Pub Date : 2022-10-27DOI: 10.33719/yud.2022;17-3-1105871
T. Aydoğan
Objective: The aim of this study is to evaluate the quality of videos on YouTube related to MRI-TRUS prostate fusion biopsy. Material and Methods: A YouTube search was made on March 16, 2022, for the videos related to “MRI-TRUS prostate fusion biopsy”. The first 70 videos were ranked during this study by choosing “relevance” as a criterion. Video content quality was evaluated using the internationally validated Journal of the American Medical Association Benchmark Score (JAMAS) and Global Quality Score (GQS). The researcher also developed MRI-TRUS Prostate Fusion Biopsy Scoring (MTPFBS) to evaluate videos’ technical content. The upload origin and length of video view count, like and dislike ratios, and video power indexes (VPI) were all evaluated. Results: Video content from academic center sources had significantly higher GQS scores than scientific meetings or private institution videos. Video content prepared by private institution sources had significantly lower MTPFBS and JAMA scores than other videos (p<0.05). According to the type of information, videos uploaded with voice and writing had significantly higher JAMAS and MTPFBS than voice alone (p<0.05). The length of videos showed a positive correlation with JAMA and MTPFBS. VPI and the number of likes showed a strong correlation. However, VPI or the number of likes did not correlate with GQS, JAMAS, and MTPFBS scores. Conclusion: Evaluated on YouTube, the MRI-TRUS prostate fusion biopsy videos were low quality. In that regard, videos prepared by specialists and academic centers should be standardized to transfer better quality information. According to current data, watching these video contents may not be recommended. Keywords: Multiparametric magnetic resonance imaging; prostate; internet
{"title":"Quality of information in YouTube videos on prostate fusion biopsy","authors":"T. Aydoğan","doi":"10.33719/yud.2022;17-3-1105871","DOIUrl":"https://doi.org/10.33719/yud.2022;17-3-1105871","url":null,"abstract":"Objective: The aim of this study is to evaluate the quality of videos on YouTube related to MRI-TRUS prostate fusion biopsy. Material and Methods: A YouTube search was made on March 16, 2022, for the videos related to “MRI-TRUS prostate fusion biopsy”. The first 70 videos were ranked during this study by choosing “relevance” as a criterion. Video content quality was evaluated using the internationally validated Journal of the American Medical Association Benchmark Score (JAMAS) and Global Quality Score (GQS). The researcher also developed MRI-TRUS Prostate Fusion Biopsy Scoring (MTPFBS) to evaluate videos’ technical content. The upload origin and length of video view count, like and dislike ratios, and video power indexes (VPI) were all evaluated. Results: Video content from academic center sources had significantly higher GQS scores than scientific meetings or private institution videos. Video content prepared by private institution sources had significantly lower MTPFBS and JAMA scores than other videos (p<0.05). According to the type of information, videos uploaded with voice and writing had significantly higher JAMAS and MTPFBS than voice alone (p<0.05). The length of videos showed a positive correlation with JAMA and MTPFBS. VPI and the number of likes showed a strong correlation. However, VPI or the number of likes did not correlate with GQS, JAMAS, and MTPFBS scores. Conclusion: Evaluated on YouTube, the MRI-TRUS prostate fusion biopsy videos were low quality. In that regard, videos prepared by specialists and academic centers should be standardized to transfer better quality information. According to current data, watching these video contents may not be recommended. Keywords: Multiparametric magnetic resonance imaging; prostate; internet","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-27DOI: 10.33719/yud.2022;17-3-1058394
Adem Tunçekin, A. İncebıyık, M. Demir, I. Yağmur, E. S. Pelit, B. Kati, H. Çiftçi
Intravesical ectopic pregnancy is a very rare condition. Unlike traditional ectopic pregnancies, patients generally present with hematuria. Our case presented with abdominal pain and urinary bleeding. Abdominal tenderness was observed on physical examination. The ß-HCG was measured as 10033 IU / ml. In ultrasonography, an appearance compatible with a vesicouterine fistula tract and an ectopic gestational sac in the bladder were observed. In cystoscopy, a mass compatible with a fistula tract ostium and ectopic gestational sac was observed at the junction of the right side of the bladder and the posterior wall. The observed structure was resected and cauterized to achieve hemostasis. No complications were observed during the follow-up, and the patient was discharged. Ectopic pregnancy should be one of the differential diagnoses of patients with a history of pelvic surgery who present with complaints of menstrual delay and hematuria. Keywords: vesical pregnancy, vesicouterine fistula, hematuria
