed exploration. in the 27 cases the testicular rupture was correctly diagnosed by ultrasonography, and there were 4 false-positive and 2 false-negative diagnoses of rupture. The specificity and sensitivity for the diagnosis of testicular rupture are 70% and 93%, and the positive and negative predictive values are 87% and 82%, respectively. Ultrasonography used in conjunction with a thorough physical examination is highly sensitive in identifying testicular rupture, and can provide objective information supporting the need for early surgical exploration in patients with blunt scrotal trauma.
Diagnosis ; Hematocele ; Humans ; Male ; Orchiectomy ; Physical Examination ; Rupture* ; Sensitivity and Specificity ; Ultrasonography*

Fourty gonococcal urethritis patients were treated with Rosoxacin at the Department of Urology, National Police Hospital from December, 1982 to April, 1983. All patients were male and confirmed as acute gonococcal urethritis by Gram stain and culture. A new bactericidal agent, Rosoxacin, was administered orally in a single dose of 300mg in 40 cases of acute gonococcal urethritis and following results were obtained. 1. Gram negative intracellular diplococci were controlled in 30 patients (100%) among 30 patients with pure gonococcal infection with a single oral dose of Rosoxacin. 2. 7 patients (23.3%) of 30 patients with pure gonococcal infection were revealed to nonspecific urethritis, and they were treated with other antibiotics. 3. Gram negative intracellular diplococci were controlled in 10 patients (100%) among 10 mixed infected patients with a single dose of Rosoxacin. 4. 8 patients (80%) of 10 patients with mixed infection were revealed to nonspecific urethritis, and they were treated with other antibiotics. 5. There was no side effect of Rosoxacin in all patients.
Anti-Bacterial Agents ; Coinfection ; Humans ; Male ; Police ; Urethritis* ; Urology

We present a 13 year old female patient with pseudohypoparathyroidism. Characteristic clinical pictures, low blood calcium level and X-ray findings of hands and feet were conformative for the diagnosis. Review of literature and referances on pseudohypoparathyoidism was attempted briefly.
Adolescent ; Calcium ; Diagnosis ; Female ; Foot ; Hand ; Humans ; Pseudohypoparathyroidism*

Complete patent urachus is a congenital anomaly that remains Open by fistulous tract extending from the bladder to umbilicus even after birth and rarely observed in literatures. We have experienced a case of complete patent urachus and reported with review of some literatures.
Parturition ; Umbilicus ; Urachus* ; Urinary Bladder

A Clinical observation was made on 85 cases of hydronephrosis who were admitted to the department of urology in National Police Hospital during 5 years and 4 months from Jan., 1978 to April, 1983. The following results were obtained; 1. The rate of hydronephrosis accounted for 8.6% of the total patients (981 cases) admitted to the urologic department. 2. Age distribution in this series ranged from a 4 years old male to a 69 years old male patient. The most common age group was the 3rd decade (29.4%). The male and female ratio was 2.7:1. 3. The left side was affected 1.4 times more than the right. 9 cases (10.9%) were bilateral. 4. In underlying diseases, the congenital causes were 11 cases (12.9%) and among them congenital ureteropelvic stenosis was the most Common (5 cases). The acquired causes were 74 cases (87.1%) and ureteral stone was the most common acquired cause (39 cases). 5. In the level of the obstruction, the upper tract was 76 cases (89.4%), mid & lower tract were 7 cases (8.2%) and I case was extraurinary tract disease. 6. The most common chief complaints on admission was flank pain (52 cases). 7. In laboratory findings, increased BUN over 20mg% were 8 cases (9.4%) and the increased creatinine over 2.0rag% were 4 cases (4.7%). In urinalysis, pyuria were noticed in 41 cases (48.2%) and among them urine culture were performed to 32 cases. And E. coli were isolated in 12 cases (37.5%). 8. In treatment conservative treatment was done in 18 cases(20%) and surgical treatment was performed in 67 cases (80%). Of the surgical treatment, the most common operation was the ureterolithotomy in 32 cases (37.6%) and nephrectomy was done in 14 cases (16.4%).
Age Distribution ; Aged ; Child, Preschool ; Constriction, Pathologic ; Creatinine ; Female ; Flank Pain ; Humans ; Hydronephrosis* ; Male ; Nephrectomy ; Police ; Pyuria ; Ureter ; Urinalysis ; Urology

A clinical observation was made on 112 cases of chronic prostatitis during the period from January 197S to June l979. The following results were obtained. 1). Age distribution was between 20 and 50 years old, showing the highest incidence in 31 to 35 years (31.3%) and the next in 36-40 years (18.6%). 2) Previous diseases were acute or chronic urethritis on 78 cases (69.6%), epididymitis on 6 cases (5.4%). pulmonary tuberculosis on 2 cases (1.8%), bronchitis on 1 case (0.9%). 3) Subjective symptoms were in order of frequency, dysuria, perineal discomfort and testicular discomfort. 4 cases (12.5) were free of symptoms. 4) On rectal palpation of prostate, 60 cases (53.6%) were firm, 22 cases (l9.6%) indurated, 3 cases (2.7%) nodular and 26 cases (23.2%) soft. 78 cases were normal. 29 cases enlarged and 5 cases small in size. 5) In urine examination, 28 cases (25.9%) showed W.B.C. more than 5/HPF and 20 cases (17.9 %) R.B.C. more than 5/HPF. 79 cases (70.5%) were within normal limit. Prostatic fluid was within normal limit in 38 cases (33.9%) and in 74 cases (66.1%) W.B.C. were more than 10/HPF. 6) In 20 cases performing prostatic fluid culture, staphylococcus epidermis was isolated in 5 cases, E. Coli in 2 cases, streptococcus in l case, staphylococcus aureus in 1 case and Klebsiella in 1 case. Microorganisms were not cultured in 10 cases. 7) The period of treatment was from 2 weeks to 16 weeks.
Age Distribution ; Bronchitis ; Digital Rectal Examination ; Dysuria ; Epidermis ; Epididymitis ; Humans ; Incidence ; Klebsiella ; Male ; Middle Aged ; Prostate ; Prostatitis* ; Staphylococcus ; Staphylococcus aureus ; Streptococcus ; Tuberculosis, Pulmonary ; Urethritis

A clinical observation was made on 51 cases of varicocele of the inpatient in the Department of Urology, National Police Hospital, during the period from January 1979 to April 1982. The results are as follows: 1. Left renal vein-internal spermatic confluence was joined right angle in all case and internal spermatic vein was demonstrated atonic, wide structure without constriction indicating valvular insufficiency in 8 cases. 2. The number of internal spermatic vein was between 1 and 4, showing the highest incidence in 2 vessels (8 cases). 3. The diameter of internal spermatic vein was between 2 mm and 6.5 ram, showing the highest incidence in 3 mm (8 cases). 4. This study showed lesser recurrence rate at the ligation of all Of the internal spermatic veins rather than ligation of the most markedly engorged one.
Constriction ; Humans ; Incidence ; Inpatients ; Ligation ; Police ; Recurrence ; Urology ; Varicocele* ; Veins

34 cases of the scrotal injuries were evaluated from Jan. 1, 1980 to Jun. 30, 1984 in National Police Hospital on the testicular salvage rate in relation with the status of preoperative palpation of testis and early or delayed exploration. The rate of orchiectomy was 0 % (0/ 16) in group A(palpable testis in preoperative physical examination) and 55.5% (10/ 18) in group B(impalpable testis). In group B, the testicular salvage rate was 80% with early exploration and 0 %(0/8) with delayed explorations.
Humans ; Orchiectomy ; Palpation ; Police ; Testis