Journal Detail Information

1

Cite

Share

Bilateral Diverticula with Recurrent Urinary Tract Infection.

Hyun Chul KIM ; Jin Wook KIM ; Kang Soo SHIM ; Du Geon MOON ; Je Jong KIM

Korean Journal of Urology.2005;46(1):103-104.

Most bladder diverticula are associated with a neurogenic bladder or obstructive condition, but a congenital diverticulum is believed to be a congenital failure of normal muscular development. Often solitary and large congenital bladder diverticulum leads to various complications, including recurrent urinary tract infection, vesicoureteral reflux, stone formation, and incontinence. A diverticulectomy, with ureteral reimplantation, is recommended in Hutch's diverticula, as they are usually accompanied with reflux that does not spontaneously subside. We experienced a case of bilateral Hutch's diverticula, without vesicoureteral reflux, in a 15-month-old boy. This patient was successfully treated using only a bilateral diverticulectomy.
Diverticulum* ; Humans ; Infant ; Male ; Muscle Development ; Replantation ; Ureter ; Urinary Bladder ; Urinary Bladder, Neurogenic ; Urinary Tract Infections* ; Urinary Tract* ; Vesico-Ureteral Reflux

2

Cite

Share

Primary Actinomycosis of the Urinary Bladder Associated with Intrauterine Contraceptive Device.

Min Ho CHA ; Ji Hun KANG ; Kyung Sik SEO ; Yong Yeon WON ; Dae Sung CHO ; Hee Jae JOO ; Se Joong KIM

Korean Journal of Urology.2005;46(1):100-102.

Actinomycosis is a chronic suppurative infectious disease usually caused by the anaerobic bacterium Actinomyces israelii. Pelvic actinomycosis is rare, and usually associated with the use of intrauterine contraceptive devices. Primary vesical actinomycosis is extremely rare. Herein, a case of a 42-year-old woman, who presented with bladder irritative symptoms and had a 13 year history of intrauterine device insertion, is reported. With the presumptive diagnosis of bladder tumor or abscess, partial cystectomy was performed. Pathological examination revealed a primary vesical actinomycosis.
Abscess ; Actinomyces ; Actinomycosis* ; Adult ; Communicable Diseases ; Cystectomy ; Diagnosis ; Female ; Humans ; Intrauterine Devices* ; Urinary Bladder Neoplasms ; Urinary Bladder*

3

Cite

Share

A Prostate Carcinoma Metastasized to Bilateral Breasts.

Hyuk Jin CHO ; Eun Sock LEE ; Jae Shin PARK ; Jong Yup BAE ; Sung Hwan PARK

Korean Journal of Urology.2005;46(1):96-99.

Antiandrogens are generally used for the treatment of prostate cancer, with gynecomastia the most common adverse event seen during therapy. However, a breast mass in a man with a carcinoma of the prostate may represent a metastatic disease or, less often, a primary carcinoma of the breast. Clinically diagnosed metastatic prostate cancer to the breast is a rare event. Breast metastasis represents an end-stage manifestation of the cancer, with an extremely poor prognosis. Herein, the case of a 62-year-old man, who presented with bilateral breast masses 7 months after antiandrogen therapy for the treatment of prostate cancer, is reported. An excisional biopsy of the breast mass revealed a metastatic prostatic adenocarcinoma.
Adenocarcinoma ; Androgen Antagonists ; Biopsy ; Breast* ; Gynecomastia ; Humans ; Male ; Middle Aged ; Neoplasm Metastasis ; Prognosis ; Prostate* ; Prostatic Neoplasms

4

Cite

Share

Cystic Renal Cell Carcinoma Associated with Von Hippel-Lindau Disease Treated by Nephron Sparing Surgery.

Jung Hyun KIM ; Sang Hyun CHEON ; Chang Soo OH ; Young Min KIM ; Ro Jung PARK

Korean Journal of Urology.2005;46(1):93-95.