膀胱内异位妊娠是非常罕见的情况。与传统的异位妊娠不同，患者通常表现为血尿。我们的病例表现为腹痛和尿出血。体格检查腹部压痛。测得ß-HCG为10033 IU / ml，超声检查见膀胱外瘘道及膀胱内异位妊娠囊。膀胱镜检查发现，膀胱右侧与后壁交界处有一肿块与瘘道口及异位妊娠囊相吻合。将观察到的结构切除并烧灼止血。随访期间无并发症发生，出院。异位妊娠应作为有骨盆手术史且有月经延迟和血尿症状的患者的鉴别诊断之一。关键词:膀胱妊娠，膀胱外瘘，血尿
{"title":"A rare cause of hematuria, intravesical ectopic pregnancy; case report","authors":"Adem Tunçekin, A. İncebıyık, M. Demir, I. Yağmur, E. S. Pelit, B. Kati, H. Çiftçi","doi":"10.33719/yud.2022;17-3-1058394","DOIUrl":"https://doi.org/10.33719/yud.2022;17-3-1058394","url":null,"abstract":"Intravesical ectopic pregnancy is a very rare condition. Unlike traditional ectopic pregnancies, patients generally present with hematuria. Our case presented with abdominal pain and urinary bleeding. Abdominal tenderness was observed on physical examination. The ß-HCG was measured as 10033 IU / ml. In ultrasonography, an appearance compatible with a vesicouterine fistula tract and an ectopic gestational sac in the bladder were observed. In cystoscopy, a mass compatible with a fistula tract ostium and ectopic gestational sac was observed at the junction of the right side of the bladder and the posterior wall. The observed structure was resected and cauterized to achieve hemostasis. No complications were observed during the follow-up, and the patient was discharged. Ectopic pregnancy should be one of the differential diagnoses of patients with a history of pelvic surgery who present with complaints of menstrual delay and hematuria. Keywords: vesical pregnancy, vesicouterine fistula, hematuria","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-27DOI: 10.33719/yud.2022;17-3-1066203
Kübra Özgök Kangal, Kübra Canarslan Demir
Objective: Fournier gangrene is a form of necrotizing fasciitis with high mortality. Hyperbaric oxygen therapy (HBOT) is a successful and supportive treatment option for Fournier’s gangrene (FG). This study aimed to analyze urologists’ knowledge, opinions, and preferences about HBOT application in FG. Material and Methods: An online or face-to-face questionnaire was applied to physicians who are experts in the field of Urology or who have been continuing Urology residency training for at least one year. Results: Ninety urology physicians filled out the questionnaire. Most of them (56.4%) never refer FG cases to HBOT. Physicians (55.3%) mostly preferred HBOT only in patients unresponsive to surgical debridement and antibiotherapy. Besides, 27.3% of them stated they had no information when asked to self-assess their knowledge. Only 12 physicians (13.3%) had previously been in an HBOT center, and 15 (16.7%) physicians had participated in a scientific study on HBOT. Only three physicians (3.4%) stated HBOT was not beneficial to FG patients. Urologists’ opinions about HBOT efficiency in FG were examined (3-point-Likert type questions) in 5 questions; the median score was 2 points (minimum-maximum: 1-3 points). On the other hand, physicians who did not know HBOT had more negative opinions about HBOT efficiency in FG (p = 0.002). Conclusion: Urology physicians’ knowledge of HBOT, their doubts about HBOT in FG, and their relatively low experience with HBOT are clearly shown in this study. Therefore, urology physicians should be encouraged to increase their HBOT experience in FG and participate in scientific studies. Also, Urology Associations should discuss HBOT efficiency more effectively in guidelines and meetings. Keywords: Fournier’s gangrene, hyperbaric oxygenation, questionnaire, urologists
{"title":"A survey on the knowledge, opinions, and approaches in clinical practice of urology physicians about hyperbaric oxygen therapy application in Fournier gangrene","authors":"Kübra Özgök Kangal, Kübra Canarslan Demir","doi":"10.33719/yud.2022;17-3-1066203","DOIUrl":"https://doi.org/10.33719/yud.2022;17-3-1066203","url":null,"abstract":"Objective: Fournier gangrene is a form of necrotizing fasciitis with high mortality. Hyperbaric oxygen therapy (HBOT) is a successful and supportive treatment option for Fournier’s gangrene (FG). This study aimed to analyze urologists’ knowledge, opinions, and preferences about HBOT application in FG. Material and Methods: An online or face-to-face questionnaire was applied to physicians who are experts in the field of Urology or who have been continuing Urology residency training for at least one year. Results: Ninety urology physicians filled out the questionnaire. Most of