No abstract available.
Ultrasonography*

We report a case of giant M llerian duct cyst in a 6 month-old-boy with urinary tract infection. A mass displacing the bladder and prostatic urethra anteriorly was found on the voiding cystourethrogram, and it was a oval shaped retrovesical anechoic cyst on the abdominal ultrasonogram. On MRi, it was a tear-drop shaped cyst of isosignal intensity with a projection toward the prostatic urethra and located in the midline of vesicorectal space. Grossly, the cyst had communication with prostatic urethra and both vas deferenses were drained to the cyst. Pathologically it was confirmed as a M~'llerrian duct cyst lined with squamous epithelium.
Epithelium ; Magnetic Resonance Imaging ; Ultrasonography ; Urethra ; Urinary Bladder ; Urinary Tract Infections ; Vas Deferens

No abstract available.
Humans ; Urinary Tract*

No abstract available.

PURPOSE: We compared the clinical manifestations of patients with tsutsugamushi disease between children and adults. METHODS: From January 2003 to December 2012, 768 patients diagnosed with tsutsugamushi disease were retrospectively reviewed, and the clinical characteristics, laboratory findings, and complications were compared between children and adults. RESULTS: No patterns of annual increases in the number of patients were noted in both children and adults. The higher incidences occurred in October and November respectively. By gender, male outnumbered female in children, but the opposite trend was seen in adults. By residential area, the urban distribution of children was higher than that of adults. Rashes (P=0.001) and eschar (P=0.004) were more common in children, while myalgia was more common in adults. Children had a high prevalence of anemia (P=0.041), and low incidence rates of thrombocytopenia, abnormal liver and renal function. Children yielded better results in the duration of their hospital stay and the incidence of complications (P<0.001). A comparison of the therapeutic effects of doxycycline and macrolide antibiotics, which was performed only on the children, did not reveal any significant differences. CONCLUSION: Compared to adults, children had higher incidence rates of male patients and more often suffered from rashes and eschar. Children yielded better results in the laboratory findings and duration of the hospital stay and complications. Therefore, when children are suspected to have tsutsugamushi disease, especially during its peak occurrence period, detailed physical examination and serological test should be performed to ensure a prompt diagnosis, and the use of macrolide antibiotics, which have fewer side effects, is expected to yield the same therapeutic effects.
Adult* ; Anemia ; Anti-Bacterial Agents ; Child* ; Diagnosis ; Doxycycline ; Exanthema ; Female ; Humans ; Incidence ; Length of Stay ; Liver ; Male ; Myalgia ; Physical Examination ; Prevalence ; Retrospective Studies ; Scrub Typhus* ; Serologic Tests ; Thrombocytopenia

The lower ureter is not so frequent site of the urinary tract obstruction. In lower ureteral obstruction, the obstruction should be relieved by any method for maintaining renal parenchyme. A clinical studies were made on the 24 ureters of the lower ureteral obstruction. This studies were mainly focused on the method of management by internal stent indwelling. The following results were obtained. 1. In etiology, acquired lower ureteral strictures were most common ; tuberculosis in 10 ureters, radiation in 6 ureters, pelvic lymphadenopathy in 4 ureters, and iatrogenic stricture in 3 ureters. Congenital UVJ stricture was only one ureter. 2. In the method of management, open surgeries were done in 10 ureters and endourologic methods in 14 ureters. 3. In 5 failures of the first management, open surgeries were done in 3 ureters and endourologic methods in 2ureters. The tuberculosis was the most of their etiology. 4. Complications in internal stent indwelled cases were flank pain, severe vesical irritation, migration into the bladder and the obstruction of the lumen of stent.
Constriction, Pathologic ; Flank Pain ; Lymphatic Diseases ; Stents* ; Tuberculosis ; Ureter* ; Ureteral Obstruction* ; Urinary Bladder ; Urinary Tract

PURPOSE: Pelvic floor muscles play an important role in female sexual function. Urinary incontinence is one of the complex symptoms of pelvic floor relaxation. The purpose of the present study was to evaluate the effects of behavioral treatment on the sexual life variables and quality of life in stress urinary incontinent women. MATERIALS AND METHODS: Fifty women with clinically and urodynamically proven stress urinary incontinence were randomly selected, and treated with functional electrical stimulation (FES) -Biofeedback. The FES-Biofeedback treatment was performed for 20 min per session, 2 sessions a week, for 6 weeks. The treatment consisted of electrical stimulation (35Hz and 50Hz, simultaneously) for 24 seconds, and the biofeedback, composed of 3 phases of contraction, lasted for 32 seconds. The outcome measures on the sexual life variables and quality of life scales were assessed by the Bristol Female Lower Urinary Tract Symptoms questionnaire and a self-developed questionnaire, based on the Brief index of sexual Functioning for women (BISF-W). RESULTS: The general quality of life scores were significantly improved after 6 weeks of FES-Biofeedback (p<0.05). The quality of orgasms, sexual interest, sexual activity and sexual anxiety were significantly improved after the FES-Biofeedback (p<0.05). Changes in the scores for the degree of satisfaction in those variables also showed statistical significance (p<0.05). CONCLUSIONS: Women with incontinence were dissatisfied with their sexual life due to various symptoms associated with their urinary symptoms or symptoms that result from pelvic floor relaxation. The FES-Biofeedback therapy showed positive effects on improving, not only stress incontinence, but also sexual life variables and the life quality.
Anxiety ; Biofeedback, Psychology* ; Electric Stimulation ; Female* ; Humans ; Lower Urinary Tract Symptoms ; Muscles ; Orgasm ; Outcome Assessment (Health Care) ; Pelvic Floor ; Quality of Life* ; Surveys and Questionnaires ; Relaxation ; Sexual Behavior* ; Sexuality ; Urinary Incontinence* ; Urinary Incontinence, Stress ; Weights and Measures

