Journal Detail Information

1

Cite

Share

Ji YOO ; Je Jong KIM ; Jae Heung CHO ; Seung Yeon HA ; Yang Seok CHAE

Korean Journal of Urology.1991;32(6):1033-1039.

Leiomyosarcoma of the penis is an extremely rare disease. We have encountered a case of leiomyosarcoma of the penis in a 45 year old man. On staging work up. local invasion to corpus cavernosum. but no evidence of lymph node metastasis was evident. After the confirmation of leiomyosarcoma by excisional biopsy, the patient underwent partial penectemy. Herein we report this case with the review of literatures.
Biopsy ; Humans ; Leiomyosarcoma* ; Lymph Nodes ; Male ; Middle Aged ; Neoplasm Metastasis ; Penis* ; Rare Diseases

2

Cite

Share

A case of vesico-enteric fistula cured with foley catheter indwelling.

Young Keun LEE ; Il Sung LIM ; Sung Joo HONG ; Min Sung LEE

Korean Journal of Urology.1991;32(6):1028-1032.

Vesico-enteric fistulas may develop between the bowel and urinary tract due to inflammatory disease of the bowel, neoplasm of either bowel or urinary tract and occasionally trauma. The fistula rarely, if ever, closes spontaneously. We experienced a case of vesico-enteric fistula developed in a 11 years old girl who had myelomeningocele accompanied with neurogenic bladder. Operation was delayed due to her poor hepatic function and urethral Foley catheter was indwelled for 4 weeks. Thereafter follow-up voiding cystogram showed no fistula and barium study of colon revealed nonspecific finding.
Barium ; Catheters* ; Child ; Colon ; Female ; Fistula* ; Follow-Up Studies ; Humans ; Meningomyelocele ; Urinary Bladder, Neurogenic ; Urinary Tract

3

Cite

Share

Bilateral nonfunctioning adrenocortical carcinoma: a case report.

Weon Youl CHO ; Nam Cheol PARK

Korean Journal of Urology.1991;32(6):1024-1027.

Bilateral nonfunctioning-carcinoma of adrenal cortex is extremely rare and its prognosis is poor. We report a 43-year-old man hospitalized with complaints of both flank pain and generalized weakness. There were no endocrinoloeical abnormalities except for a slightly increase in serum norepinephrine. Ultrasonoeraphy. computerized tomography and MRI revealed bilateral huge adrenal masses with no metastasis evidence. Under the impression of bilateral nonfunctioning adrenocortical carcinoma. inevitable partial resection of right adrenal mass. adjuvant chemotherapy (o. p'-DDD) end radiotherapy were performed.
Adrenal Cortex ; Adrenocortical Carcinoma* ; Adult ; Chemotherapy, Adjuvant ; Flank Pain ; Humans ; Magnetic Resonance Imaging ; Neoplasm Metastasis ; Norepinephrine ; Prognosis ; Radiotherapy

4

Cite

Share

Computerization of urologic records: for users of macintosh type personal computer.

Byung Ha CHUNG ; Ky Hyun CHUNG

Korean Journal of Urology.1991;32(6):1018-1023.

The application of personal computer (PC) to manage urologic patient data is now popular in many institutes. many users were accustomed to the IBM PC and familiar with the dBASE program in managing urologic records. But in recent days, the number of Macintosh PC users are increasing because it is easy to learn and perform Macintosh which provides the excellent output under the given input data. We developed the patient management system with Excel program in Macintosh PC focusing on minimizing the effort to input the data and maximizing the output. The data fields consist of eight fields. They are chart number. name. sex. date of admission data of discharge. diagnosis and international classification of diseases. There is no need of typing the international classification of diseases because it is automatically registered by previous coding with diagnosis. We think that the application of international classification of diseases is essential to minimize the input errors. The output of data include sex ratio and variable statistics. which ere provided with graphic mode. Another output is the extract of data under the variable criteria. which are provided with worksheet mode.
Academies and Institutes ; Clinical Coding ; Diagnosis ; Humans ; International Classification of Diseases ; Microcomputers* ; Sex Ratio

5

Cite

Share

Indwelling of an intraprostatic stent(prostakath/TM and nissenkorn catheter): possibilities as a definitive management for benign prostatic hyperplasia.

Moon Kee CHUNG ; Sang Bo SHIM ; Jong Byung YOON

Korean Journal of Urology.1991;32(6):1011-1017.

Two kinds or intraprostatic stent (Prostakath and Nissenkorn catheter) were inserted under local anesthesia in 17 patients for 20 times who had benign prostatic hyperplasia. Within 1 month after insertion of the stents. the results are good in 10 of 17 patients. fair in 4 and poor in 3 from the view points of improvements in urine flow and voiding symptoms. Of 9 patients in whom the stents have been inserted longer than 6 months. 4 are good. 2 are fair and 3 are poor in the results of long term insertion. It seems that this method is applicable as s definitive method for benign prostatic hyperplasia if there is a few progressions in the location where this stent is inserted. in the quality or stent material and in the easy way to change the stent.
Anesthesia, Local ; Humans ; Prostatic Hyperplasia* ; Stents

6

Cite

Share

Indiana continent ileocecal reservoir: early followup of 10 cases.

Yoon Chul KEE ; Moon Soo YOON

Korean Journal of Urology.1991;32(6):1003-1010.