Von Hippel-Lindau disease (VHL) is a rare, autosomal dominantly transmitted familial, hereditary disease. This disease genetically predisposes affected people to the development of some types of tumor, such as cerebellar, spinal and medullary hemangioblastomas, and retinal angiomas, renal cell carcinomas and pheochromocytomas. Herein, a case of a cystic renal cell carcinoma, accompanied by Von Hippel-Lindau disease, treated by nephron sparing surgery, is reported. The VHL gene mutation of this case was also identified.
Carcinoma, Renal Cell* ; Genetic Diseases, Inborn ; Hemangioblastoma ; Hemangioma ; Nephrons* ; Pheochromocytoma ; Retinaldehyde ; von Hippel-Lindau Disease*

5

Cite

Share

Cystic Lymphangioma of the Kidney.

Kyung Seok HAN ; Kang Su CHO ; Young Jae IM ; Sung Joon HONG

Korean Journal of Urology.2005;46(1):89-92.

A lymphangioma is a benign tumor and predisposed to the neck and the axillary region. A lymphangioma of the kidney is a very rare and seen as multilocular cysts in imaging studies, and are difficult to differentiate from other malignant cystic diseases. A 53 year-old man was referred for known right renal cysts. Abdominal ultrasonography and computed tomography showed a 4.0x3.6cm multiloculated cystic mass in the right upper pole of the kidney and 2.3cm sized simple cyst in the ipsilateral mid pole. Malignant cystic diseases could not be excluded from the radiological studies. He underwent a radical nephrectomy. Gross examinations revealed a multilocular cyst protruding from the renal parenchyme. The multilocular cyst was located in the upper pole of the kidney, with another simple cyst in the mid pole. Microscopic examinations showed that attenuated flat to cuboidal cells paved the multilocular cyst, but no nephron was seen in the cystic wall. A distinct thick fibromuscular bundle represented a large lymphatic channel. These findings were compatible with a lymphangioma.
Humans ; Kidney* ; Lymphangioma ; Lymphangioma, Cystic* ; Middle Aged ; Neck ; Nephrectomy ; Nephrons ; Ultrasonography

6

Cite

Share

Retroperitoneal Lymphangioma Following Pyeloplasty in Child.

Dong Il KANG ; Se Jung JANG ; Jang Ho YOON ; Kyoung Soo HONG ; Soo Jin JUNG ; Yong Woo KIM ; Sung Hyup CHOI

Korean Journal of Urology.2005;46(1):86-88.

A lymphangioma is a rare benign congenital tumor of the lymphatic system, resulting from the failure of lymphatic drainage into the venous system, which is due to atresia or the insufficiency of an efferent lymphatic channel. A lymphangioma usually occurs in the neck or axillary region. A retroperitoneal lymphangioma is very rare. Herein, a case of a retroperitoneal lymphangioma incidentally found four months after performing pyeloplasty on a child, is reported.
Child* ; Drainage ; Humans ; Lymphangioma* ; Lymphatic System ; Neck ; Retroperitoneal Space

7

Cite

Share

alpha-Adrenoceptor Antagonistic Effect of Palmatine on the Prostatic Urethral Pressure of the Rabbit.

Jeong Yun JEONG ; Jeong Yoon KANG ; Sung Joon KIM ; Eun Kyung HONG ; Seung June OH ; Kwang Myung KIM

Korean Journal of Urology.2005;46(1):80-85.

