Pub Date : 2022-06-30DOI: 10.33719/yud.2022;17-2-1083770
Özgür Ekici, S. Çoban, Abdullah Gül, Erkan Büyükdemirci, S. Zengin, Çağlar Boyacı
Objective: To investigate whether bladder wall thickness (BWT) is associated with The International Prostatic Symptom Score (IPSS) and uroflowmetry parameters in male patients with lower urinary tract symptoms (LUTS). Material and Methods: Prostate volume, prostate specific antigen (PSA), post-void residual (PVR) urine volume, IPSS, maximum and average urinary flow rates ( Qmax, Qave), BWT and intravesical prostatic protrusion (IPP) grades of male patients who applied to the urology outpatient clinic with LUTS between June 2021 and January 2022 were recorded. .Patients were divided into 2 groups in terms of BWT (Group: 1 BWT < 5 mm; Group 2: BWT ≥ 5 mm). We compared IPSS, PVR, PSA, Qmax, Qave, prostat volume and IPP grades between two groups. Results: A total of 110 patients were included in the study (Group 1: n= 65, Group 2: n=45). Median(IQR) age, and median BWT values of the patients were 56.5(15) years, and 4.25(3.60) mm, respectively. PSA, prostate volume, total urine volume, Qmax, Qave, IPSS and IPP values were found to be statistically different, while age and PVR were similar between two groups. In addition, a strong correlation was found between BWT and IPSS- Qave, and a very strong correlation between BWT and Qmax. Conclusion: BWT is a simple sonographic measurement that can be used to estimate IPSS and uroflowmetry parameters in urology practice. Keywords: bladder wall thickness, lower urinary tract symptoms, ultrasonography
{"title":"Does bladder wall thickness have a place in the evaluation of male patients with lower urinary tract symptoms?","authors":"Özgür Ekici, S. Çoban, Abdullah Gül, Erkan Büyükdemirci, S. Zengin, Çağlar Boyacı","doi":"10.33719/yud.2022;17-2-1083770","DOIUrl":"https://doi.org/10.33719/yud.2022;17-2-1083770","url":null,"abstract":"Objective: To investigate whether bladder wall thickness (BWT) is associated with The International Prostatic Symptom Score (IPSS) and uroflowmetry parameters in male patients with lower urinary tract symptoms (LUTS). Material and Methods: Prostate volume, prostate specific antigen (PSA), post-void residual (PVR) urine volume, IPSS, maximum and average urinary flow rates ( Qmax, Qave), BWT and intravesical prostatic protrusion (IPP) grades of male patients who applied to the urology outpatient clinic with LUTS between June 2021 and January 2022 were recorded. .Patients were divided into 2 groups in terms of BWT (Group: 1 BWT < 5 mm; Group 2: BWT ≥ 5 mm). We compared IPSS, PVR, PSA, Qmax, Qave, prostat volume and IPP grades between two groups. Results: A total of 110 patients were included in the study (Group 1: n= 65, Group 2: n=45). Median(IQR) age, and median BWT values of the patients were 56.5(15) years, and 4.25(3.60) mm, respectively. PSA, prostate volume, total urine volume, Qmax, Qave, IPSS and IPP values were found to be statistically different, while age and PVR were similar between two groups. In addition, a strong correlation was found between BWT and IPSS- Qave, and a very strong correlation between BWT and Qmax. Conclusion: BWT is a simple sonographic measurement that can be used to estimate IPSS and uroflowmetry parameters in urology practice. Keywords: bladder wall thickness, lower urinary tract symptoms, ultrasonography","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671752","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 : 2022-02-21DOI: 10.33719/yud.2022;17-1-936184
Zeynep Sezal, Büşra Coşanay Tekden, Cevper Ersöz
The mixed epithelial and stromal tumor (MEST) family is comprised of adult cystic nephroma with a dominant cystic component and MEST with a dominant solid component. MEST is the rarely observed benign, biphasic tumor of the kidney with a mixed epithelial and stromal component. In the examinations of a 24-year-old male patient who presented with abdominal pain, grade-4 hydronephrosis was detected. In the microscopic examination of his nephrectomy specimen, there were tubular structures with cuboidal epithelium in different diameters within the ovarian stroma. The patient was diagnosed with MEST via morphological and immunohistochemical findings. We aimed at comparing the clinical and histopathological characteristics of our case, which we diagnosed with MEST, which is encountered in limited numbers in young men and has never been reported together with a nonfunctional kidney before, to the literature data. Keywords: Mixed epithelial and stromal tumor, nonfunctional kidney, male.
