미세수술에 의한 절단 음경의 재접합

강양수,박용남,이명주,양정열,노준,김철성,Kang, Yang-Soo,Park, Yong-Nam,Lee, Myung-Ju,Yang, Jeong-Yeol,Rho, Joon,Kim, Chul-Sung 대한미세수술학회 2001 Archives of reconstructive microsurgery Vol.10 No.1

Penile amputation results primarily from attempts at self-emasculation in the psychotic individual or from felonious assault. Because of the complex nature of patients whom perform self-emasculation and low incidence of felonious assault, large series of these individuals do not exist, and experience with amputation injuries of the genitals is confined to individual case reports. Fortunately, complete amputation of penis is quite rare but potentially devastating occurrence. The repels of the treatment of penile amputation by coporal reapproximation that have been published since 1977 indicate that microreplantation techniques are propably superior to the technically simpler nonmicroscopic coporal reapproximation techniques. As microsurgical techniques have been demonstrated to superior, the preferred method of replantation involves this routine whenever possible. We have experience of a case of successful replantation of completely amputated penis by using microneurovascular repair, with the good result of cosmetic and functional concern. Herein, we report this case with the review of the literatures.

전립샘비대증 환자에서 전립샘용적와 발기부전과의 관계

김민석(Min Seok Kim),조원진(Won Jin Cho),임동훈(Dong Hoon Lim),김철성(Chul-Sung Kim),이철갑(Chul-Gab Lee),노준(Joon Rho) 조선대학교 의학연구원 2020 The Medical Journal of Chosun University Vol.45 No.2

Common symptoms of aging include degradation of male sexual function and lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH). There is no systematic report that prostatic hyperplasia causes sexual dysfunction. In addition, since both prostatic hyperplasia and erectile dysfunction are related to age, it is difficult to directly link prostate hyperplasia and erectile dysfunction. The relationship between prostate volum and erectile dysfunction due to prostate hyperplasia is controversial, but the exact mechanism of integration is still being considered. Age and age-adjusted LUTS severity are decreasing factors of erectile function. With BPH therapy, increase of urinary symptoms and quality of life are well-known, but there are controversies over the sexual function according to the treatment method. The purpose of this study is to evaluate the correlation between prostate volume and erectile dysfunction in patients with symptoms of urinary tract depression caused by benign prostatic hyperplasia. 50 subjects with BPH, and before initiating BPH treatment that may affect erectile function, quantification of erectile function is conducted in 5 questions to all respondents using the International Index of Erectile Function (IIEF-5). The Pearson correlation coefficient between prostate volume and IIEF-5 score was -0.039 (p-value-0.784). Therefore, as the volume of the prostate increases, erectile dysfunction is not related to evil. The results of IIEF-5 appear to be unregulated in the case of the prostate volume or the rate of increase in the prostate volume, and there is no change in the IIEF score.

신경인성방광에서 요역동학적 고찰

노준,전상준,정치영,이기봉,이길용,소영석,김철성,장대수 조선대학교 2001 The Medical Journal of Chosun University Vol.26 No.2

Background and objectives : A disparity between clinical and urodynamic findings is commonly found and its application to the clinical management of neurogenic bladder is pratically as well embrassing as it reading. We investigated urodynamic study for the diagnosis and management of neurogenic bladder. Materials and methods : From July 1997 to June 2001, total of 83 patients of neurogenic bladder were evaluated by urodynamic study. Results : urodynamically, there were 20 cases(24%) showing detrusor hyperreflexia with detrusor external sphincter dyssynergia(DESD), 12 cases(15%) detrusor areflexia with low compliance. A disparity between the clinical and urodynamic assessment was noted in 26 cases(31%), clinically severe symptom with complication was particularily common in detrusor hyperreflexia with DESD, detrusor areflexia with low compliance and catheter indwelling patients. Conclusion : In neurogenic bladder, clinically symptom with complication was particularly common in detrusor hyperreflexia with DESD, detrusor areflexia with low compliance and catheter indwelling patients.

