전기자극 및 바이오피드백치료가 여성 복압성요실금 환자의 성생활과 삶의 질에 미치는 영향

이용찬(Yong Chan Lee),윤하나(Hana Yoon),박영요(Young Yo Park) 대한여성건강학회 2003 여성건강 Vol.4 No.2

급성 부고환염과 정계염전 환자 45례에 관한 임상적 분석 : Clinical Analysis of 45 Cases

박영요,권성원 梨花女子大學校 醫科大學 醫科學硏究所 1989 EMJ (Ewha medical journal) Vol.12 No.1

Acute scrotum is any pathologic condition of the scrotum or intrascrotal contents that requires emergency medical or surgical management. Among the acute scrotum acute epididymitis and spermatic cord torsion are most difficult to differentiate each other because of their similar symptoms and sings. Clinical analysis was undertaken on 45 patients with acute epididymitis and spermatic cord torsion. The following results were obtained. 1) There were 36 patients with acute epididymitis and 9 spermatic cord torsion. 2) Mean ages were 32.6 year old in acute epidiymitis and 12.5 spermatic cord torsion. 3) Symptoms and sings showed no significant differences from each other, but Prehn's sign was somewhat useful. 4) In 5 patients with spermatic cord torsion that had arrived to the hospital within 24 hours from onset of symptoms, the testis could be saved. 5) Testicular scan with 99mTc-pertechnetate was performed in 17 patients and the diagnostic accuracy was 94%. 6) Twenty-one patients with acute epididymitis had urinary tract infections and 3 spermatic cord torsion had cryptorchidisms.

음낭수종의 흡인 및 경화요법

박영요 梨花女子大學校 醫科大學 醫科學硏究所 1986 EMJ (Ewha medical journal) Vol.9 No.3

Hydrocele, an abnormal accumulation of fluid between the parietal and visceral layers of the tunica vaginalis of the testis is the most frequently encountered mass of the scrotum. There are two types of treatment for hydrocele : Surgery and Sclerotherphy. Surgical treatment is generally considered the most effective. However, due to the frequent occurrence of complications of surgical procedure, sclerotheraphy may provide an alternative means of treatment. We here report the results of study using aspiration and subsequent injection of tetracycline as definitive treatment of testicular hydrocele. Four patients were treated after informed consent and followed for 5 to 10 months after sclerotheraphy. All treatment were given as an out-patient procedure. The aspiration were performed under local anesthesia, and the mean volume aspirated was 225㎖(range : 150-350㎖). Hereafter, 500㎎ of tetracycline diluted to a volume of 5㎖ in isotonic saline and 3㎖ in 2% lidocaine was injected. At 5 to 10 months follow up, all patients were cured-3 patients after one, and 1 patient after two injections. In one patient, the injection was immediately followed by scrotal pain which was relieved by spermatic cord block. The pain of the other patient were relieved by some oral analgesic medication. No infection or hematoma occured. In conclusion, aspiration and sclerotheraphy using tetracycline seems a favorable alternative to surgery for hydreceles. Tetracycline is both sclerosing, antibacterial and cheap. Further, the technique is simple, it carries a low morbidity and does not require hospitalization.

요도하열

박영요 한국의학사 1984 診斷과治療 Vol.4 No.10

Polytetrafluoroethylene을 이용한 방광재생에 관한 실험적 연구

마상열,박영요,최형기,이진무 연세대학교 의과대학 1984 연세의대논문집 Vol.17 No.1

요석환자에서 유로시트라®의 생리학적 효과

정영범,김영곤,황태곤,김동선,이정주,김현희,전성수,박영요,임정식,문영태,박광성,이춘용 大韓泌尿器科學會 2002 Korean Journal of Urology Vol.43 No.6