From May 1990 to July 1991. 11 bladder tumor patients were treated with Indiana continent ileocecal reservoir after radical cystectomy with pelvic lymphadnectomy and l0 were followed up. The average operation time for making pouch was 5 hours 22 minutes. The reservoir was created with reconfiguration of disrupted cecum and ileal patch and its average maximal capacity was 527. 8cc. The average interval of catheterization was 5 hours 36 minutes and the average catheterized urine volume was 357cc. The average intrareservoiral maximal pressure was 29.4cmH2O and the average intraluminal maximal pressure of plicated terminal ileal segment along with ilececal valve was 48cmH2O. All of 10 patients(100%) had successful daytime continence and 5 were able to sleep all night without catheteritation. Tunneled ureteral implantations along the tenia of the cecum were revealed no reflux on reservoirogram. The complications were 2 cases of temporary urine leakage From stoma site. 1 wound infection and 1 stomal bleeding. From the above results, although duration of followup is short, we can anticipate a superb outcome after experience further cases with this procedure, since successful continence and antireflux are achieved at this time.
Catheterization ; Catheters ; Cecum ; Cystectomy ; Follow-Up Studies* ; Hemorrhage ; Humans ; Indiana* ; Ureter ; Urinary Bladder Neoplasms ; Wound Infection

7

Cite

Share

A study on the occurrence of circulating antisperm antibodies in patients with testicular rupture.

Hyun Moo LEE ; Jae Yup HONG

Korean Journal of Urology.1991;32(6):998-1002.

Immunologic factors including antisperm antibodies play a significant role in pathogenesis of 10-20% of unexplained infertility cases. and any event or circumstance that would breach the blood-testis barrier may result in the formation of antisperm antibodies. Using an immunobead test we studied the occurrence of circulating antisperm antibodies in twelve patients who had undergone surgical treatment for testicular rupture due to blunt scrotal trauma. On the follow-up ranging from 6 to 14 months after surgical treatment only one patient was found to have circulating antisperm antibodies but his semen remained normal in spite of the presence of circulating antisperm antibodies.
Antibodies* ; Blood-Testis Barrier ; Follow-Up Studies ; Humans ; Immunologic Factors ; Infertility ; Rupture* ; Semen

8

Cite

Share

A comparison of radioisotope erection penogram, penile angle and nocturnal penile tumescence test.

Kap Byung KIM ; Jong Geun CHOI ; Moon Hwan CHO ; Hyun Yul RHEW

Korean Journal of Urology.1991;32(6):991-997.

Intracavernous papaverine injection may be the first step in the assessment of the impotent patient Since measurement of the rigidity requires a sophisticated procedures that may not be available to the majority of the practitioners, we attempted to find an objective method to evaluate the results or this common test. We tested 44 patients complaining of impotence and 2 normal potent men with intracavernous injection of 30mg. papaverine and measured the angle between the penis and the legs with the patient in the standing position and obtained radioisotope erection penogram. Various penogram indexes were calculated from the time activity curve and their usefulness was evaluated and was compared with the findings of nocturnal penile tumescence. The papaverine test can distinguish between the vasculogenic and psychogenic impotent patients. Measurement of the erectile angle after intracavernous injection of papaverine is a simple, objective and reliable method to evaluate patients with vascular impotence. The penogram indexes were significantly correlated with the penile arterial inflow and venous outflow during erection. but not significantly correlated with nocturnal penile tumescence test.
Erectile Dysfunction ; Humans ; Leg ; Male ; Papaverine ; Penile Erection* ; Penis

9

Cite

Share

Diabetic neurogenic bladder.

Jin Soo CHUNG ; Chong Koo LEE ; Hyeon Hoe KIM ; Eun Sik LEE ; Chongwook LEE

Korean Journal of Urology.1991;32(6):986-990.

During the last ten years, 7.384 patients with diabetes mellitus were managed at Seoul National University Hospital. Among them 1,026 patients (13.9%) were diagnosed as diabetic neuropathy and 84 (1.1%) as diabetic neurogenic bladder with severe voiding dysfunction. We analyzed clinical informations. laboratory and radiologic findings. results of urodynamic study and treatment modalities and outcomes. Thirty one patients were eligible, including 13 men and 18 women. The mean duration of diabetes was 9.4 years before severe voiding dysfunctions developed. Significant amount of residual urine was detected in all patients ranging from 300cc to 1,900 cc. Urodynamic study was done in 16 patients, all showed flaccid neurogenic pattern with increased bladder capacity over 500cc. Bacteriuria was found in 24 patients (77.4%), including 8 mixed infections. Hydronephrosis was identified in 7 out of 11 radiologically evaluated patients. Other diabetic chronic complications were found in most of the patients. diabetic retinopathy in 24 (77.4%). nephropathy in 13 (41.9%). and peripheral neumpathy in 24 (77.4%). They were managed successfully with timed voiding and double voiding in 2 patients, and urecholine medication with or without phenoxybenzamine in 6. and intermittent catheterization in l8. Education of the patients and high suspicion and full recognition of medical persons about diabetic neurogenic bladder is necessary for decrement of the development of diabetic neurogenic bladder, for early detection and prevention of severe complication such as renal and bladder impairment.
Bacteriuria ; Bethanechol Compounds ; Catheterization ; Catheters ; Coinfection ; Diabetes Mellitus ; Diabetic Neuropathies ; Diabetic Retinopathy ; Education ; Female ; Humans ; Hydronephrosis ; Male ; Phenoxybenzamine ; Seoul ; Urinary Bladder ; Urinary Bladder, Neurogenic* ; Urodynamics

10

Cite

Share

Ureteral prefusion in normal and chronically obstructed feline models.

Jian Xiang LIU ; Young Chol PARK ; Sang Yol MAH ; Diane SMITH ; Sherry WOODARD ; Edward MCGUIRE ; Alan WEIN ; Robert LEVIN ; Larry MILLER ; Ahmad ELBADAWI

Korean Journal of Urology.1991;32(6):980-985.

No abstract available.
Ureter*

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share