{"title":"Mixed epithelial and stromal tumor in a young male case with hydronephrotic nonfunctional kidney: Comparison with literature findings","authors":"Zeynep Sezal, Büşra Coşanay Tekden, Cevper Ersöz","doi":"10.33719/yud.2022;17-1-936184","DOIUrl":"https://doi.org/10.33719/yud.2022;17-1-936184","url":null,"abstract":"The mixed epithelial and stromal tumor (MEST) family is comprised of adult cystic nephroma with a dominant cystic component and MEST with a dominant solid component. MEST is the rarely observed benign, biphasic tumor of the kidney with a mixed epithelial and stromal component. In the examinations of a 24-year-old male patient who presented with abdominal pain, grade-4 hydronephrosis was detected. In the microscopic examination of his nephrectomy specimen, there were tubular structures with cuboidal epithelium in different diameters within the ovarian stroma. The patient was diagnosed with MEST via morphological and immunohistochemical findings. We aimed at comparing the clinical and histopathological characteristics of our case, which we diagnosed with MEST, which is encountered in limited numbers in young men and has never been reported together with a nonfunctional kidney before, to the literature data. Keywords: Mixed epithelial and stromal tumor, nonfunctional kidney, male.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671430","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 : 2022-02-21DOI: 10.33719/yud.2022;17-1-993791
K. Gümüş, T. Kargı, H. Öncel
Objective: This study aimed to evaluate the relationship and duration of breastfeeding in monosymptomatic enuresis nocturna. Material and Methods: 150 children, 78 of whom were diagnosed with enuresis nocturna and 72 of whom were in the control group, who applied to our urology clinic between July 2020 and September 2020, were included in the study. The duration of breastfeeding, the number of children at home, formula feeding, parent education, and passive smoking were asked. Results: The mean age of 150 patients included in the study was 7.6 (5-10 years). The enuresis group consisted of 36 girls and 42 boys, while the control group consisted of 36 girls and 36 boys. In comparison, the number of household members was 7(3-10) in the enuresis group, 5(4-8) in the control group. There was a significant difference between both groups (p=0.008). When the duration of breastfeeding was evaluated, the significant difference between the enuresis group and the control group was found to be 18 months (p=0.016). There was no difference between the formula and feeding enuresis group and the control group (p=0.599). There was no difference between the two groups in terms of passive smoking and parental education. Conclusion: One of the most common disorders in childhood is enuresis nocturna. Continuing with age has many negative effects on the child. Our study observed that the incidence of enuresis decreased if breastfeeding was continued for more than 18 months. Readily available breastfeeding positively affects enuresis nocturna, similar to its effect on many aspects of childhood development. Keywords: Enuresis nocturna, breastfeeding, nutrition.
{"title":"How effective is the duration of breastfeeding on monosymptomatic enuresis nocturna?","authors":"K. Gümüş, T. Kargı, H. Öncel","doi":"10.33719/yud.2022;17-1-993791","DOIUrl":"https://doi.org/10.33719/yud.2022;17-1-993791","url":null,"abstract":"Objective: This study aimed to evaluate the relationship and duration of breastfeeding in monosymptomatic enuresis nocturna. Material and Methods: 150 children, 78 of whom were diagnosed with enuresis nocturna and 72 of whom were in the control group, who applied to our urology clinic between July 2020 and September 2020, were included in the study. The duration of breastfeeding, the number of children at home, formula feeding, parent education, and passive smoking were asked. Results: The mean age of 150 patients included in the study was 7.6 (5-10 years). The enuresis group consisted of 36 girls and 42 boys, while the control group consisted of 36 girls and 36 boys. In comparison, the number of household members was 7(3-10) in the enuresis group, 5(4-8) in the control group. There was a significant difference between both groups (p=0.008). When the duration of breastfeeding was evaluated, the significant difference between the enuresis group and the control group was found to be 18 months (p=0.016). There was no difference between the formula and feeding enuresis group and the control group (p=0.599). There was no difference between the two groups in terms of passive smoking and parental education. Conclusion: One of the most common disorders in childhood is enuresis nocturna. Continuing with age has many negative effects on the child. Our study observed that the incidence of enuresis decreased if breastfeeding was continued for more than 18 months. Readily available breastfeeding positively affects enuresis nocturna, similar to its effect on many aspects of childhood development. Keywords: Enuresis nocturna, breastfeeding, nutrition.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69670979","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 : 2022-02-21DOI: 10.33719/yud.2022;17-1-972408
Fatma Tuğba Güvenç, E. Salı, Sevinç Kalın, B. Elmas, Z. İlçe
Renal abscesses are rarely seen in the childhood period. Delays in diagnosis may cause kidney loss. The treatment method is still controversial. The patient with a large renal abscess, which we operated on because it did not regress with broad-spectrum antibiotic therapy and was not drained with percutaneous drainage because it was organized, was evaluated in the light of the literature. Keywords: Renal abscess, childhood, open surgery, percutaneous drainage.
