요사에 관한 연구 : 제1보 무증상성인남자에 있어서의 요사의 관찰

초록

How many persons do have symptomless chronic urethritis among young male in Korea? This should be a good question to be sought. Whether microscopic examination of shreds in urine is helpful for diagnosis of chronic urethritis or not is another problem which is not determined yet. It has been thought that the shreds of urine usually appears in person who has or had urethritis previously. In chronic urethritis, paraurethritis or inflammatory change of urethral glands is usually found, and the shreds are considered to be made from these glands or paraurethra. We tried to find out shreds in urine of individual who did not have any urethral symptoms and a meaningful results were obtained. Five hundred adult males who are in the age group of between 20 to 27, and those who have no urethral syrnptoms were surveyed and 148(28%) were found to have shreds in their urine. The microscopic examination of these shreds and urine sediments were performed separately. Eighteen cases which have more than 5-7/HPF of leukocytes in urine shreds were found and twehe of such cases in urine sediments were also found. The number of leukocytes in one high power field appears almost parallel between these urine shreds and urine sediments. These urine shreds were classified into long type and comma-shaped type, each of which occupies half of total cases evenly. The first urine taken early in the morning (5-6 A.M.) mas more reliable to detect shreds in urine than that of evening, which contained shreds in only 23.5% of former cases.