와파린 복용 중단과 연관된 음경지속발기증

송미호,두승환,양원재,송윤섭 대한남성과학회 2010 The World Journal of Men's Health Vol.28 No.2

Priapism attributable to an anticoagulant drug has rarely been reported. Although the pathophysiology of this type of priapism is not well understood, most investigators contend that thromboembolic phenomena play either a causative or supportive role. We describe a case of priapism associated with the discontinuation of oral warfarin.

공공부문 (Public sector) 의 위치기반서비스 정보시스템 사례

송미호,홍세준,황택근 한국경영정보학회 2010 한국경영정보학회 학술대회논문집 Vol.2010 No.1

정보화 시대에 발맞춰 공공부문의 위치기반 정보시스템은 국외와 국내에서 국가적 정보화 사업의 일부분으로 분류되어 데이터의 과학적이고 체계적인 접근을 도모하고 있다. 최근 예상 밖의 재난이나 질병을 관리하고 유형․k특징․ョ지형 별로 대응방안을 제시하는 것이 시급한 문제로 떠오르고 있는 가운데, 방재․ョ방역 시스템의 정보관리를 통한 통합적인 데이터 관리는 분석 및 업무 처리 속도 향상, 지식 공유 등의 효과를 가져온다. 본 연구는 위치기반서비스를 기반으로 한 정보시스템의 구축사례를 분석하였다. 본 연구의 목적은 공기업의 정보시스템 구축사례의 프로세스와 구성을 제시하여 앞으로의 성장과 가능성을 모색하고 크게는 정보시스템의 역할 및 효과가 시사하는 점을 소개하고자 한다.

소아 주간빈뇨증후군의 임상양상

송미호,김준모 순천향의학연구소 2009 Journal of Soonchunhyang Medical Science Vol.14 No.3S

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자연 파열된 감염성 신낭종

송미호,이광우 순천향대학교 순천향의학연구소 2010 Journal of Soonchunhyang Medical Science Vol.16 No.1

Infected renal cysts are rare entities characterized by fever and unilateral flank pain resistant to antibiotic therapy. Albeit rearely, rupture of an infected renal cyst may result in fatal consequences. We report a case of 51-year-old woman with spontaneous rupture of an infected renal cyst into the perinephric spaces.

日本における刑法の改正

松尾浩也 한국형사법무정책연구원 2007 형사정책연구원 연구총서 Vol.- No.-

Acute Scrotum due to Gallbladder Perforation after a Percutaneous Liver Biopsy

김윤동,송미호,송진현,김봉기,양원재,송윤섭 대한비뇨의학회 2009 Investigative and Clinical Urology Vol.50 No.7

Acute scrotum can occur as a complication of various procedures, such as open, laparoscopic surgeries or diagnostic procedures. We present an unusual case of acute hemiscrotum due to inadvertent gallbladder injury following an ultrasound-guided liver biopsy.

Neovesical-Urethral Anastomotic Stricture Successfully Treated by Ureteral Dilation Balloon Catheter

김봉기,송미호,두승환,양원재,송윤섭 대한비뇨의학회 2010 Investigative and Clinical Urology Vol.51 No.9

Neovesical-urethral anastomotic stricture is a complication of orthotopic neobladder, with a reported incidence of 2.7% to 8.8%. Strictures of the neovesico-urethral anastomotic site can be treated with regular self-dilation, but high-grade strictures require a surgical procedure involving incision by electrocautery or cold knife. Here we describe a grade III neovesical-urethral anastomotic stricture after an orthotopic bladder substitution that was successfully treated by use of a ureteral dilation balloon catheter.

Clinical Factors Associated With Dose Escalation of Solifenacin for the Treatment of Overactive Bladder in Real Life Practice

전지연,송미호,한지연,나세리,홍범식,주명수 대한배뇨장애요실금학회 2014 International Neurourology Journal Vol.18 No.1

Purpose: To determine the baseline clinical characteristics associated with dose escalation of solifenacin in patients with overactive bladder (OAB). Methods: We analyzed the data of patients with OAB (micturition frequency≥8/day and urgency≥1/day) who were treated with solifenacin and followed up for 24 weeks. According to our department protocol, all the patients kept voiding diaries, and OAB symptom scores (OABSS) were monitored at baseline and after 4, 12, and 24 weeks of solifenacin treatment. Results: In total, 68 patients (mean age, 60.8±10.0 years) were recruited. The dose escalation rate by the end of the study was 41.2%, from 23.5% at 4 weeks and 17.6% at 12 weeks. At baseline, the dose escalator group had significantly more OAB wet patients (53.6% vs. 20.0%) and higher total OABSS (10.2±2.4 vs. 7.9±3.5, P=0.032) than the nonescalator group. OAB wet (odds ratio [OR], 4.615; 95% confidence interval [CI], 1.578–13.499; P<0.05) and total OABSS (OR, 1.398; 95% CI, 1.046–1.869; P<0.05) were found to be independently associated with dose escalation. Conclusions: Patients who have urgency urinary incontinence and high total OABSS have a tendency for dose escalation of solifenacin.

