Journal of Yeungnam Medical Science

Jun Kyu Suh

3 Articles

Clinical Experiences of the Ureteroscopic Management for the Lower Ureteral Stone.: Seong Jong Mo, Young Soo Kim, Jun Kyu Suh, Tong Choon Park; Yeungnam Univ J Med. 1990;7(2):97-102. Published online December 31, 1990; DOI: https://doi.org/10.12701/yujm.1990.7.2.97

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Ureteroscopic removal of the stone is now popular for the management of the lower ureteral stone. A clinical study was performed on our 75 patients with lower ureteral stone treated with ureteroscopy. Of the 75 stone manipulations 62 (83%) were immediately successful and the final success rate including spontaneous delivery of stone or fragment after the procedure was 87 percents (65 cases). Of 57 smaller calculi than 1 cm (radiographic largest diameter) 50 (88%) were removed successfully. Mean duration of postoperative hospitalization was 5.6 days. There were no interrelations between the success rate and anesthetic methods. Significant complications during or after procedure were not identified. We conclude that ureteroscopic removal of stones under direct vision can be done safely and be the first choice of procedure for the lower ureteral stones.

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A Clinical Case Report of Severe Hematuria Patient after Ureterolith Lithotripsy
Sang Hyun Lee, Ju Yong Jeong, Myoung Rae Cho
Korean Journal of Acupuncture.2015; 32(3): 144. CrossRef

Prostatic Urethral Polyp Causing Lower Urinary Tract Obstruction: Report of a Case.: Dong Heon Lee, Jun Kyu Suh, Young Soo Kim, Tong Choon Park, Hae Joo Nam, Won Hee Choi, Tae Sook Lee, Kyung Chul Lee; Yeungnam Univ J Med. 1985;2(1):249-252. Published online December 31, 1985; DOI: https://doi.org/10.12701/yujm.1985.2.1.249

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Abstract PDF: Polyps of the male urethra are relatively uncommon lesions, They usually arise from the prostatic urethra mostly verumontanum or just lateral to the verumontanum. Posterior urethral polyp often presents with hematuria, hemospermia and sometimes lower urinary tract obstruction. We recently experienced a pedunculated prostatic urethral polyp in a 63-year-old man who complained of gross total hematuria and difficult micturition for several years. On rectal examination the prostate was slightly enlarged with normal consistency. Excretory urogram showed a round filling defect in the right side of the bladder neck measuring about 2×2 cm in size. Cystourethroscopy revealed trabeculation of the vesical wall, mild bilateral prostatic hypertrophy and a round cystic mass with a long stalk arising from the prostatic floor 1cm. Proximal to the verumontanum which caused ball-valve obstruction in the bladder neck. This pedunculated polypoid mass was then resected at its base with resectoscope and was removed transurethrally using Lowsley's grasping forceps. The specimen was proved as fibrous polyp histologically.

Transurethral Dormia Dislodging in Patients with Lower Ureteral Stone.: Eun Gill Kim, Jun Kyu Suh, Young Soo Kim, Tong Choon Park; Yeungnam Univ J Med. 1985;2(1):81-85. Published online December 31, 1985; DOI: https://doi.org/10.12701/yujm.1985.2.1.81

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Abstract PDF: Management of the small lower ureteral stone has been attempted by either transurethral manipulation or expectant therapy. To date, however, the choice of proper method has depended mostly on clinician's preference, and the effectiveness of the transurethral stone manipulation has remained controversial. Herein we evaluated the effectiveness of the transurethral stone manipulation, using with the Dormia dislodger, in 37 patients with lower ureteral stone less than 10mm in greatest diameter. The results are summarized as follows. 1. The overall success rate was 68% (25 of 37 patients); Immediate delivery of the stone was observed in 16 of 37 patients. In another 5 patients the stone was removed at the time when the indwelled ureteral catheter was taken out. In the remaining 4 patients the stone passed spontaneously within a week following the procedure. 2. Higher success rate was observed in smaller stone; 79% in less than 4 mm, 58% in 46 mm, and 33% in 610 mm in it's greatest diameter, respectively. 3. The morbidity rate was 8.1% (3 of 37 patients); In one patient a broken basket was retained in the ureter, which was removed at the time of ureterolithotomy. In another patient a ureteral stricture requiring periodic dilation was complicated. And in the other patient persistent hematuria was observed, which was relieved by conservative management. These results suggest that transurethral manipulation might have to be initially applied to unremittingly painful patients with small lower ureteral stone.

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