RESUMEN
Various surgical approaches have been used for the treatment of genuine stress urinary incontinence. We had treated 30 patients of GSUI (genuine stress urinary incontinence) with modified Pereyra methods, so called Raz procedure. Mean age of the patients was 48.5 years (range; 32- 79 years). The duration of the incontinence was 10.4 years in average (range ; 0.5-26 years) In the degree of severity, Grade 1 was 3.3% (1), Grade II was 86.7% (26) and Grade III was 10% (3). Mean parity was 3.6 and six patients (20% ) had been undergone hysterectomy. The duration of follow up was 17.3 months in average. Incontinence was completely disappeared in 20 patients( 66.7%) and significantly improved in 7 patients ( 23.3% ), but three patients(10%) were recurred. There was no serious operative complication such as bleeding needed transfusion. But temporary urinary retention(8), suprapubic pain(7), vaginitis(2) and urinary tract infection(1) were complained. Raz procedure is a reliable technique among various surgical techniques with little morbidity.
Asunto(s)
Femenino , Humanos , Estudios de Seguimiento , Hemorragia , Histerectomía , Cuello , Paridad , Vejiga Urinaria , Incontinencia Urinaria , Sistema UrinarioRESUMEN
Primary tumors of the spermatic cord are rare and basically of connective tissue origin. They are hardly ever considered in the differential diagnosis of intrascrotal swellings. Treatment consisted of radical orchiectomy without retroperitoneal lymph node dissection, and adjuvant radiation and chemotherapy. We report a case of liposarcoma of the spermatic cord in 54-year-old male. He has survived l5 months without evidence of recurrence.
Asunto(s)
Humanos , Masculino , Persona de Mediana Edad , Tejido Conectivo , Diagnóstico Diferencial , Quimioterapia , Liposarcoma , Escisión del Ganglio Linfático , Orquiectomía , Recurrencia , Cordón EspermáticoRESUMEN
Visual internal urethrotomy (VIU) is a valuable initial management methods of the patient with incomplete urethral stricture. VIU is not widely used in the management of the patient with complete urethral stricture, due to the risk of complication. We performed VIU in 10 male-patients had suffered from complete urethral stricture after trauma. We used a flexible Chole-nephroscoper connected with Xenon light source as a guide for the VIU. The length of the urethral stricture was 1.2 +/-0.8 cm. The operation time was 62 +/-26.4 min. The urethral catheter had indwelled for 20.3 +/-17.19 days. All the 10 complete urethral stricture patients became to void successfully. There was no specific serious complication. In conclusion, this method needs only short operative time, had little complication and did not require fluoroscopic guidance. We suggest that this alternative method may be useful and safe for the management of the complete urethral stricture.
Asunto(s)
Humanos , Tempo Operativo , Estrechez Uretral , Catéteres Urinarios , XenónRESUMEN
Variation in the facial pattern and effect of the rotational jaw growth on the facial proportion were studied in serial cephalometric radiographs of 40 Korean children (35 boys, 15 girls) ranging in age from 6 to 13 years. According to Y-axis (N-S-Gn) growth change during the 7 years of period, the subject who had exhibited "wave-like" manner of Y-axis growth change within +/- 2degrees was classified to the Parallelwise group and the subject who had exhibited Y-axis increase more than +/- 2degrees was classified to the Clockwise rotation group and the subject who had exhibited Y-axis decrease more than -2degrees was classified to the Counterlockwise rotation group. For the comparison of each group, a total of 22 morphologic variables were employed and the data were analyzed by means of computer morphometrics and statistical methods. On the basis of the finding of this study, the following trends were eatablished: 1. The Parallelwise group was 75%, the Clockwise rotation group was 12.5% and the Counterclockwise rotation group was 12.5%. 2. The growth pattern of cranial base was related to the rotation of mandible. 3. Maxillary prognathism was occured in the Counterclockwise rotation group and the rotation of palatal plane was occured in the Clockwise rotation group. 4. Mandibular prognathism was occured in the Parallelwise and the Counterclockwise rotation groups, especially in the Counterclockwise rotation group. 5. The degree of maxillo-mandibular divergency was constant in the Clockwise rotation group but decreased in the Counterclockwise rotation and the Parallelwise groups, especially in the Counterclockwise group. 6. There were no differences in the size of the anterior upper facial height (N-ANS) and the posterior lower facial height ((Go-Me)-PNS) but there were differences in the size of the anterior lower facial height (ANS-Me) and the posterior upper facial height ((S-N)-PNS) between each group. 7. The growth increment and the size of the facial gepth was not relater to the growth pattern of the face but the growth increment and the size of the facial height was related to the growth pattern of the face. 8. Proportional change due to the facial growth rotation was concentrated in the anterior lower face. 9. The most apparent difference between each group was happened in the size of the posterior cranial base (S-Ba) and the facial length (S-Gn).
Asunto(s)
Niño , Humanos , Maxilares , Mandíbula , Prognatismo , Base del CráneoRESUMEN
The growth changes in position of upper and lower jaws, incisal inclination in relation to anterior cranial base have been described. Twenty five males was studied quantitavely by means of serial cephalometric reontgenogram from seven to thirteen years of age. The findings seem to warrant the following conclusions: 1. Growth change in anteropaterior of upper and lower jaws to the anterior cranial base showed very littel change before eleven years of age but axial inclination of incisal teeth tended to become labiaization in relation to the anterior cranial base. 2. After eleven years of age, there wasn¥t nearly labialization of incisal teeth but jaw prognathism occurred a little in relation to the anterior cranial base.
Asunto(s)
Humanos , Masculino , Incisivo , Maxilares , Prognatismo , Base del Cráneo , DienteRESUMEN
Systolic time intervals were studied in a total of 83 patients with pure or predominant isolated valvular heart disease. They consisted of three groups of patients : namely, 38 cases of mitral stenosis, 25 cases of mitral regurgitation and 20 cases of aortic regurgitation. The mean of the electromechanical systole was within normal ranges in all three groups, and threre was no significant difference between the groups. The mean of the left ventriclar ejection time was also within normal limits in all groups, as was that of the electromechanical systole, but it was significantly shorter in patients with mitral regurgitation than in the others, and was significantly longer in patients with aortic regurgitation. The mean of the pre-ejection period and the ratio of the pre-ejection period to the left ventricular ejection time were within normal ranges in patients with aortic regurgitation, whereas both parameters were significantly increased in patients with mitral stenosis or mitral regurgitation, particularly in the latter.
Asunto(s)
Humanos , Insuficiencia de la Válvula Aórtica , Enfermedades de las Válvulas Cardíacas , Insuficiencia de la Válvula Mitral , Estenosis de la Válvula Mitral , Valores de Referencia , SístoleRESUMEN
The authors have measured and obtained the Holdaway Ratio of 104 adults with normal occlusion and 75 adults with malocclusion roentgenocephalometrically. The results were as follows. 1. The Holdaway ratio was 4.41:1 in male and 11.66:1 in female. 2. In female, labial inclination of the lower central incisor was severe and convexity of the pogonion was less than male.