Use of Cystoscopic Tattooing in Laparoscopic Partial Cystectomy

김봉기,송미호,양희조,김두상,이남규,전윤수 대한비뇨의학회 2012 Investigative and Clinical Urology Vol.53 No.6

Purpose: During laparoscopic partial cystectomy (LPC), lesion identification is essential to help to determine the appropriate bladder incisions required to maintain adequate resection margins. The inability to use tactile senses makes it difficult for surgeons to locate lesions during laparoscopic surgery. Endoscopic India ink marking techniques are often used in laparoscopic gastroenterological surgery. We present our experience with performing LPC with India ink during the surgical resection of various bladder lesions. Materials and Methods: LPC with cystoscopic fine needle tattooing was performed on 10 patients at our institute. Tattooing was performed at 1- to 2-cm intervals approximately 1 cm away from the outer margin of the lesion with enough depth (the deep muscle layer) under cystoscopic guidance. LPC was performed by the transperitoneal approach. The clinical courses and pathologic results were analyzed. Results: All LPC with cystoscopic tattooing cases were performed successfully. The mean patient age was 39.1 years. The mean operative time was 130.5 minutes, and the mean estimated blood loss was 93 ml. The mean hospital stay was 13.1 days, and the mean duration of indwelling Foley catheterization was 10.7 days. There were no significant intraoperative or postoperative complications except 1 case of delayed urinary leak and 1 case of delayed wound healing. The pathological diagnosis included 1 urachal cancer, 1 urachal remnant, 4 urachal cysts, 2 pheochromocytomas, and 2 inflammatory masses. All specimens showed adequate surgical margins. Conclusions: Cystoscopic tattooing in LPC is a simple and effective technique to assist in locating pathological bladder lesions intraoperatively. This technique can help to determine appropriate resection margins during LPC without incurring additional complicated procedures. Purpose: During laparoscopic partial cystectomy (LPC), lesion identification is essential to help to determine the appropriate bladder incisions required to maintain adequate resection margins. The inability to use tactile senses makes it difficult for surgeons to locate lesions during laparoscopic surgery. Endoscopic India ink marking techniques are often used in laparoscopic gastroenterological surgery. We present our experience with performing LPC with India ink during the surgical resection of various bladder lesions. Materials and Methods: LPC with cystoscopic fine needle tattooing was performed on 10 patients at our institute. Tattooing was performed at 1- to 2-cm intervals approximately 1 cm away from the outer margin of the lesion with enough depth (the deep muscle layer) under cystoscopic guidance. LPC was performed by the transperitoneal approach. The clinical courses and pathologic results were analyzed. Results: All LPC with cystoscopic tattooing cases were performed successfully. The mean patient age was 39.1 years. The mean operative time was 130.5 minutes, and the mean estimated blood loss was 93 ml. The mean hospital stay was 13.1 days, and the mean duration of indwelling Foley catheterization was 10.7 days. There were no significant intraoperative or postoperative complications except 1 case of delayed urinary leak and 1 case of delayed wound healing. The pathological diagnosis included 1 urachal cancer, 1 urachal remnant, 4 urachal cysts, 2 pheochromocytomas, and 2 inflammatory masses. All specimens showed adequate surgical margins. Conclusions: Cystoscopic tattooing in LPC is a simple and effective technique to assist in locating pathological bladder lesions intraoperatively. This technique can help to determine appropriate resection margins during LPC without incurring additional complicated procedures.

Pretreatment Features to Influence Effectiveness of Intravesical Hyaluronic Acid Instillation in Refractory Interstitial Cystitis/Painful Bladder Syndrome

김아람,임범진,송미호,주명수 대한배뇨장애요실금학회 2014 International Neurourology Journal Vol.18 No.3

Purpose: To determine the efficacy of intravesical hyaluronic acid (HA) instillation in treating patients with refractory interstitial cystitis/painful bladder syndrome (IC/PBS) and to identify any related factors that influence its therapeutic effect. Methods: Thirty-three female IC/PBS patients who demonstrated poor or unsatisfactory responses to previous treatments between December 2010 and October 2012 were enrolled. Despite previous treatments, the enrolled patients had visual analogue scale (VAS) pain scores ≥4 and total scores (symptom and bother scores) ≥13 on the pelvic pain and urgency/frequency (PUF) questionnaire and ≥12 on the O’Leary-Sant interstitial cystitis symptoms index (ICSI)/problems index (ICPI). All patients received once weekly intravesical instillations of 40-mg HA diluted in 50-mL saline for 4 weeks. The efficacy of the HA instillation was evaluated by comparing the mean changes in the scores of the VAS and questionnaires from baseline to 4 weeks after treatment. Improvement was defined as a ≥2 decrease in the VAS. Moreover, we investigated the effects of the presence of Hunner’s ulcer and previous treatment modalities on the therapeutic outcome of HA instillation. Results: The mean age was 57.0±1.8 years (range, 28–75 years). The VAS score significantly decreased from baseline to 4 weeks after treatment (–2.5, P<0.001). The mean changes in the PUF, ICSI, and ICPI from baseline to 4 weeks after the treatment were –3.8 (P<0.001), –2.3 (P<0.001), and –2.7 (P<0.001), respectively. Twenty patients (61%) showed improvements. Previous treatment modalities did not affect the efficacy of HA instillation and the presence of Hunner’s ulcer was unrelated to outcomes. No complications were observed. Conclusions: These results show that intravesical HA instillation is an effective and safe treatment for patients with refractory IC/PBS. Previous treatment modalities and presence of Hunner’s ulcer do not affect the efficacy of HA instillation.