Recently prostatic carcinoma has been considered as an important disease in urologic field, because its occurrence rate is increasing year by year. A clinical study was made on the 30 patients of prostatic carcinoma. The results were as follows: 1. The incidence was 11.4% of all male patients who had G-U tract tumors. The patients age ranged from 52 to 87 years (mean age 69.9 years). 2. The major symptoms were prostatism (70.0%), acute retention, hematuria and pain. 3. On the transrectal palpation of prostate, 23 patients (76.7%) had hard nodules. 4. The clinical stage were stage A 3,B 4, C 1 and : D22; and the grade I 4, II 16 and III 18, respectively. 5. Among 15 patients of bone metastasis, 6 patients (40.0%) had no pain, 6 patients (40.0%) had normal acid phosphatase level and 5 patients (33.3%) had normal alkaline phosphatase level. No one had bone pain, elevated acid or alkaline phosphatase level in 5 patients who had no bone metastatic lesion. 6. The site of metastasis in stage D patients (22 cases) was bone 14, lymph node 9, lung 2 and testicle 1 case. 7. For the relief of infravesical obstruction (17 cases), open prostatectomy, TURP and suprapubic cystostomy were performed in 3, 8 and 6 cases, respectively. For the treatment of stage D patients (22 cases), orchiectomy only, DES, DES +orchiectomy and irradiation were performed in 1, 5, 15 and 5 cases, respectively. 8. Among the 18 patients who could be followed, 11 patients had survived more than 3 years. Four patients were proved to be dead. The causes of death were metastasis, myocardiac infarction and common bile duct cancer.
Acid Phosphatase ; Alkaline Phosphatase ; Cause of Death ; Common Bile Duct ; Cystostomy ; Hematuria ; Humans ; Incidence ; Infarction ; Lung ; Lymph Nodes ; Male ; Neoplasm Metastasis ; Orchiectomy ; Palpation ; Prostate ; Prostatectomy ; Prostatism ; Testis ; Transurethral Resection of Prostate

Clinical and pathologic observation of testicular tumors were made on 28 cases who were admitted to the Department of Urology, Yonsei University Hospital, during the period from January, 1972 to December, 1981. The results are summarized as follows: 1. Among the 3500 cases of male inpatients, 422 (12.1%) were G-U tract turnors and 28 (0.8%) were testicular tumors. 2. Age distribution was between 4 months and 79 years old, showing the highest incidence under 5 old age group (39.3%). 3. There were 18 cases (64.3%) on the right, 8 cases (28.6%) on the left and 2 cases (7.1%) were bilateral. 4. Thirteen cases (46.4%) visited the hospital within 6 months after the onset of the symptoms and 20 cases(71.4%) within 1 year. 5. The presenting symptoms were painless scrotal mass (60.7%), painful scrotal mass (17.8%) abdominal mass(21.4%). 6. Six cases (21.4%) arose from undescended testis and all were seminoma. 7. Eleven cases (39.3%) had already metastasis when first seen. 8. There were 11 cases of seminoma (39.3%), 9 cases of embryonal cell carcinoma (32.1%), 1 cases of rhabdomyosarcoma (3.5%), 6 cases of benign teratoma (21.4%) and 1 case of lymphoma (3.5%).
Age Distribution ; Aged ; Cryptorchidism ; Humans ; Incidence ; Inpatients ; Lymphoma ; Male ; Neoplasm Metastasis ; Rhabdomyosarcoma ; Seminoma ; Teratoma ; Testicular Neoplasms ; Urology

Excretory urography is the procedure most commonly used to evaluate the upper urinary tract in urologic patients. The excretory urogram provides an excellent evaluation of anatomic changes in the kidney, but is a poor indicator of renal function. Renal gamma camera using radionuclide is a simple and non-invasive method for evaluation of renal function in renal disease. The excretory urogram and renal gamma camera were discussed comparing to 43 cases of severe abnormal anatomic changes in excretory urogram and 4 cases of contraindication of excretory urogram. The results obtained were as follows. 1. Non-visualization in excretory urogram were 19 cases and 6 cases were maintained renal function. Renal gamma camera was superior to excretory urogram in evaluating renal function. 2. 20 cases were hydronephrotic kidney and 14 (70%) cases were maintained good function in renal gamma camera. 3. Renal gamma camera provided better information about total and differential renal function than excretory urogram and creatinine clearance in bilateral renal disease. 4. Renal gamma camera was a safe and non-invasive method in the evaluation of the upper urinary tract, when excretory urogram was contraindicated.
Creatinine ; Gamma Cameras* ; Humans ; Kidney ; Urinary Tract ; Urography