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Korean Journal of Urology.1971;12(2):217-220.

A statistical survey was made on 392 in-patients during the period of January, 1968 to January, 1971, in the Department of Urology, Taegu Military Hospital, in reference to age distribution and operative procedures. The tables (1-12) in the text represent the result of the statistical survey and are summarized as follows: The majority of the patients(88. 3%) were distributed between the ages 20 and 29. Of 392 in-patients, there were each 86 cases(21. 9%) of genito-urinary tuberculosis and injuries, 53 cases(10. 3%) of urinary calculi and 32 cases (8.2%) of nonspecific epididymitis. There were 201 operative procedures including 41 nephrectomy, 34 epididymectomy and 23 ureterolithotomy.
Age Distribution ; Daegu ; Epididymitis ; Hospitals, Military ; Male ; Nephrectomy ; Surgical Procedures, Operative ; Tuberculosis ; Urinary Calculi ; Urology

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Statistical Observation on 30 Hypospadias.

Young Taik HAN

Korean Journal of Urology.1971;12(2):207-216.

A statistical observation was made on 30 hypospadias of the in-patients in the Department of Urology, Seoul National University Hospital during the period Jan. 1961 through July, 1970 and the following results were obtained. 1) Of 30 hypospadias, 12 cases or 40.0% were admitted at the ages of 7 or below, 10 cases or 33. 3% at the ages between 8 and 16 and 8 cases or 26.7% at the ages of 16 years or more. 2) Of 30 hypospadias, 19 cases or 63.3% were peno-scrotal, 8 cases or 26.7% penile and 3 cases or 10.0% were perineal in type. 3) Cryptorchism was the most common among the associated anomalies and it occupied 50% of 18 associated anomalies. 4) Compared to success rate, suprapubic cystostomy(8 cases) was 75% and perineal urethroplasty (8 cases) was 37. 5%. 5) Of 16 urethroplasties, 8 cases or 57% were succeeded by Denis-Browne method and one case or 50% was succeeded by Cecil's method.
Cryptorchidism ; Female ; Hypospadias* ; Male ; Seoul ; Urology

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Clinical Observation on Ureteral Stricture.

Young Nam WOO

Korean Journal of Urology.1971;12(2):191-198.

A Clinical observation was made oh the 32 cases of ureteral stricture not originated from calculi and tuberculous nature during the period from January 1960 to December 1969, and the following data were obtained: 1) There were 9 cases of stricture due to radical total hysterectomy and postoperative irradiation for cervix cancer, 5 cases of aberrant vessel, 4 cases of fibrosis of periureteral tissue and ureter itself, 2 cases of congenital ureteral stricture and 1 case due to ureteritis. 2) The ureteral stricture was noted in the upper in 10 cases, 8 cases were in the lower third of ureter. 3) The clinical manifestation included flank pain, tenderness along the course of ureter in 11 cases, mass in 8 cases and high fever, chill and general malaise in 7 cases. Hematuria, anuria, loss of weight and edema also were noted 4) Of the 32 cases, 12 cases underwent nephrectomy, 9 case, were submitted periodic dilation of ureter and 3 cases had good results with resection aberrant vessels. In 2 cases ureteroneocystostomy was performed utilizing bladder flap method. In still others, percutaneous ureterostomy was performed in 2 cases and lysis (deligation) of the ligated ureter was made in 1 cases. No manipulation was done at all in 1 cases.
Anuria ; Calculi ; Constriction, Pathologic* ; Edema ; Fever ; Fibrosis ; Flank Pain ; Hematuria ; Hysterectomy ; Nephrectomy ; Ureter* ; Ureterostomy ; Urinary Bladder ; Uterine Cervical Neoplasms

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Clinical Observation on the Cryptorchidism.

Dal Bong OH

Korean Journal of Urology.1971;12(2):183-189.