them (56.4%) never refer FG cases to HBOT. Physicians (55.3%) mostly preferred HBOT only in patients unresponsive to surgical debridement and antibiotherapy. Besides, 27.3% of them stated they had no information when asked to self-assess their knowledge. Only 12 physicians (13.3%) had previously been in an HBOT center, and 15 (16.7%) physicians had participated in a scientific study on HBOT. Only three physicians (3.4%) stated HBOT was not beneficial to FG patients. Urologists’ opinions about HBOT efficiency in FG were examined (3-point-Likert type questions) in 5 questions; the median score was 2 points (minimum-maximum: 1-3 points). On the other hand, physicians who did not know HBOT had more negative opinions about HBOT efficiency in FG (p = 0.002). Conclusion: Urology physicians’ knowledge of HBOT, their doubts about HBOT in FG, and their relatively low experience with HBOT are clearly shown in this study. Therefore, urology physicians should be encouraged to increase their HBOT experience in FG and participate in scientific studies. Also, Urology Associations should discuss HBOT efficiency more effectively in guidelines and meetings. Keywords: Fournier’s gangrene, hyperbaric oxygenation, questionnaire, urologists","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.33719/yud.2022;17-2-1068641
F. Yanaral, Ufuk Çağlar, F. Şendoğan, M. Binbay
Nowadays, active surveillance has gained popularity as an acceptable management alternative to definitive treatment for men with low-risk prostate cancer. Active surveillance aims to delay or prevent unnecessary interventions – thereby reducing the morbidity associated with overtreatment. Despite widespread acceptance from current guidelines, active surveillance does not eliminate the concern that the advanced disease and repeat biopsy anxiety for both the clinician and the patient. This situation leads to the search for a method that is non-invasive and can give an idea to the clinician about the status of the disease in the active surveillance protocol. Recent technological advancements and the introduction of modern anatomical and functional sequences have led to a growing role for multiparametric magnetic resonance imaging (mpMRI) in the detection, risk assessment, and monitoring of prostate cancer. The main advantages of MRI are its superior anatomic and contrast resolution, lack of ionizing radiation, and multi-planar capabilities. In addition, standardization of reporting findings such as PI-RADS in mpMRI in prostate cancer provides an advantage by increasing inter-reader reliability among radiologists. This study aims to evaluate and summarize the role of magnetic resonance imaging in the active surveillance of prostate cancer. Keywords: active surveilliance, prostate cancer, multiparametric magnetic resonance imaging
{"title":"Active surveillance of prostate cancer with multiparametric magnetic resonance imaging: Review of the literature","authors":"F. Yanaral, Ufuk Çağlar, F. Şendoğan, M. Binbay","doi":"10.33719/yud.2022;17-2-1068641","DOIUrl":"https://doi.org/10.33719/yud.2022;17-2-1068641","url":null,"abstract":"Nowadays, active surveillance has gained popularity as an acceptable management alternative to definitive treatment for men with low-risk prostate cancer. Active surveillance aims to delay or prevent unnecessary interventions – thereby reducing the morbidity associated with overtreatment. Despite widespread acceptance from current guidelines, active surveillance does not eliminate the concern that the advanced disease and repeat biopsy anxiety for both the clinician and the patient. This situation leads to the search for a method that is non-invasive and can give an idea to the clinician about the status of the disease in the active surveillance protocol. Recent technological advancements and the introduction of modern anatomical and functional sequences have led to a growing role for multiparametric magnetic resonance imaging (mpMRI) in the detection, risk assessment, and monitoring of prostate cancer. The main advantages of MRI are its superior anatomic and contrast resolution, lack of ionizing radiation, and multi-planar capabilities. In addition, standardization of reporting findings such as PI-RADS in mpMRI in prostate cancer provides an advantage by increasing inter-reader reliability among radiologists. This study aims to evaluate and summarize the role of magnetic resonance imaging in the active surveillance of prostate cancer. Keywords: active surveilliance, prostate cancer, multiparametric magnetic resonance imaging","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.33719/yud.2022;17-2-1102536
M. Soytaş, R. Soytaş