PURPOSE: Palmatine is an isoquinoline alkaloid, with multiple pharmacological actions, including anti-inflammatory activity. The aim of this study was to examine the effect of palmatine on the prostatic urethral pressure in anesthetized rabbit. MATERIALS AND METHODS: 10-week-old male New Zealand White rabbits (3.0-3.5kg) were used in the experiment. After anesthetized with urethane (800mg/kg i.v.), a midline incision was made, and the urinary bladder completely drained. To prevent filling of the bladder, polyethylene tubes were inserted into the bilateral ureters. Using a 3-F MIKRO-TIP catheter transducer positioned in the prostatic urethra, urethral pressure was recorded continuously. To record the blood pressure, the left femoral artery was cannulated with an angiocatheter. After a stabilizing period, phenylephrine (1mug/kg) was intravenously administered two or three times. When the increase in the urethral pressure became stable, palmatine was administered intravenously (0.5-3.0mg/kg), followed by phenylephrine, with no time interval. RESULTS: In the anesthetized rabbits, an intravenous bolus injection of palmatine (0.5-3.0mg/kg) caused no significant change in the resting prostatic urethral pressure (p>0.05), but decreased the blood pressure (p<0.05). After administration of phenylephrine, the urethral pressure increased from 7.5 0.8 mmHg to 26.5 2.6 mmHg, with the difference in the pressure (19.0 3.1 mmHg) being statistically significant (p<0.01). The intravenously administered palmatine (0.5-3.0mg/kg) dose-dependently inhibited the phenylephrine-induced increases in the prostatic urethral pressure and mean blood pressure. The maximal inhibition was obtained when a palmatine dose of 3.0mg/kg was administered, at which point, the decrease in the urethral pressure was 73.1% (p<0.01). CONCLUSIONS: These results indicate that palmatine inhibits the phenylephrine-induced increases in the prostatic urethral pressure and blood pressure in the anesthetized rabbits.
Blood Pressure ; Catheters ; Femoral Artery ; Humans ; Male ; Phenylephrine ; Polyethylene ; Rabbits ; Receptors, Adrenergic, alpha ; Transducers ; Ureter ; Urethane ; Urethra ; Urinary Bladder

8

Cite

Share

Effect of Sclerotherapy after Percutaneous Aspiration of the Simple Renal Cyst.

Bo Young JEONG ; Jae Il KIM ; Seok San PARK

Korean Journal of Urology.2005;46(1):74-79.

PURPOSE: Recently, percutaneous aspiration with sclerotherapy has become widely used as a treatment of the symptomatic, large, and simple renal cysts, due to its minimal invasiveness and high effectiveness. However, the reported recurrence rates of simple aspiration are high, in the range 30 to 70%. Therefore, the effect of percutaneous aspiration with sclerotherapy of simple renal cysts was analyzed. MATERIALS AND METHODS: The results of the treatment in 35 simple renal cysts, between June 1994 and July 2003, were evaluated. The symptoms associated with simple renal cysts were; none (40%), flank pain (31.4%), indigestion (17.1%), hematuria (8.6%) and a palpable mass (2.9%). The simple renal cysts were treated with percutaneous aspiration in only 7 cases (group I), single percutaneous aspiration with sclerotherapy, using 99% ethanol, in 18 (group II) and a repeated percutaneous aspiration with sclerotherapy, using 99% ethanol, in 10 (group III). All patient were followed up by ultrasound or CT scan for 12 to 80 months (mean 28.1 months). RESULTS: Complete and partial collapses and recurrences of the renal cysts occurred in 1 (14.2%), 3 (42.9%) and 3 (42.9%) in group I, 7 (39%), 10 (55.5%) and 1 (5.5%) in group II, and 6 (60%), 3 (30%) and 1 (10%) in group III. The overall efficacies were 92% in all 3 groups. Furthermore, all recurrences occurred within the first year of the follow up period in all groups. CONCLUSIONS: For a simple renal cyst, percutaneous aspiration with sclerotherapy, using 99% ethanol, either singly or repeatedly, appears to be effective in the prevention of re-accumulation of cystic fluid; it also proved to have a positive long term result in terms of a relapse of a simple renal cyst.
Dyspepsia ; Ethanol ; Flank Pain ; Follow-Up Studies ; Hematuria ; Humans ; Recurrence ; Sclerotherapy* ; Tomography, X-Ray Computed ; Ultrasonography

9

Cite

Share

A Study of Antimicrobial Sensitivity to the Causative Organism of Urinary Tract Infection.

Ho Jun SONG ; Sung Jin KIM

Korean Journal of Urology.2005;46(1):68-73.