A clinical observation was made on cryptorchism of the in patients in the Department of Urology, Severance Hospital during the period January, 1960 through December, 1969. 1) During the period, 823 male patients hospitalized, there were 53 cases of cryptorchism, giving a rate of 6.5% respectively. 2) Of the cases of cryptorchism, 15 cases (28. 4%) were observed at 5 year old or below and to one's misery, 26 cases (50%) were seen at over 11 year old. 3) Lateralization shows 18 cases or 34% in the bilateral and 35 cases 66% in the unilateral (19 cases in right side and 16 cases in left side). 4) Position of undescended testis is most popular in the inguinal type (73%) and intraabdominal type is 11 testes (15%). 5) Of presenting symptoms, pain sensation on the inguinal region was observed in 10 cases(19%).
Child ; Child, Preschool ; Cryptorchidism* ; Humans ; Male ; Sensation ; Testis ; Urology

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On Urethral Dilatation for Urethral Stricture.

Boo Young LEE

Korean Journal of Urology.1971;12(2):175-183.

clinical observation was possible only in 92 of the 159 patients with urethral stricture, who visited the out-patient clinic of Urology in Pusan National University Hospital from the year of 1956 through 1966 In 82 of the 92 cases observed, gradual and periodic urethral dilatations were performed and satisfactory successes were obtained in 25 of them. The results were as follows 1. Urethral dilatations were indicated for the cases in which #18 or less French metal sound gave resistance or difficulties passing the urethra in male and #20 or less French metal sound in female. 2. The urethral dilatation, were performed by inserting #20~22 French metal sound in the urethra first to confirm the area of stricture. If those sounds were not passed, sounds of less size than them or filiform bougies were inserted. When passage of sound of a certain size was successful, sounds of bigger and bigger size approaching #20~24 French were inserted and in severe cases. Foley catheters were indwelled after urethral dilations. 3. Usually, 11-15 times of gradual and periodic urethral dilatations with interval of 3~5 days, totaling about two months should be done. The indwelled catheters were changed every one to two weeks. totaling 6~8 weeks of indwelling and then gradual and periodic urethral dilations were performed after removal of the indwelled catheter. 4. The results of urethral dilatations were successful in 80 per cent, improved 12 per cent and ineffective 8 per cent respectively. 5. Anatomical knowledge on the urethra, and skillful technique and meticulous cares were essential for successful urethral dilatations.
Busan ; Catheters ; Constriction, Pathologic ; Dilatation* ; Female ; Humans ; Male ; Outpatients ; Urethra ; Urethral Stricture* ; Urology

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Clinical Observation on Ureterolithotomy.

Boo Young LEE

Korean Journal of Urology.1971;12(2):161-167.

Clinical observation was done on the fifty-five ureterolithotomized cases of all the cases of ureteral stone which had been treated at the Department of Urology, Pusan National University Hospital during 10 years from 1960 through 1969. The results were as follows: 1. The fifty-five ureterolithotomized cases covered the results of highest incidence in 2nd decade for age and one third at the lower one third ureter for location and a half with 0. 61~0.7 cm. for stone size. 2. By urinalysis, acid uria, proteinuria, hematuria and pyuria were detected in about one half of the cases and bacteriuria in a half. 3. About one third of all the cases were noted as non-visualizing kidneys on post-operative I.V.P. 4. For all cases of 0.7cm. or bigger in stone size and one fourth of 0.51~0.7 cm. ureterolithotomy was performed. 5. Calcium oxalate stones were noted with highest incidence, calcium oxalate-phosphate and phosphate stones the next, and calcium oxalate-carbonate and phosphate-uric acid stones had the least incidence on analysis of the chemical composition of stone. 6. Prolonged urinary infections were noted in the cases of post-operative T-tube inlaying. And post-operative I.V.P. showed normal or markedly improved condition with the exception of mild ureteral stricture in 2 cases performed ureterolithotomy.
Bacteriuria ; Busan ; Calcium ; Calcium Oxalate ; Constriction, Pathologic ; Hematuria ; Incidence ; Kidney ; Proteinuria ; Pyuria ; Ureter ; Urinalysis ; Urology

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Urinary Tract Fistula.