Objective: To assess the factors affecting nocturia in young and older women with urinary incontinence (UI). Material and Methods: Women who applied to the urology outpatient clinic with the UI complaint between November 2021-March 2022 were included. Demographic data, anthropometric measurements, medications and comorbidities were recorded. The ICIQ-SF test was applied to evaluate their quality of life. Patients who have been waking up at night with the need to urinate ≥2 were considered to have nocturia. Results: Ninety-two women were included. Two groups were created as patients <60 years (n=47) and ≥60 years (n=45). The body mass index and waist circumference were higher in patients ≥60 years (respectively; p= 0.034, p= <0.001). Using of diuretic and anticholinergic medications was higher than in the younger group (respectively; p= <0.001, p= 0.006). The total number of medications was higher in the older group (p= <0.001). The number of comorbidities and the number of patients with Type 2 Diabetes Mellitus (DM) were higher in the older group (respectively; p= 0.002, p= 0.025). No difference was found in the young group with and without nocturia in terms of anthropometric measurements, medications used, and comorbidities. The number of medications and the number of Type 2 DM patients were significantly higher in the older group with nocturia (respectively; p= 0.04, p= 0.036). Conclusion: Type 2 DM and multiple medication use are risk factors for nocturia in older women with UI. Evaluation and management of these risk factors may contribute to better clinical outcomes. Keywords: aged, nocturia, risk factors, urinary incontinence, women
目的:探讨影响老年和青年女性尿失禁(UI)患者夜尿的因素。材料和方法:纳入2021年11月至2022年3月期间因尿失禁投诉到泌尿科门诊就诊的女性。记录了人口统计数据、人体测量值、药物和合并症。采用ICIQ-SF测试评估其生活质量。夜间醒来且需要排尿≥2次的患者被认为有夜尿症。结果:纳入92名女性。将患者分为<60岁(n=47)和≥60岁(n=45)两组。≥60岁的患者体重指数和腰围较高(分别为;P = 0.034, P = <0.001)。利尿剂和抗胆碱能药物的使用高于年轻组(分别;P = <0.001, P = 0.006)。老年组总用药次数较高(p= <0.001)。合并症的数量和2型糖尿病(DM)患者的数量在老年组中较高(分别;P = 0.002, P = 0.025)。在有夜尿症和没有夜尿症的年轻组中，在人体测量、使用的药物和合并症方面没有发现差异。老年夜尿组用药次数和2型糖尿病患者数量显著高于老年夜尿组(分别;P = 0.04, P = 0.036)。结论:2型糖尿病和多重用药是老年尿失禁妇女夜尿的危险因素。对这些危险因素的评估和管理可能有助于获得更好的临床结果。关键词:老年，夜尿，危险因素，尿失禁，女性
{"title":"Assessment of associated factors with nocturia in young and older urinary incontinent","authors":"M. Soytaş, R. Soytaş","doi":"10.33719/yud.2022;17-2-1102536","DOIUrl":"https://doi.org/10.33719/yud.2022;17-2-1102536","url":null,"abstract":"Objective: To assess the factors affecting nocturia in young and older women with urinary incontinence (UI). Material and Methods: Women who applied to the urology outpatient clinic with the UI complaint between November 2021-March 2022 were included. Demographic data, anthropometric measurements, medications and comorbidities were recorded. The ICIQ-SF test was applied to evaluate their quality of life. Patients who have been waking up at night with the need to urinate ≥2 were considered to have nocturia. Results: Ninety-two women were included. Two groups were created as patients <60 years (n=47) and ≥60 years (n=45). The body mass index and waist circumference were higher in patients ≥60 years (respectively; p= 0.034, p= <0.001). Using of diuretic and anticholinergic medications was higher than in the younger group (respectively; p= <0.001, p= 0.006). The total number of medications was higher in the older group (p= <0.001). The number of comorbidities and the number of patients with Type 2 Diabetes Mellitus (DM) were higher in the older group (respectively; p= 0.002, p= 0.025). No difference was found in the young group with and without nocturia in terms of anthropometric measurements, medications used, and comorbidities. The number of medications and the number of Type 2 DM patients were significantly higher in the older group with nocturia (respectively; p= 0.04, p= 0.036). Conclusion: Type 2 DM and multiple medication use are risk factors for nocturia in older women with UI. Evaluation and management of these risk factors may contribute to better clinical outcomes. Keywords: aged, nocturia, risk factors, urinary incontinence, women","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.33719/yud.2022;17-2-1035767
Ö. Güzel, F. Polat, A. Atan
Prostate cancer is one of the most common cancers in men. After the diagnosis is made, staging should be undertaken with imaging methods in order to plan the treatment and predict the prognosis. Parallel to technological developments in recent years, new imaging methods have entered into clinical use. Among these methods, prostate-specific membrane antigen (PSMA) positron emission tomography (PET) imaging has come to the fore since it provides anatomical and functional imaging and has many advantages in tumor (T), nodal (N) and metastatic (M) staging. This review discusses the current status of the PSMA- PET method in prostate cancer staging. Keywords: prostate cancer, staging, positron emission tomography