무증상 현미경적 혈뇨가 있는 환자에서 배설성 요로조영술과 초음파조영술의 평가

윤종선,노준,장대수 朝鮮大學校 附設 醫學硏究所 1997 The Medical Journal of Chosun University Vol.22 No.2

During the period from January 1995 to December 1996, 163 cases of excretory urography and sonography were performed for the evaluation of the causes of asymptomatic microscopic hematuria. Male and female ratio was 1 : 1.4 and the most common age group was 40 -49 years(30.7%), the next was 50 -59 years(23.3%) and 60 - 69 years(23.3%). Of 163 cases of urography and sonography, abnormal findings were shown in 24 cases(14.7%): urinary stone: 13 cases, renal cyst, 5 cases, renal cell carcinoma: 2 cases, bladder cancer; 1 case, ureteropelvic junction stricture: 2 cases and double pelvisU 1 case. Of the 24 cases of abnormal findings, normal urographic findings with abnormal findings of sonography were shown in 10 cases: urinary stone: 7 cases, renal cyst: 2 cases and bladder cancer: 1 case. The adverse reactions to contrast media during urography were observed in 15 cases (9.2%), but their severity was mimic. As shown by the above results, urography is necessary in the evaluation of patients with asymptomatic microhematuria. Additionally sonography is necessary in order to detect the urological disease in the patients who have normal urography with persistent microscopic hematuria.

척수손상으로 인한 신경인성방광 환자에서 Galloway 가해계수와 상부요로손상의 상관성

박경민,노준,김철성 大韓泌尿器科學會 2001 Korean Journal of Urology Vol.42 No.10

시스틴 결석 : 증례 보고 A Case Report

이길용,노준,정충식 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.2

Cystine calculi is the consequence of cystinuria, an autosomal recessive defect of the transepithelial of cystine and dibasic acids in the kidney and intestine. The hardness and frequent reccurrence of cystine stones present a special challenge to the urologist. we report a case of 15-year-old man who had a cystine calculi, which was successfully treated with percutaneous lithotripsy (PCNL), extracorporeal shock wave lithotripsy (ESWL) &edical therapy include high fluid intake, alkalinization and chelating agent.

요관추벽

이종태,안병수,노준,박도영,장대수 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.1

The ureteral folds are full-thickness inward projections of the ureteral wall. They are believed to represent persistence of normal fetal tortuosities of the ureter. The frequency of a "corkscrew" ureter was highest in the new born(75%) and decreased in frequency to an 11% incidence at 2 years of age. They have no postnatal clinical significance until 2 years of age. We have experienced one case of ureteral fold. The patient was a 4-year-old boy and his chief complaints were fever and scrotal pain. To determine the proper diagnosis, we carried out intravenous pyelography. We have noted multiple, thin, well defined, transverse radioluciencies project into the lumen of the ureter. We report this case with the review of literatures.

거대첨규 콘딜로마로부터 속발된 음경암 1치험예 : A Case Report

김수현,정충식,노준,박도영,장대수 조선대학교 1994 The Medical Journal of Chosun University Vol.19 No.2

The giant condyloma or carcinoma-like condylima is relatively rare. Although the disease is considered clinically mailgant. the possiblity of maligant changes from them are controversial even among the investigators but cannot be entirely overlooked. Most authorists consider that they get the possibility of malignant change. A case of malignancy of the penis which have apparently been transformed from giant condyloma acuminatum of the penis is herein presented with review of literature.

광주지역 일부 남성의 연령과 배뇨량에 따른 최고요속 정상치

윤희철,박희수,노준,장대수 조선대학교 부설 의학연구소 2000 The Medical Journal of Chosun University Vol.25 No.1

Background and Objective : The Peak or maximum uroflow rate has been useful in screening test for the diagnosis of lower urinary tract dysfunction, and is used as a parameter in the diagnosis of lower urinary tract dysfunction, such as prostatism, urethral stricture, or neurogenic bladder, and the postoperative assessment of adequate surgery in urologic patients. We need a peak uroflow rate nomogram for the adjusted peak uroflow, because uroflow in normal healthy men depends on the voided volume and decreases with age. Materials and Methods : Peak flow rates and volumes voided were measured in 315 males who were free of voiding dysfunction, ranging in age from 10 to 80. To search for the equation of age, voided volume and peak uroflow, we used the least squares method for the equation providing least residual standard deviation by SPSS program. Results : The equation of age, volume voided and peak flow rate is Q=24.383+0.413A-0.006934A2-1164.644/V (Q: peak flow rate, A: Age, V: voided volume). Means of measured age, volumes voided, and peak flow rate was 45.7, 227.6ml, and 20.7ml/sec respectively. At this point, reference peak uroflow is 23.6m1/sec. Adjusted peak uroflow was obtained by subtracting the difference between the measured and expected peak uroflow from the reference peak uroflow. According to the equation Q, We designed nomogram with adjusted peak uroflow rate used. Conclusions : In our nomogram an adjusted peak flow rate <.8ml /sec(1.2 standard deviation) should be considered suspicious for lower urinary tract obstruction. This peak uroflow rate nomogram can be used clinically to evaluate lower urinary tract obstruction and its postoperative assessment.

방광에 발생한 염증성 근섬유아세포종

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.