Keum Dong SHIN

Korean Journal of Urology.1971;12(2):151-160.

Ninety-six cases of urinary tract fistulas, which were admitted to Severance Hospital during the period from Jan. , 1960 to Dec. 1969, were analyzed clinically and statistically. They were investigated by comparing with previous papers. 1) The rate of urinary tract fistulas accounted for 2.4 per cent of the total admissions to the Urologic Department and 0.057 per cent of Obstetrics and Gynecologic Department during 10 years. Twenty-eight cases of all fistulas were in men and sixty-eight in women. The age distribution was much the same as that found in previous literature. The most common age was from 20~50 years with 91.7 per cent. 2) The most commonly involved site was the bladder with 64.5 per cent and the most common fistula type was vesicovaginal with 42.6 per cent of those involving bladder. 3) About forty-seven per cent of all fistulas occurred after previous pelvic operation, seventeen per cent due to carcinoma of pelvic organs and thirteen per cent due to abnormal delivery. Chemicals, radiation, infection, trauma, foreign body and stone of the urinary tract were listed frequently as an etiologic factors. 4) The incidence of ureteral injury during radical hysterectomy was variable in the literature, but it accounted for 10 per cent generally. Among the 10 per cent of ureteral injury, ureteral fistulas developed in 20 per cent of our cases, but in 12 per cent of Meig's. 5) There are many surgical approaches to repair urinary tract fistulas according to the surgeon's taste, fistula type, location, size or number, previous attempts and adhesion of surrounding tissues. No two fistulas are exactly alike, and surgical approach to any fistula must be well thought before the time of operation. The operation must be fitted to the fistula, not the fistula to the operation. 6) To repair urinary tract fistula is today a somewhat difficult problem, and the operative failure rate in our 41 cases of vesicovaginal fistula was 34.4 per cent.
Age Distribution ; Female ; Fistula* ; Foreign Bodies ; Humans ; Hysterectomy ; Incidence ; Male ; Obstetrics ; Ureter ; Urinary Bladder ; Urinary Tract* ; Vesicovaginal Fistula

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Ovarian Dermoid Cysto-Vesical Fistula with a Vesical Stone.

Yang Il PARK ; Hyung Yul HUH

Korean Journal of Urology.1970;11(3):173-176.

A case of ovarian dermoid cytso-vesical fistulal with the vesical stone containing a cluster of hairs are presented, developed in 32 years old woman who suffered from vesical irritability and pilimiction for recent 5 years.
Adult ; Dermoid Cyst* ; Female ; Fistula* ; Hair ; Humans

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A Case of Endometriosis of the Bladder..

Yang Il PARK ; Young Kyoung PARK ; Hyoung Ryoul HUR

Korean Journal of Urology.1970;11(3):169-172.

A case endometriosis of the bladder in s 40-year old woman is presented. Urinary ferquency, tenesmus and intermittent hematuria had been complained, associated with menstruation over one year period. Tumor-like mass of the bladder recognized incidentally during hysterectomy on suspicious uterine myoma. Segmental resection of this mass with involved bladder resulted in cure and this lesion was confirmed histologically as endometriosis of the bladder.
Adult ; Endometriosis* ; Female ; Hematuria ; Humans ; Hysterectomy ; Leiomyoma ; Menstruation ; Urinary Bladder*

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A Case of Congenital Adrenogenital Syndrome.

Young Il CHA ; Kwang Nam KIM ; Moon Hwan KIM

Korean Journal of Urology.1970;11(3):163-167.

A 5 year old girl was visited with the chief complaint of abnormal genitalia from birth. Physical examination revealed enlarged clitoris, urogenital sinus formation, increased urinary 17-ketosteroid, Jailer's test positive and sex chromatin positive. Diagnosis was made congenital adrenogenital syndrome.
Adrenogenital Syndrome* ; Child, Preschool ; Clitoris ; Diagnosis ; Female ; Genitalia ; Humans ; Parturition ; Physical Examination ; Sex Chromatin

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