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상부요관석에 대한 체외충격파쇄석술과 경성요관경하배석술의 치료결과 비교
김성수,성봉모,안승현 대한비뇨의학회 2004 Investigative and Clinical Urology Vol.45 No.5
Purpose: The aim of this study is to compare the shock wave lithotripsy (SWL) with the rigid ureteroscopic stone removal(URS) in order to establish the efficacy in treating upper ureteral stones according to the stone size. Materials and Methods: We reviewed 328 patients who have been treated for upper ureteral stones between January 1999 and December 2002. 227 patients were treated with SWL, and 101 patients were treated with URS. We analyzed the success rates of the stone removal, reasons for failure, and complication rates of each procedure. Results: The overall success rate of the URS was 93.1%. In terms of stone size, the success rates were 94.5%(<10mm) and 91.3%(>10mm), respectively. With the SWL treatments, the overall success rates after the first, second, and third sessions were 59%, 78%, and 92.5%, respectively. According to the stone size, the success rates were 96.5%(<10mm) and 85.7%(>10mm) after third sessions, respectively. The success rate was significantly affected by the size of the stone in the SWL group, but this was not the case with the URS group. The associated complication rates of URS and SWL were 11% and 7%, respectively. Conclusions: In this study, URS was relatively more efficacious than SWL when the stone was larger than 10 mm. The proper selection of patients for in situ SWL or URS would improve the results of the initial treatment. (Korean J Urol 2004;45:444-448)
이창욱,김성수,권오정,안승현,우원희,성봉모 대한비뇨의학회 2004 Investigative and Clinical Urology Vol.45 No.12
A testis tumor is comparatively rare and most of them are discovered as a palpable asymptomatic mass. We recently experienced two cases of incidental testicular tumor during scrotal exploration for trauma. Pathologic study revealed a mixed germ cell tumor and mature teratoma, so we report here on these two cases with a review of the related literatures. (Korean J Urol 2004;45:1300-1303)
Mesna 투여 후 호전된 Cyclophosphamide로 인한 만성 방광염
우원희,이창욱,김성수,권오정,안승현,성봉모 대한비뇨의학회 2005 Investigative and Clinical Urology Vol.46 No.4
Cyclophosphamide is alkylating agent used in the treatment of various solid tumors. Mucosal irritation by acrolein, the metabolite of cyclophosphamide, is believed to cause various symptoms of cystitis. The thiol compound, sodium 2-mercaptoethane sulfonate(Mesna), has been found to inactivate acrolein. We present an unusual case of a 64-year-old woman, who was treated as chronic cystitis. Her symptoms did not improve, so she was treated with Mesna under the assumption of cyclophosphamide induced cystitis; her symptoms then improved.