PURPOSE: To investigate the biochemical change in serum and 24-hour urine after therapy with Urocitra® in patients affected by urolithiasis, who had hypocitraturia alone or associated with other metabolic disorder.<br> MATERIALS AND METHODS: One hundred eighteen patients with evidence of 1 or more stone attacks within the last 3 years participated in the present study. They were 78 men and 40 women (6 to 78 years old, with a mean age of 47.01±12.95 years). All of the patients received 15 to 20㎖ of Urocitra®-solution or 5 g of Urocitra®-C powder, three or four times daily for 3 months. Before treatment, 24-hour urine and venous blood samples were obtained, while patients were maintained on a random diet, and analyzed for various stone risk factors. After 1 week, 1 month and 3 months of treatment, samples were again obtained and analyzed in the same manner. Thereafter, we compared the biochemical values before and after treatment.<br> RESULTS: In all three follow-up periods Urocitra® induced a significant increase in urinary citrate (p<0.001) level. Urinary potassium (p<0.001), pH (p<0.001) and total volume (p<0.05) also increased significantly after 1 and 3 months of therapy, as did urinary citrate excretion in patients with hypocitraturia and normocitraturia. Urocitra® did not alter calcium, sodium or phosphorus urinary excretion. There was no significant change of serum chemistry after administration.<br> CONCLUSIONS: Urocitra® was effective in increasing urinary pH and citrate. Furthermore, it was relatively free of side effects, except for minor gastrointestinal distress. Thus, our study provides physiological and clinical validation for the use of Urocitra® in patients affected by urolithiasis, who have hypocitraturia alone or associated with another metabolic disorder.

요도협착의 직시하 내요도 절개술시 Nd-YAG 레이저의 병행요법

심봉석,박영요,권성원 梨花女子大學校 醫科大學 醫科學硏究所 1991 EMJ (Ewha medical journal) Vol.14 No.1

Treatment of benign urethral strictures frequently is difficult because of a high rate of recurrence. In general electrocautery resection of fibrous scar tissue has been unsatisfactory. since the irregular thermal injury may only promote further scarring. Because of their unique physical properties and tissue effects lasers theoretically offer advantages over conventional techniques for treatment of urethral strictures. The thermal injury resulting from neodymium : YAG laser irradiation may heal with more elastic properties and less fibrous contraction than an electrocautery burn. Accordingly endoscopic application of laser energy could produce thermal coagulation of the fibrous area with a secondary slough of the scar tissue and re-epithelialization without scar. A total of 19 cases with benign urethral strictures underwent treatment with circumferential application of neodymium : YAG laser irradration to the scarred area after endoscopic cold urethrotomy. There were no adverse effects and although one patient suffered recurrent stricture within 2 months, the postoperative results were good in all patients including recurrent case. We reviewd our experience with neodymium : YAG laser treatment of benign urethral strictures.

단순 신낭종의 천자흡입후 95% Ethanol을 이용한 경화요법

심봉석,박영요 梨花女子大學校 醫科大學 醫科學硏究所 1991 EMJ (Ewha medical journal) Vol.14 No.1

Renal cysts are usually asymptomatic. produce no harm to the kidney and require no treatment. Percutaneous cystic puncture is performed only for specific indications including the diagnosis of cysts which are indeterminated with ultrasonography or computerized tomography, and the treatment of symptomatic cysts. But simple aspiration of renal cysts frequently recurred. so a combination of aspiration and sclerotherapy with variable materials can be used. We treated 12 cases of renal cyst with aspiration and selerothrapy with 95% ethanol without specific complications the last 33 months period between January 1988 and September 1990. Major(91.7%) of cases showed remarkable reduction in size of renal cyst or disappearance of cyst on follow-up ultrasonography. Therfore aspiration and selerotherapy with 95% ethanol is safe and efficient for the treatment of simple renal cyst.

