From March 1982 to June 1985, Serum FSH, LH and prolactin were taken in 85 normal males, 37 benign prostatic hyperplasia and 7 prostatic carcinomas, Radioimmunoassay resulted in the following findings. 1. Serum FSH is seen to increase steadily with age in both normal subjects and patients with BPH. No difference was found in the value of the FSH between the 2 group. 2. Serum LH is seen to increase sharply after 70 years of age but level of LH in the benign prostatic hyperplasia do not reflect this age related increment. 3. Serum prolactin is seen to remain relatively unchanged in the normal male through adult life. No difference was observed between patients with BPH and normal age-matched control.
Adult ; Gonadotropins* ; Humans ; Male ; Prolactin* ; Prostatic Diseases* ; Prostatic Hyperplasia ; Prostatic Neoplasms ; Radioimmunoassay

Extramammary Pager`s disease is a malignant condition. We experienced one case of Paget`s disease of scrotum in 76 years old male patient, The clinical presentation, treatment and prognosis of this lesion in the scrotum are discussed.
Aged ; Humans ; Lymph Nodes* ; Male ; Prognosis ; Scrotum*

This study was carried out to investigate the effect of Mycoplasma on sperm motility. It was suspected that a GUT infection due to Mycoplasma could be a possible cause of infertility. Human fresh spermatozoa from 57 healthy medical students were mixed and diluted with Mycoplasma groups. 37 specimens to T-mycoplasmas and 20 specimens to M. hominis were exposed with varying concentration from 10,000 to 1,000,000 colonies/ml of broth, respectively. Spermatozoal motility scale devised by Emmens and pH by pH paper were checked at serial time of hours in vitro. The following results were obtained. 1. There is no significant effect on sperm motility in pH change by Mycoplasma. 2. The sperm motility of control groups among pure semen, semen with normal saline and semen with broth solution were no statistically significant differences (p>0.05). 3. The statistically significant decreased sperm motility was watched in T-mycoplasmas experimental groups than that of control groups. The motility was much decreased with higher concentration of organisms (p<0.05). 4. The statistically significant decreased sperm motility was also watched in M. hominis experimental groups than that of control groups (p<0.05) The motility was much decreased with higher concentration of organisms.
Humans ; Hydrogen-Ion Concentration ; Infertility ; Mycoplasma* ; Semen ; Sperm Motility* ; Spermatozoa* ; Students, Medical ; Ureaplasma

It was suspected that a GUT infection could be a possible cause of infertility. This study was carried out to investigate the effect of Trichomonas vaginalis and Gonococci on sperm motility. Human fresh spermatozoa from 50 healthy medical students were mixed and diluted with Trichomonas vaginalis and Gonococci. 30 specimens to Trichomonas vaginalis and 20 specimens to Gonococci were exposed with varying concentration from 10(4) to 10(6) organisms/ml of broth, respectively. Spermatozoal motility scale devised by Emmens was checked at serial time of hours in vitro. The following results were obtained: 1. The sperm motility of control groups among pure semen, semen with normal saline and semen with broth solution were no significant differences. 2. A significantly decreased sperm motility ensued in Trichomonas vaginalis experimental groups, 106 organisms/ml and broth extract contained metabolite, than control group. 3. There were no significant differences between control groups and experimental groups in Gonococci.
Humans ; Infertility ; Semen ; Sperm Motility* ; Spermatozoa* ; Students, Medical ; Trichomonas vaginalis* ; Trichomonas*

Emphysematous pyelonephritis is a rare complication of urinary tract infection and can occur in patients with diabetes mellitus or urinary obstruction. We recently treated a 52-year-old male patient with E. coli urinary tract infection and septicemia whose abdominal roentgenogram demonstrated a striking right pneumonephrogram as well as perirenal gas. Right nephrectomy was carried out to survive septic crisis. Timely surgical intervention after unsuccessful antibiotics and conventional medical measurement is life saving.
Anti-Bacterial Agents ; Diabetes Mellitus ; Humans ; Male ; Middle Aged ; Nephrectomy ; Pyelonephritis* ; Sepsis ; Strikes, Employee ; Urinary Tract Infections

A clinical study was made on 117 cases of benign prostatic hyperplasia admitted to the Department of Urology, Chungnam University Hospital during the period from January 1974 to August 1982. The results were summarized as follows: 1. Common symptoms were dysuria (82.1%) and urinary retention (41.0%). 2. Gross or microscopic hematuria was noticed in 48 cases (41.0%). 3. The degree of prostatic enlargement by rectal palpation was not related to the severity of symptoms. 4. Pulmonary disease (19.5%) and cardiac disease (12.8%) were frequently associated with B.P.H. 5. Treatment consisted of suprapubic of retropubic prostatectomy in 94 cases, TUR in 7 cases and cystostomy in 10 cases. 6. Postoperative complications were urinary incontinence (34%), wound problem (9.7%), delayed bleeding (8.7%), and urinary tract infection (4.8%). 7. Mean weight of removed prostatic tissue was 31.3gm.
Chungcheongnam-do ; Cystostomy ; Digital Rectal Examination ; Dysuria ; Heart Diseases ; Hematuria ; Hemorrhage ; Lung Diseases ; Postoperative Complications ; Prostatectomy ; Prostatic Hyperplasia* ; Urinary Incontinence ; Urinary Retention ; Urinary Tract Infections ; Urology ; Wounds and Injuries

