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여성 복압성 요실금 환자에서 TVT 술식 후 발생한 배뇨곤란의 Hegar 확장기를 이용한 치료경험
문형윤,노준,김철성,장대수,조원진,임동훈,백승 대한배뇨장애요실금학회 2005 International Neurourology Journal Vol.9 No.1
The tension-free vaginal tape procedure (TVT) has become a state of the art operation for female stress urinary incontinence. The most common problems after the TVT seen are voiding difficulties. Although the incidence of urinary retention appears to be low after the TVT procedure, it is recommended that patients be counseled about the risk and carefully monitored for voiding symptoms during the first 3 weeks postoperatively. When obstruction after the TVT is clinically evident, immediate tape adjustment in the operating room by open vaginal incision, may be indicated. We report of voiding difficulty 8 weeks after the TVT who was successfully managed with urethral dilation. (J. Korean Continence Society 2005;9:46-48)
조영제 증강 자기공명혈관조영술에 있어서 술 전 생체 공여신의 신혈관 평가
문형윤,소영석,김철성 대한비뇨의학회 2004 Investigative and Clinical Urology Vol.45 No.10
Purpose: The purpose of this study was to evaluate the accuracy of contrast enhanced magnetic resonance angiography(CE-MRA) in the visualization of the renovascular anatomy for the preoperative evaluation of living renal donors. Materials and Methods: Thirty-one consecutive potential living renal donors were investigated. Ten patients underwent both digital subtraction angiography(DSA) and CE-MRA, and twenty-one underwent CE-MRA alone before the donor nephrectomy. The intraoperative findings on the number of renal vessels were compared with those of the DSA and CE-MRA. Results: DSA and CE-MRA showed 100% agreement in identifying the main renal arteries, accessory renal artery, and renal veins before surgery. In the DSA and CE-MRA group(n=10), the accuracy relative to the intraoperative findings was 92.3%(12/13) for the renal artery and 100% (10/10) for the renal vein. In the CE-MRA alone group(n=21), 93.3% (28/30) accuracy was shown for the renal artery and 91.3%(21/23) for the renal vein compared with the intraoperative findings. Conclusions: CE-MRA showed similar agreement and accuracy to DSA. As a minimally invasive technique, CE-MRA has the potential to replace DSA. (Korean J Urol 2004;45:1044-1048)
강윤일,문형윤,노준,김철성 朝鮮大學校 附設 醫學硏究所 2007 The Medical Journal of Chosun University Vol.32 No.1
Inflammatory myofibroblastic tumor of urinary bladder is a rare benign entity that clinically and radiologically simulates a malignant tumor. This benign lesion must be differentiated histoloeically from several malignant lesion of the bladder. Complete surgical excision, either by transurethral resection or partial cystectomy, appears to be curative. We report a case of inflammatory myofibroblastic tumor of the urinary bladder in a 25-year-old female.