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김민의,박영호,문기혁 순천향의학연구소 1997 Journal of Soonchunhyang Medical Science Vol.3 No.2
The Stamey bladder neck suspension have been performed for female stress incontinence in Soonchunhyang University Hospital from January 1990 to May 1994. This procedure was introduced by Stamey, varying degrees of the success have been reported ranging from 61% to 91% in contemporary series. Someone reported the high recurrence rate with long-term follow-up. Among the 36 patients who received Stamey procedure, 28 patients(78%) receive anterior colporrhaphy for concomitant cystocele simultaneously. The mean follow-up period was 41.4±8.6months, the patient's data were gathered by chart review and the subjective success rate was obtained by questionnaire survey. Urinary retention was the major complication in 8(22.2%),de novo urgency occurred in 4(11%), protracted suprapubic pain occurred in 7(19%), The 20(56%) of the 36 patients were complete dry and 10(28%) were improved. The changes of success rate related to the time of follow-up were; 94.4% immediate after surgery, 88.9% at 6 month, 86.1% at 12 month, 83.3% at 1-5 year. The majority of the failure occurred in the early postoperative period. The 27(90%) of the 30 patients success group received anterior colporrhaphy for concomitant cystocele simultaneously during the Stamey operation. Our success rate was slightly higher than contemporary series, it was suggested that supporting the midurethral segment by anterior colporrhaphy with bladder neck suspension might be the contributing factor for increasing the success rate, but more follow up is warranted.
과민성방광의 비수술적 치료 : 방광의 저장용적을 증가시키는 치료법 Therapy to Increase Bladder Storage Capacity
송윤섭,문기혁,박영호 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1
Overactive bladder including frequency, nocturia, urgency ate common and Its cause is decreased bladder storage capacity. Non-pharmacologic therapy to facilitate bladder storage capacity are behavioral, bladder overdistention or electrical stimulation. For behavioral therapy, patient education about lower urinary tract function, information about lifestyle changes or dietary modification, bladder training which includes instituting intervals of timed voiding and gradually increasing these intervals, pelvic floor physiotherapy with or without biofeedback are necessary. For physically or mentally challenged individuals, schedulled toileting or prompted voiding is necessary, too. Bladder overdistention, electrical stimulation or neuromodulation are also used for the treatment of overactive bladder.
김욱현,문기혁,송윤섭,박영호 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Superficial venous thrombosis of the chest wall was first described by Mondor in 1939. Braun-Falco reported in 1955 superficial penile vein involvement in diffuse thrombophlebitis of the abdominal wall and in 1958 Helm and Hodge first described isolated superficial dorsal penile vein thrombosis. Since then, fewer than 50 cases have been reported. The clinical presentation is usually redness and swelling of the dorsum of the penis, accompanied by a palpable, tender thrombotic vein. This acute and painful disease frightens the patients, who is concerned about his fertility and sexual function. The main cause of this disease is frequent sexual intercourse. Diagnosis is based upon anamnesis, physical examination and penile sonography with color Doppler imaging. It is usually a benign disease which resolves quickly under appropriate medical therapy. We present a man who was visited for this condition and was conservatively treated.
한병규,김욱현,문기혁,송윤섭,박영호 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Renal artery thrombosis may result from external trauma of a blunt nature. Such injury is induced by rapid deceleration resulting in the stretching of the renal vasculature, disruption of the arterial intima-the least elastic layer of the arterial wall and eventual thrombosis. The treatment of renal artery thrombosis is controversial, with physician's options divided between prompt surgical exploration with vascular repair and clinical observation. We experienced 1 case of traumatic renal artery thrombosis and report that with a brief review of the literature.
서혜부 탈장으로 오인된 inguinal sparganosis 1례
장상훈,한병규,문기혁,송윤섭,박영호 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2
Sparoganosis is a parasitic infestation of human by a lavel form of an animal tapeworm, genus spirometra. ingestion of raw or undercooked flesh of numerous intermediate hosts results in human infection. Sparganum is usually found in the subcutaneous tissues of various parts of the body, but other sites, such as orbit, brain, and the abdominal viscera, have been recorded. we experienced a case of sparganosis it the spermatic cord.
흰쥐에서 음경발기 평가의 척도로서 음경해면체내압측정술 확립
송윤섭,김용준,이광우,김준모,문기혁,박영호,민영기,유형균,김형건 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.1
Purpose: Because studies about the control of penile erection at the entral nervous system was dependent on the animal experiments, establishment of measuring penile erection is important to evaluate the effects changes at the central nervous system on the penile erection. Intracavernous pressure measurement in rats has been introduced as a suitable index for the evaluation of penile erection but this method is invasive and technically difficult. So, we established the intracavernous pressure measurement in rats as the experimental index for penile erection. Materials and Methods: 42 male adult Sprague-Dawley rats (250-300gm) were divided to saline or papaverine treated group. Rats were placed on a heating table to maintain their body temparature and anesthetized with 50mg/kg of pentobarbital sodium by intraperitoneal injection. A cannula was inserted to the left carotid artery to measure systemic blood pressure. Saline (0.05, 0.1ml), papaverine(0.05, 0.1, 0.25, 0.5, 1.0, 2.0mg) were injected intracavernously via 26 guage needle filled with saline or papaverine which connected to pressure transducer and polygraph was inserted into the corpus cavernosum on one side to inject the drug and to measure intracavernous presure. Results: Properly executed insertion and intracavernous administration produced a instantaneous but transient rise in intracavernous pressure that substantially stabilized and maintained at 5.4±0.4mmHg. Intracavernous pressure and duration of penile blood flow following intracavernous injection of papaverine are increased comared to those of saline. Conclusions: Monitoring intracavernous pressure in rats represents a suitable index for the evaluation of penile erection in small laboratory animals.