PURPOSE: The antibiotic sensitivities to the causative microorganisms of urinary tract infection (UTI) during 2003 were studied in order to propose a better choice of adequate drugs for the treatment of UTI. MATERIALS AND METHODS: 1,527 uropathogens and their antimicrobial sensitivities, in 889 patients admitted to or visiting our hospital during 2003, which revealed isolated causative organisms in the urine cultures, were analyzed. RESULTS: The incidence of UTI was highest in the 7th decade. The Most common pathogenic organism was E. coli (46.4%), followed by Enterococcus (18.8%), Pseudomonas (7.1%), Klebsiella (5.7%) and Staphylococcus (4.5%). The antimicrobial sensitivities for gram-negative organisms, imipenem, aminoglycoside, ciprofloxacin showed relatively higher sensitivities than for TMP/SMX and ampicillin. In gram-positive organisms, vancomycin and aminoglycoside showed higher sensitivities than any of the other antimicrobial agents. Most of the antimicrobial agents had better sensitive rates in the outpatients. CONCLUSIONS: E. coli was the most common single organism causing UTI, and showed more resistance to the first recommended drugs, TMP/SMX and ampicillin. Our results imply that recommended the drugs for UTI should be aminoglycoside and ciprofloxacin for inpatients and outpatients, respectively. Aminoglycoside can be used as an alternative to these drugs as a primary empirical antimicrobial agents for UTI.
Ampicillin ; Anti-Bacterial Agents ; Anti-Infective Agents ; Ciprofloxacin ; Enterococcus ; Humans ; Imipenem ; Incidence ; Inpatients ; Klebsiella ; Outpatients ; Pseudomonas ; Staphylococcus ; Urinary Tract Infections* ; Urinary Tract* ; Vancomycin

10

Cite

Share

Prevention of Relapse with the Cranberry Juice in Chronic Pelvic Pain Syndrome.

Sung Jae PARK ; Ha Na YOON ; Bong Suk SHIM

Korean Journal of Urology.2005;46(1):63-67.

PURPOSE: The treatment of chronic pelvic pain syndrome (CPPS) is based on antibiotic therapy, but many patients experience a relapse after treatment. Cranberry juice is known for its roles in both the treatment and prevention of urinary tract infections. This study was performed to evaluate the effectiveness of cranberry juice in the prevention of a relapse after the treatment of CPPS. MATERIALS AND METHODS: Fifty patients, diagnosed as CPPS (National Institutes of Health; NIH-catagory IIIa), were included in this study. All the patients had initially been treated with levofloxacin and supportive treatment for 8-12 weeks. After completion of the initial treatment, 26 volunteer patients were recommended to drink 150ml of cranberry juice twice a day, 24 patients, as a control group, received no cranberry juice and all the patients re-evaluated after 3 months. RESULTS: On initial diagnosis, the white blood cell (WBC) count in the high power field (HFP) of expressed prostatic secretions (EPS) and the NIH-Chronic Prostatitis Symptom Index (NIH-CPSI) in cranberry group were 18.2 3.4 and 23.1 4.4 and those of the control group 16.4 4.8 and 22.4 3.7, respectively. When the medical treatment was ended, the WBC of the EPS and NIH-CPSI in the cranberry group were 2.5 2.1 and 14.1 4.1, and those of the control group were 2.7 1.9 and 13.7 2.1, respectively. After the three month follow-up, the cranberry group showed a WBC of 2.2 2.5 in the EPS and a NIH-CPSI of 12.7 3.9, a slight decrease or similar result compared to the treatment completion period. No patient showed aggravation of symptoms after drinking cranberry juice, whereas five from the control group did. CONCLUSIONS: Cranberry juice showed an effect in the prevention of a relapse in CPPS patients, with no adverse effects.
Academies and Institutes ; Diagnosis ; Drinking ; Follow-Up Studies ; Humans ; Leukocytes ; Levofloxacin ; Pelvic Pain* ; Prostatitis ; Recurrence* ; Urinary Tract Infections ; Vaccinium macrocarpon* ; Volunteers

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share