{"title":"Is it time to stage prostate cancer using molecular imaging?","authors":"Ö. Güzel, F. Polat, A. Atan","doi":"10.33719/yud.2022;17-2-1035767","DOIUrl":"https://doi.org/10.33719/yud.2022;17-2-1035767","url":null,"abstract":"Prostate cancer is one of the most common cancers in men. After the diagnosis is made, staging should be undertaken with imaging methods in order to plan the treatment and predict the prognosis. Parallel to technological developments in recent years, new imaging methods have entered into clinical use. Among these methods, prostate-specific membrane antigen (PSMA) positron emission tomography (PET) imaging has come to the fore since it provides anatomical and functional imaging and has many advantages in tumor (T), nodal (N) and metastatic (M) staging. This review discusses the current status of the PSMA- PET method in prostate cancer staging. Keywords: prostate cancer, staging, positron emission tomography","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49041134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.33719/yud.2022;17-2-1034464
F. Akdemir
A sphenoid metastasis of prostate cancer is an extremely rare entity and it is not an expected finding especially in the first presentation. It is difficult to demonstrate the metastasis on skull base. Sometimes, it may cause neurological and vision problems, and can be easily omitted by clinician. When prostate carcinoma is accompanied by neurological and vision problems, one should keep in mind that these may be related to intracranial metastasis, and should perform necessary imaging studies. Patients with symptoms related to intracranial metastasis can take receive palliative radiotherapy but prognosis is generally poor. In this report, we discussed a 75 years-old patient with prostate cancer and sphenoid metastasis under the light of current literature. Keywords: prostate cancer, sphenoid bone, metastasis
{"title":"Sphenoid wing metastasis of prostate cancer: a rare case","authors":"F. Akdemir","doi":"10.33719/yud.2022;17-2-1034464","DOIUrl":"https://doi.org/10.33719/yud.2022;17-2-1034464","url":null,"abstract":"A sphenoid metastasis of prostate cancer is an extremely rare entity and it is not an expected finding especially in the first presentation. It is difficult to demonstrate the metastasis on skull base. Sometimes, it may cause neurological and vision problems, and can be easily omitted by clinician. When prostate carcinoma is accompanied by neurological and vision problems, one should keep in mind that these may be related to intracranial metastasis, and should perform necessary imaging studies. Patients with symptoms related to intracranial metastasis can take receive palliative radiotherapy but prognosis is generally poor. In this report, we discussed a 75 years-old patient with prostate cancer and sphenoid metastasis under the light of current literature. Keywords: prostate cancer, sphenoid bone, metastasis","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.33719/yud.2022;17-2-1026408
O. Akyüz, Müslüm Ergün, N. Dölek, K. Çam
Spontaneous rupture of the renal pelvis is a rarely encountered urological event that causes extravasation of urine. It often occurs as a result of increased intrapelvic pressure secondary to obstructions developed in the urinary system. Similarly spontaneous retroperitoneal hematoma is retroperitoneal hemorrhage that occurs without trauma or an underlying pathology. In this study, we present a case of spontaneous rupture of the renal pelvis that developed secondary to compression of the hematoma that occurred spontaneously in the retroperitoneum in a 63-year-old female patient who received anticoagulant therapy with the diagnosis of Covid-19 infection. In the light of this case, we would like to emphasize that widespread endothelial cell damage associated with Covid-19 infection may cause spontaneous severe retroperitenal bleeding and accompanying renal pelvis rupture. In which both the rarely encountered spontaneous rupture of the renal pelvis and spontaneous retroperitoneal bleeding are seen simultaneously in the same patient, is reporting for the first time in the literature. Keywords: anticoagulant treatment, COVID-19, renal pelvis rupture, retroperitoneal hematoma, urinary obstruction
