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최홍용,노충희,최희석 인제대학교 1986 仁濟醫學 Vol.7 No.3
A case of horseshoe kidney associated with bilateral renal stones and variation of the renal vessel was presented with a brief review of the literatures. The patient was managed by ureterolithotomy and ureteroureterostomy because UPJ was compressed with aberrant renal vein. The result was good.
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최홍용,이종진 대한비뇨의학회 2004 Investigative and Clinical Urology Vol.45 No.11
The etiology of the primary(congenital) lymphedema is as an unknown abnormal development of the subcutaneous lymphatic tissue itself. Lymphedema is expressed at different ages, and may be sporadic or inherited. Congenital lymphedema are rarely isolated to the external genitalia, but rather have lower extremity involvement. Isolated congenital lymphedema of the external genitalia is also extremely rare; to our knowledge, there has been no case report in the Korean literature. Our experienced case was that of a 17 year old male patient, who was treated surgically (scrotal reconstruction), with a relatively good result. (Korean J Urol 2004;45: 1174-1177)
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최홍용 ( Hong Yong Choi ),이종진 ( Jong Jin Lee ) 대한외상학회 2004 大韓外傷學會誌 Vol.17 No.1
Background: We reviewed our experience in managing partial urethral rupture patients with immediate indwelling of the urethral catheter. Patients and Methods: Between January 1996 and December 2002 a total of 32 consecutive male patients with partial urethral rupture were reviewed retrospectively, including a clinical and radiographic of the retrograde urethrography. The average patient age was 50.6 years (14-87 years). The mechanisms of injury were represented by the blunt perineal trauma with straddle injury in 23 patients, accidental Foley catheter removal with ballooning in 5 patients, penile fracture in 3 patients and pelvic bone fracture in one patient. Results: All patients were diagnosed partial urethral rupture with retrograde urethrography and treated with immediate indwelling of the silicon urethral catheter. That were successfully performed at 1st or 2nd trial in 30 (94%) among 32 patients. There were no significant complication and average peak flow rate was 22.0ml/sec (16-30 ml/sec). Conclusion: Immediate careful indwelling of the urethral catheter was safe and effective treatment in partial urethral rupture with intact alignment.
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Men With Severe Lower Urinary Tract Symptoms Are at Increased Risk of Depression
정원식,최홍용,남지원,김신아,최보율,문홍상,김규식 대한배뇨장애요실금학회 2015 International Neurourology Journal Vol.19 No.4
Purpose: Lower urinary tract symptoms (LUTS) comprise a set of common, bothersome symptoms in middle-aged and elderly men. Recent research suggests that depressive symptoms may influence the symptoms of benign prostatic hyperplasia (BPH). We performed a community-based cross-sectional study to evaluate the correlation between LUTS and depression. Methods: The survey was conducted in a rural community during four periods in August 2009, 2010, 2011, and 2012. Two validated questionnaires were used to examine LUTS and depressive symptoms. These included the International Prostate Symptom Score/quality of life (IPSS/QoL) and the Korean version of the Center for Epidemiological Studies-Depression scale (CES-D-K). Patients were categorized in the depressive symptom group if their CES-D-K score was >16 points. Results: A total of 711 men were included in this study. Thirty-five participants (4.92%) were found to have depressive symptoms. There was a positive correlation between depressive symptoms and LUTS severity (P<0.001). As compared to the mild LUTS group, the odds ratio (OR) of depression was 2.868 (95% confidence interval [CI], 1.293–6.362; P for trend<0.001) in the moderate LUTS group, and 4.133 (95% CI, 1.510–11.313; P for trend<0.001) in the severe LUTS group. In a model considering multiple variables such as age, education level, smoking, and exercise, the OR in the moderate LUTS group was 2.534 (1.125–5.708, 95% CI, P for trend=0.005), while that in the severe LUTS group was 3.910 (95% CI, 5.708–11.154; P for trend=0.005). In addition, depression was related to voiding symptoms. Conclusions: Men with severe LUTS are at higher risk of depression than those with less severe urinary symptoms. The severity of voiding symptoms worsens depression. More aggressive urological diagnosis and treatment is needed in patients with severe LUTS, due to the impact on depressive symptoms and QoL.
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전립선비대증 및 전립선암과 관련된 한국 인터넷 웹사이트에 대한 평가
이정우,최홍용,이춘용,문홍상 대한비뇨의학회 2008 Investigative and Clinical Urology Vol.49 No.5
Purpose: We assessed the quality of information available to patients on benign prostatic hyperplasia(BPH) and prostate cancer on the Korean internet web sites. Materials and Methods: This research was undertaken by surfing the internet on the world wide web sites, including naver, nate, daum, yahoo and empas. The key words for the search were 'BPH' and 'prostate cancer'. We evaluated two main themes, and these were aspect of the contents and the technical contents. The aspects of the contents were the content and authorship, and the technical aspects were related to design and efficiency. Results: We evaluated 45 web sites that focused on BPH and 24 web sites that focused on prostate cancer. From among the web sites, 27(60%) of the 45 BPH sites and 16(67%) of the 24 sites gave medical information. Only 14(31%) of the 27 BPH sites and 12(50%) of the 24 prostate cancer sites dealt with full information. The average score of these 43 web sites was only 34.5±13.6 of a perfect score of 100. The mean score of the content was 10±5.1 of 40 points, authorship was 4.3±3.3 of 20 points, design was 10.4±3.3 of 20 points and efficiency was 9.8±4.6 of 20 points. A total of 28(65%) out of the 43 providers of information were urologists and 23 (82%) out of the 28 were general practitioners. The rate of research on prostatic disease was lower than that for 'hypertension', 'diabetes', 'stroke' and 'hepatitis'. Conclusions: There is need for more accurate information on prostatic diseases on the Korean internet. It is essential to set up an institution for qualifying the medical information on web sites & evaluating the web sites on the Korean internet. (Korean J Urol 2008;49:404-410) Purpose: We assessed the quality of information available to patients on benign prostatic hyperplasia(BPH) and prostate cancer on the Korean internet web sites. Materials and Methods: This research was undertaken by surfing the internet on the world wide web sites, including naver, nate, daum, yahoo and empas. The key words for the search were 'BPH' and 'prostate cancer'. We evaluated two main themes, and these were aspect of the contents and the technical contents. The aspects of the contents were the content and authorship, and the technical aspects were related to design and efficiency. Results: We evaluated 45 web sites that focused on BPH and 24 web sites that focused on prostate cancer. From among the web sites, 27(60%) of the 45 BPH sites and 16(67%) of the 24 sites gave medical information. Only 14(31%) of the 27 BPH sites and 12(50%) of the 24 prostate cancer sites dealt with full information. The average score of these 43 web sites was only 34.5±13.6 of a perfect score of 100. The mean score of the content was 10±5.1 of 40 points, authorship was 4.3±3.3 of 20 points, design was 10.4±3.3 of 20 points and efficiency was 9.8±4.6 of 20 points. A total of 28(65%) out of the 43 providers of information were urologists and 23 (82%) out of the 28 were general practitioners. The rate of research on prostatic disease was lower than that for 'hypertension', 'diabetes', 'stroke' and 'hepatitis'. Conclusions: There is need for more accurate information on prostatic diseases on the Korean internet. It is essential to set up an institution for qualifying the medical information on web sites & evaluating the web sites on the Korean internet. (Korean J Urol 2008;49:404-410)
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