{"title":"Renal abscess in childhood: a case report 6 years girl","authors":"Fatma Tuğba Güvenç, E. Salı, Sevinç Kalın, B. Elmas, Z. İlçe","doi":"10.33719/yud.2022;17-1-972408","DOIUrl":"https://doi.org/10.33719/yud.2022;17-1-972408","url":null,"abstract":"Renal abscesses are rarely seen in the childhood period. Delays in diagnosis may cause kidney loss. The treatment method is still controversial. The patient with a large renal abscess, which we operated on because it did not regress with broad-spectrum antibiotic therapy and was not drained with percutaneous drainage because it was organized, was evaluated in the light of the literature. Keywords: Renal abscess, childhood, open surgery, percutaneous drainage.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49668828","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 : 2022-02-21DOI: 10.33719/yud.2022;17-1-943412
H. C. Aybal, S. Yılmaz, E. Gazel, E. Kaya, S. Yalçın, O. Açıkgöz, L. Tunc
Objective: Although morcellation is a standard procedure of Holmium Laser Enucleation of the Prostate (HoLEP), studies on the morcellators used are limited in number. We aimed to compare two different tissue morcellators used in HoLEP, which have similar objectives but differences in efficiency and safety in working principles. Material and Methods: The data of 130 patients who underwent HoLEP between December 2018 and December 2019 were retrospectively reviewed. Sixty-five patients received Lumenis® Versacut (Lumenis Inc., Santa Clara, CA, USA) morcellator and 65 patients received Hawk® JAWS (Hawk, Minitech Co., China) morcellator after enucleation were included in the study. The efficiency of morcellation (g/min), morcellation time (min), total operation time (min), enucleation time (min), enucleated tissue weight (g), the efficiency of enucleation, densities of the removed prostate tissues, perioperative complications associated with the use of a morcellator were recorded perioperatively. Results: There was no significant difference in total operation time (min), enucleation time (min), enucleated tissue weight (g), and efficiency of enucleation (g/min) efficiency of morcellation, morcellation time (min) between the two groups. Bladder mucosal damage occurred in 3 patients (4%) in the Versacut group, while mucosal bladder damage was not observed in any patient in the Hawk® JAWS group (p = 0.08). Conclusion: Hawk® JAWS and Lumenis® VersaCut morcellators were comparable in their efficiency and safety. Keywords: Hawk, HoLEP, morcellation, morcellator, Versacut.
{"title":"Hawk® JAWS versus Lumenis® VersaCut prostate morcellation devices: A comparative study and comprehensive literature review","authors":"H. C. Aybal, S. Yılmaz, E. Gazel, E. Kaya, S. Yalçın, O. Açıkgöz, L. Tunc","doi":"10.33719/yud.2022;17-1-943412","DOIUrl":"https://doi.org/10.33719/yud.2022;17-1-943412","url":null,"abstract":"Objective: Although morcellation is a standard procedure of Holmium Laser Enucleation of the Prostate (HoLEP), studies on the morcellators used are limited in number. We aimed to compare two different tissue morcellators used in HoLEP, which have similar objectives but differences in efficiency and safety in working principles. Material and Methods: The data of 130 patients who underwent HoLEP between December 2018 and December 2019 were retrospectively reviewed. Sixty-five patients received Lumenis® Versacut (Lumenis Inc., Santa Clara, CA, USA) morcellator and 65 patients received Hawk® JAWS (Hawk, Minitech Co., China) morcellator after enucleation were included in the study. The efficiency of morcellation (g/min), morcellation time (min), total operation time (min), enucleation time (min), enucleated tissue weight (g), the efficiency of enucleation, densities of the removed prostate tissues, perioperative complications associated with the use of a morcellator were recorded perioperatively. Results: There was no significant difference in total operation time (min), enucleation time (min), enucleated tissue weight (g), and efficiency of enucleation (g/min) efficiency of morcellation, morcellation time (min) between the two groups. Bladder mucosal damage occurred in 3 patients (4%) in the Versacut group, while mucosal bladder damage was not observed in any patient in the Hawk® JAWS group (p = 0.08). Conclusion: Hawk® JAWS and Lumenis® VersaCut morcellators were comparable in their efficiency and safety. Keywords: Hawk, HoLEP, morcellation, morcellator, Versacut.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49314130","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 : 2022-02-21DOI: 10.33719/yud.2022;17-1-973916
