Women were used as their own controls in the comparison of presterilization and poststerilization menstrual patterns. Five parameters were studied: regularity of cycle length, duration and amount of flow and incidence of dysmenorrhea and intermenstrual bleeding. Three parameters in the electrocoagulation group (regularity of cycle length and duration and amount of flow) and one parameter in the tubal ring group (duration of flow) showed significant changes after sterilization. However, by controlling for the effect of previous contraceptive methods used, no significant menstrual pattern changes following sterilization were discerned in either technique group.

On the basis of the semen analysis in 66 subjects, they were divided into six different groups: Group I consisted of 16 normal subjects with sperm counts of over 40 ${\times}10^6$/ml and motility of over 40 percent, Group II, 7 subjects with normal sperm counts, but motility of under 40 percent, Group III, 15 oligospermic patients with under 40 ${\times}10^6$/ml, Group IV 14 azoospermic patients, Group V, 10 patients with vasectomy and Group VI, 4 abnormal patients with 2 cases of hypoplastic testis, 1 case of Klinefelter's syndrome and 1 case of testis tumor. After seperation of semen into sperm and seminal plasma by centrifugation, the protein contents and the activities of hyaluronidase, ${\beta}$-N acetylglucosaminidase, ${\beta}$-glucuronidase, arylsulfatase, acrosin and azocoll proteinase in seminal plasma were measured. Vasectomy group has 30 percent less of total protein than normal group. For the comparison of enzyme activities of seminal plasma, it could be assumed that the enzymes in seminal plasma were not contaminated with the enzymes of spermatozoa by testing the enzymes of the seminal plasma from the vasectomy and azoospermic groups. It had been reported that hyaluronidase was only released from spermatozoa, however, the result obtained in this investigation showed that azoospermic and vasectomy group had high specific activities of hyaluronidase. The results indicated that hyaluronidase was not only from the testis but also from the male accessory sexual glands. Oligospermic group (Group III) showed the lowest total activity of hyaluronidase among them. The specific activities of ${\beta}$ -N-acetylglucosaminidase was high in oligospermic group (Group III) and low in vasectomy group (Group V). These results were contradictory with the pattern of hyaluronidase activities. This indicated that the spermatozoa which were stayed in epididymis would increase the activity of this enzyme. The specific activity of ${\beta}$ - glucuronidase was low in oligospermic and vasectomy groups. Group VI including testis tumor had remarkably high arylsulfatase activity. Arylsulfatase, a typical lysosomal enzyme, has been known to be released unusually large amounts from certain tumor cells. Arylsulfatase was also released with high activities from azoospermic and vascetomy group. This result indicated that this enzyme was also released from the sources other than testis. Acrosin, a proteolytic enzyme locating in the sperm acrosome, was not found throughout all the samples of seminal plasma. The activities of azocoll proteinase, a non-specific neutral proteinase was nearly identical in all the groups. This enzyme must have been released from the sources other than testis.

A group of 180 men who visited Urology Department of Severance hospital, including 115 patients with nongonococcal urethritis (N.G.U.), 27 patients with prostatitis, 13 patients with gonococcal urethritis (G.U.) and 25 healthy medical student controls were investigated for the isolation of Ureaplasma urealyticum (T-strain mycoplasma) from the specimen of ureaplasma discharge, urine and semen. Taylor-Robinson media of T-broth and T-agar was used for the isolation of Ureaplasma urealyticum. To the best of our knowledge, the study on the culture of Ureaplasma urealy ticum was reported for the first time in Korea. The followis g results were obtained: 1. The isolation rate of Ureaplasma urealyticum in nongonococcal urethritis (53.0%) revealed highest of those in the other three groups of prostatitis, gonococcal urethritis and control (40.7%,38.4% and 16.0% respectively). 2. As for the specimens, urethral discharge revelaed higher isolation rate of Ureaplasma urealyticum (54.6%) than first voided urine (50.0%). 3. The more consorts patients had, the higher positive culture rate of Ureaplasma urealyticum were revealed. The isolation rate in case of more than one causal in nongonococcal urethritis (27.8%) revealed much higher than in case of marital only (5.2%), one regular (6.1%) and one causal 03.9%). 4. 2.6% of isolation rate of Ureaplasma urealyticum revealed in patients with nongonococcal urethritis who visited the clinic in later than 4 weeks after the symptoms developed. However, the isolation rate in patients who visited within 4 weeks revealed 50.3%. The lower isolation rate of Ureaplasma in the late treatment seekers might be probably due to the suppression effect against Ureaplama urealyticum from the possible previous self antibiotic treatment. 5. Attachment of Ureaplasma urealyticum mostly to the neck and head portion of the spermatozoa seemed to playa role to affect the motility of sperms.

During the period of Sep. 1981 to Feb. 1983, a program of measuring the blood gases and pH of 19 varicocele patients was taken. These patients were classified into 2 groups based upon their semen analyses; Group A consisted of 9 patients who demonstrated normal findings and group B consisted of 10 patients who demonstrated seminal stress pattern. The blood pH: $PO_2$ , and $PCO_2$ were measured in the internal spermatic vein and the radial vein of all the patients. The results obtained were as follows; 1. In Group A, no difference was detected in the value of the pH, $PO_2$ and $PCO_2$ between the internal spermatic vein and the radial vein. 2. In group B, a similar lack of difference in blood gases found between the internal spermatic vein and the radial vein. 3. The blood gases between the internal spermatic veins of Group A and B were compared. No difference was discovered between the 2 group also. It has been hypothesized that the pathogenesis of spermatogenic depression in patients with varicocele is testicular hypoxia due to low oxygen tension of the internal spermatic vein. However, our results do not bear out this proposed mechanism.

This study was intended to investigate the effectiveness of Quicure vaginal irrigaticn for treatment of cervico-vaginitis. 53 patients who visited to severance hospital during July to December 1982 were included in this study. Antiseptics used for irrigation were 1% KMnO4, 10% Betadine and Albright solution, each solution was prepared for warm ($37^{\circ}C$) and cold ($15^{\circ}C$) form respectively, Acridine Orange immunofluorescent stainiry of cervico-vaginal smear was used for assessment of effectivenese. The results were as followed. 1. On unitial examination 62%s of patients had trichomonas infection, 19% had moniliasis infection, 19% had non specific infection. 2. Smear findings of patients~who had trichomonas infection or moniliasis infection, treated with cold 1% KMnO4 or Albright solution, became>negative except case of on each group. But the findings of all patients treated with warm solution became negative. Changes of findings of patients who had non specific infection showed similar result. This results indicated that warm solution would be better than cold solution. 3. The findings of all patients treated with Betadine solution became negative except, patient who had non specific infection, showed that Betadine solution would be better than 1% KMnO4 or Albright salution. 4. Patients' feeling of using warm saline was more satisfactory than that of cold solution