방광암 치료의 최신지견

김광현,박영요 Ewha Womans University School of Medicine 2014 EMJ (Ewha medical journal) Vol.37 No.1

Bladder cancer is the second most common malignancy in urological field. Most new cases are diagnosed as non-muscle invasive bladder cancer (NMIBC), which includes Ta, T1 or carcinoma in situ. Initial management of NMIBC is endoscopic resection, which allows both treatment and pathological staging. Urologist should consider adjuvant intravesical chemotherapy or Bacillus Calmette-Guerin (BCG) immunotherapy, depending on the tumor grade or stage to prevent recurrence and progression. Patients with muscle invasive bladder cancer (MIBC) are best treated with radical cystectomy. However, radical cystectomy should be considered even in patients with NMIBC with high risk of progression and BCG refractory tumors. Delay of radical cystectomy in these patients might lead decreased disease specific survival. Patients treated by radical cystectomy should undergo any form of the urinary diversion. Ileal conduit is still most common method for urinary diversion. Orthotopic neobladder is generally performed by experienced hands in high volume center. Patients undergoing orthotopic neobladder should be educated and manually skillful to manipulate their diversion. Neoadjuvant cisplatin-based chemotherapy is recommended based on level 1 evidence with survival benefit. Recent updated meta-analysis also demonstrated survival benefit in patients with MIBC treated by adjuvant chemotherapy.

韓國人에 있어 尿路結石과 食餌에 關한 疫學的 硏究(第3報) : 70年代와 80年代에서의 食生活 變化와 尿路結石 發生 傾向의 比較 A Comparision Study between Dietary Change and Urolithiasis in 1970s and 1980s

沈峰奭,朴英堯,權誠遠 梨花女子大學校 醫科大學 醫科學硏究所 1990 EMJ (Ewha medical journal) Vol.13 No.4

Urolithiasis is common but one the most important disease in the field of urology. Recently the incidence of urolithiasis is increasing according to the improvement of living standards in Korea. Althought the etiology and pathogenesis of urolithiasis are interactions of a very complex process ans has not yet been clearly established, it is believed that diet containing calcium, a one of the stone forming-components, such as milk may play a principle role in the stone formation. We carried out epidemiologic study to determine the relationship between urilithiasis and dietary pattern changes to westernized food in Korean people. Comparision study was carried out between 1970s and 1980s. The following results were obtained : 1) The yearly personal consumption of rice was not much changed in 1970s but in 1980s it continued to decrease. The yearly barley consumption continued to decrease after late 1970s, declining to level below 2kg in 1987. 2) The yearly personal comsumption of meat was not much changed upto mid 1970s but after 1977 it continueed to increase, showing 2.7 times increase in 1989 compared to that of 1977. 3) The yearly personal consumption of milk and dairy products was markedly increased ; 8.4 times in 1970s and 3.6 times in 1980s. In 1989 it increased 35.2 times compared to that of 1970. 4) Changes in the ratio of patients with urolithiasis to the total patients admitted to urologic department was not remarkable, but yearly, number of patients with urolithiasis continued to increase, especially from the late 1970s to the early 1980s. In 1970s the urolithiasis prevalence was highest in the regious such as Pusan, Kyungbook, Honam but in 1980s it changed its stage to Seoul. 5) Age distribution revealed under the age of 20, no specific changes were noted in both 1970s and 1980s. In 1970s urolithiasis patients over the age of 40 revealed high increase rate 3.4 times, but in 1980s age group over 40 only showed 1.6 times increase. to the surprise, age group between 20-40 showed 1.4 times increase, indicating not much differences between both age groups in patient numbers of increase rate. 6) Sex prevalence was greater in famale than male in both 1970s and 1980s. 7) Locational prevalence of urolithiasis showed increased rate of renal stone in both 1970s and 1980s. But that of bladder stone was not remarkable. 8) Seasonal prevalence revealed highest prevalence rate in summber and lowest in winter. 9) Through analysis of following factors ; higher living standards due to ecnomic growith, increased milk and meat concumption due to change in dietary pattern to westernized food, decrease carbohydrates such as rice and barley, we can conclude that dietary change is closely related to urolithiasis and its correlation is more significant in 1980s than 1970s.