{"title":"Spontaneous severe retroperitoneal hemorrhage with concomitant renal pelvis rupture during the course of COVID-19 infection: a case report","authors":"O. Akyüz, Müslüm Ergün, N. Dölek, K. Çam","doi":"10.33719/yud.2022;17-2-1026408","DOIUrl":"https://doi.org/10.33719/yud.2022;17-2-1026408","url":null,"abstract":"Spontaneous rupture of the renal pelvis is a rarely encountered urological event that causes extravasation of urine. It often occurs as a result of increased intrapelvic pressure secondary to obstructions developed in the urinary system. Similarly spontaneous retroperitoneal hematoma is retroperitoneal hemorrhage that occurs without trauma or an underlying pathology. In this study, we present a case of spontaneous rupture of the renal pelvis that developed secondary to compression of the hematoma that occurred spontaneously in the retroperitoneum in a 63-year-old female patient who received anticoagulant therapy with the diagnosis of Covid-19 infection. In the light of this case, we would like to emphasize that widespread endothelial cell damage associated with Covid-19 infection may cause spontaneous severe retroperitenal bleeding and accompanying renal pelvis rupture. In which both the rarely encountered spontaneous rupture of the renal pelvis and spontaneous retroperitoneal bleeding are seen simultaneously in the same patient, is reporting for the first time in the literature. Keywords: anticoagulant treatment, COVID-19, renal pelvis rupture, retroperitoneal hematoma, urinary obstruction","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69670990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.33719/yud.2022;17-2-1030239
S. Şimşek, Mehmet Karagülle, Z. Arslan, Süleyman Öncü, M. Öncü, Ahmet Tan Cimilli
Objective: We evaluated the testis vascularity in pediatric population with MicroV Doppler (MVD) and Q pack examination and to detect differences between a limited experience and a experienced senior radiologists. The inter-observer agreement in MVD and Q pack examination is evaluated. We also compared MVD and Q pack examination with color and power Doppler in demonstrating testicular blood supply in children. Material and Methods: 114 testis (between the ages of 4-14) were included in the study. Testicular microvessel structure was examined by using color, power, MicroV Doppler and Q-pack examination techniques. A grouping system was created for color, Power and MicroV Doppler to score the vascularity of the testicular parenchyma visually. Results: In our study, we confirmed the presence of testicular blood flow with MVD in all children. We found that there was no significant difference between the observers in color, power Doppler and MVD and the consistency value was higher in MVD compared to color and power Doppler. We observed a significant positive correlation between Q-pack values and patient age. Q-pac values obtained from this study increased with age. The lack of statistically significant bias indicates that the method is useful. Conclusion: MVD is a reproducible method since there is no significant interobserver variability and can easily detect acute scrotal pathologies such as prepubertal torsion for the less experienced radiologists in the early years of working life. Thus, the need for senior guidance accompanying radiology resident in the evaluation of emergency cases in children may decrease. Keywords: blood supply, micro V doppler, pediatric age population
{"title":"Micro V Doppler assessment of testicular blood supply in the pediatric age population: may reduce the need for senior guidance in the evaluation of prepubertal torsion","authors":"S. Şimşek, Mehmet Karagülle, Z. Arslan, Süleyman Öncü, M. Öncü, Ahmet Tan Cimilli","doi":"10.33719/yud.2022;17-2-1030239","DOIUrl":"https://doi.org/10.33719/yud.2022;17-2-1030239","url":null,"abstract":"Objective: We evaluated the testis vascularity in pediatric population with MicroV Doppler (MVD) and Q pack examination and to detect differences between a limited experience and a experienced senior radiologists. The inter-observer agreement in MVD and Q pack examination is evaluated. We also compared MVD and Q pack examination with color and power Doppler in demonstrating testicular blood supply in children. Material and Methods: 114 testis (between the ages of 4-14) were included in the study. Testicular microvessel structure was examined by using color, power, MicroV Doppler and Q-pack examination techniques. A grouping system was created for color, Power and MicroV Doppler to score the vascularity of the testicular parenchyma visually. Results: In our study, we confirmed the presence of testicular blood flow with MVD in all children. We found that there was no significant difference between the observers in color, power Doppler and MVD and the consistency value was higher in MVD compared to color and power Doppler. We observed a significant positive correlation between Q-pack values and patient age. Q-pac values obtained from this study increased with age. The lack of statistically significant bias indicates that the method is useful. Conclusion: MVD is a reproducible method since there is no significant interobserver variability and can easily detect acute scrotal pathologies such as prepubertal torsion for the less experienced radiologists in the early years of working life. Thus, the need for senior guidance accompanying radiology resident in the evaluation of emergency cases in children may decrease. Keywords: blood supply, micro V doppler, pediatric age population","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-06-30DOI: 10.33719/yud.2022;17-2-1064135