Primary carcinoma of the female urethra is an uncommon neoplasm that accounts for less than 0.02% of all malignant diseases occurring in women. Especially reported adenocarcinoma is rare now in the literature. We add one case of urethral adenocarcinoma in 61 years old female treated by total urethrectomy with resection of corresponding bladder neck, and suprapubic neourethrelization.
Adenocarcinoma* ; Female* ; Humans ; Middle Aged ; Neck ; Urethra ; Urinary Bladder

Ilecocecal unit is anatomically and functionally well suited for augmentation cystoplasty. There is no need to artificially create a cap or tailed path because the cecum can be used without such alteration. Herein, we describe as experience with a 14 years old male patient whose bladder capacity was less then 90 ml due to renal tuberculosis. Previously, patient received right nephrectomy and temporary cystostomy to prevent vesicoureteral reflux. Augmentation ileocecocystoplasty was performed Department of Urology in this hospital on patient with good results : considerable enlargement of bladder capacity without vesicoureteral reflux.
Adolescent ; Cecum ; Cystostomy ; Humans ; Male ; Nephrectomy ; Tuberculosis ; Tuberculosis, Renal ; Urinary Bladder ; Urology ; Vesico-Ureteral Reflux

This study was carried out to investigate the effect of sperm motility to some bacteria which were possible cause of infertility by genitourinary tract infection. Human spermatozoa, from 42 cases of healthy medical student, were exposed to E. coli (30 cases) and Staphylococcus aureus (12 cases) varying dilutions from 10(4), 10(5), 10(6) colonies/ml of normal saline and broth solution. Spermatozoal numerical motility scale devised by Emmens was checked at the serial time of hours in Vitro. The following results were obtained: 1. Sperm motilities of control groups among pure semen, semen with normal saline, semen with broth solution and semen with broth extract contained endotoxin were no significant differences. 2. A significantly decreased sperm motility ensued in E. coli experimental groups than control group. And the more concentrated bacteria the more significant decrease of sperm motility was observed. 3. There were no significant differences between control group and experimental groups in Staphylococcus aureus.
Bacteria* ; Humans ; Infertility ; Semen ; Sperm Motility* ; Spermatozoa* ; Staphylococcus aureus ; Students, Medical

A clinical observation was made on 30 patients of urologic surgery using the intestinal segment who had been admitted to the Department of Urology, Chungnam National University Hospital from May, 1976 to April, 1982. The results are as follows; 1. The age distribution of the most of cases were fifth and sixth decades (66.7%), and the male to female ratio was 3.3 to 1. 2. Majority of underlying diseases was bladder tumor (76.6%). The other causes were neurogenic bladder (10.0%), Vesicovaginal fistula (10.0%) and contracted bladder (3.3%). 3. Of the 30 cases of urinary diversion, 24 cases were ureteroileocutaneostomy with or without total cystectomy, 3 cases were ureterocolocutaneostomy with total cystectomy, 2 cases were ureteroileocecocutaneostomy with total cystectomy and 1 case was augmented ileocecocystoplasty. 4. Operation mortality was 10%, in which underlying diseases were bladder cancer. 5. Major complications were acute renal failure, septicemia, wound disruption, urine leakage, fecal fistula, ileus, bleeding, pneumonia and evisceration. 6. In the 23 cases of bladder cancer 21 cases were transitional cell carcinoma and 2 cases were adenocarcinoma. Most of the former were composed of stage B & C (66.7%) and grade II & III (71.4%). 7. In cases of malignant disease the overall postoperative survival rate at 1, 3 and 5 years of bladder cancer were 73.9%, 50% and 20% respectively.
Acute Kidney Injury ; Adenocarcinoma ; Age Distribution ; Carcinoma, Transitional Cell ; Chungcheongnam-do ; Cystectomy ; Female ; Fistula ; Hemorrhage ; Humans ; Ileus ; Male ; Mortality ; Pneumonia ; Sepsis ; Survival Rate ; Urinary Bladder ; Urinary Bladder Neoplasms ; Urinary Bladder, Neurogenic ; Urinary Diversion ; Urology ; Vesicovaginal Fistula ; Wounds and Injuries