A. Cinislioğlu, E. Şam, N. Cinislioğlu, Ş. Demirdöğen, Ibrahim Karabulut, F. Akkaş, Elif Özcan, İ. H. Tor, I. Özbey
Objective: In this study, we aimed to investigate whether the anxiety caused by the COVID-19 pandemic on healthcare professionals with different duties, such as doctors, nurses, medical secretaries, and medical staff, causes erectile dysfunction (ED). Material and Methods: In between 1 May 2020 and 1 August 2020, volunteering male health workers who had regular sexual intercourse at least once a week for the last six months and who had not previously worked in COVID-19 clinics were included in the study. Before and 4 weeks after working in COVID-19 clinics, erectile function was determined by the International Index of Erectile Function-5 (IIEF-5) form. The Hamilton Anxiety Rating Scale (HAS) was used to evaluate anxiety disorders and their severity. Results: A total of 218 male health caregivers were included in the study. Among these, 56 (25.7%) were doctors, 81 (37.2%) were nurses, 46 (21.1%) were medical secretaries and 35 (16.1%) were the medical staff. The mean HAM-A score of the doctors measured 4 weeks after having worked in a COVID-19 clinic (3,32±4,68) was observed to be significantly higher compared to that measured before working (28,43±14,05) (p<0.001). The mean IIEF-5 scores of the doctors measured 4 weeks after having worked in a COVID-19 clinic (16,34±4,11) was observed to be significantly lower compared to that measured before working (22,29±2,35) (p<0.001). Conclusion: Our results indicate that healthcare professionals working in COVID-19 clinics have increased anxiety and ED, and physicians are affected more than the other healthcare professionals. Keywords: COVID-19, health professionals, erectile dysfunction, anxiety, hamilton anxiety scale
{"title":"The effects of social isolation measures taken against the COVID-19 pandemic on erectile functions of healthcare professionals: a prospective comparative study","authors":"A. Cinislioğlu, E. Şam, N. Cinislioğlu, Ş. Demirdöğen, Ibrahim Karabulut, F. Akkaş, Elif Özcan, İ. H. Tor, I. Özbey","doi":"10.33719/yud.2022;17-2-1064135","DOIUrl":"https://doi.org/10.33719/yud.2022;17-2-1064135","url":null,"abstract":"Objective: In this study, we aimed to investigate whether the anxiety caused by the COVID-19 pandemic on healthcare professionals with different duties, such as doctors, nurses, medical secretaries, and medical staff, causes erectile dysfunction (ED). Material and Methods: In between 1 May 2020 and 1 August 2020, volunteering male health workers who had regular sexual intercourse at least once a week for the last six months and who had not previously worked in COVID-19 clinics were included in the study. Before and 4 weeks after working in COVID-19 clinics, erectile function was determined by the International Index of Erectile Function-5 (IIEF-5) form. The Hamilton Anxiety Rating Scale (HAS) was used to evaluate anxiety disorders and their severity. Results: A total of 218 male health caregivers were included in the study. Among these, 56 (25.7%) were doctors, 81 (37.2%) were nurses, 46 (21.1%) were medical secretaries and 35 (16.1%) were the medical staff. The mean HAM-A score of the doctors measured 4 weeks after having worked in a COVID-19 clinic (3,32±4,68) was observed to be significantly higher compared to that measured before working (28,43±14,05) (p<0.001). The mean IIEF-5 scores of the doctors measured 4 weeks after having worked in a COVID-19 clinic (16,34±4,11) was observed to be significantly lower compared to that measured before working (22,29±2,35) (p<0.001). Conclusion: Our results indicate that healthcare professionals working in COVID-19 clinics have increased anxiety and ED, and physicians are affected more than the other healthcare professionals. Keywords: COVID-19, health professionals, erectile dysfunction, anxiety, hamilton anxiety scale","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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