S. Taş, V. Tuğcu, S. Karadağ, S. Şahin
Objective: We aimed to show whether the antioxidant properties of pomegranate juice (PJ) show a protective effect against renal damage associated with oxidative stress caused by Extracorporeal Shock Wave Lithotripsy (ESWL) in patients who have undergone ESWL for kidney stones. Material and Methods: Ninety patients who were to undergo ESWL for kidney stones were included in the study and were divided into 3 groups with 30 patients each ESWL. Group 1 (control group) patients received only ESWL treatment. Group 2 (study group) patients were recommended to take 30 ml/kg/day pomegranate juice mixture orally for 2 days before ESWL. Group 3 (placebo group) patients were recommended to take 30 mg/kg/day water orally for 2 days before ESWL. All ESWL-treated patients received 2000 to 2500 shock waves at 18 to 24 in order to measure lipid peroxidation markers showing the DNA lesion associated with oxidative stress and to show tubular damage after ESWL, Results: There was a statistically significant mean increase of 52.39± 10.49 in 8-Hydroxy deoxyguanosine (8-OHdG) levels after treatment compared to pre-treatment levels in Group 1 (p<0.01). There was a statistically significant mean increase of 13.16±7.71 and 33.24±12.82 in Groups 2 and 3, respectively (p<0.01; p<0.01, respectively) There was a statistically significant mean increase of 19.20±5.21 in N-acetyl-beta-D-glucosaminidase (NAG) levels after treatment compared to pre-treatment levels in Group 1 (p<0.01). There was a statistically significant mean increase of 3.44±5.21 and 13.07±5.50 in Groups 2 and 3, respectively (p<0.01; p<0.01, respectively). Conclusion: Our study concluded that pomegranate juice (PJ) has protective effects against ESWL-related renal damage. Keywords: Antioxidant, kidney stones, lithotripsy, pomegranate juice.
{"title":"Preventive effect of pomegranate juice on ESWL-related renal damage in patients with kidney stones","authors":"S. Taş, V. Tuğcu, S. Karadağ, S. Şahin","doi":"10.33719/yud.2022;17-1-973916","DOIUrl":"https://doi.org/10.33719/yud.2022;17-1-973916","url":null,"abstract":"Objective: We aimed to show whether the antioxidant properties of pomegranate juice (PJ) show a protective effect against renal damage associated with oxidative stress caused by Extracorporeal Shock Wave Lithotripsy (ESWL) in patients who have undergone ESWL for kidney stones. Material and Methods: Ninety patients who were to undergo ESWL for kidney stones were included in the study and were divided into 3 groups with 30 patients each ESWL. Group 1 (control group) patients received only ESWL treatment. Group 2 (study group) patients were recommended to take 30 ml/kg/day pomegranate juice mixture orally for 2 days before ESWL. Group 3 (placebo group) patients were recommended to take 30 mg/kg/day water orally for 2 days before ESWL. All ESWL-treated patients received 2000 to 2500 shock waves at 18 to 24 in order to measure lipid peroxidation markers showing the DNA lesion associated with oxidative stress and to show tubular damage after ESWL, Results: There was a statistically significant mean increase of 52.39± 10.49 in 8-Hydroxy deoxyguanosine (8-OHdG) levels after treatment compared to pre-treatment levels in Group 1 (p<0.01). There was a statistically significant mean increase of 13.16±7.71 and 33.24±12.82 in Groups 2 and 3, respectively (p<0.01; p<0.01, respectively) There was a statistically significant mean increase of 19.20±5.21 in N-acetyl-beta-D-glucosaminidase (NAG) levels after treatment compared to pre-treatment levels in Group 1 (p<0.01). There was a statistically significant mean increase of 3.44±5.21 and 13.07±5.50 in Groups 2 and 3, respectively (p<0.01; p<0.01, respectively). Conclusion: Our study concluded that pomegranate juice (PJ) has protective effects against ESWL-related renal damage. Keywords: Antioxidant, kidney stones, lithotripsy, pomegranate juice.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671444","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 : 2022-02-21DOI: 10.33719/yud.2022;17-1-940774
H. Taşkapu, M. T. Kılınç, Nurullah Altınkaya, A. Aydın, M. Balasar
Objective: In patients treated through the application of intracavernosal alprostadil in second-line treatment due to erectile dysfunction, the effect of the treatment on sexual functions measured with a 15-question International Index of Erectile Function (IIEF-15) questionnaire was investigated in this study. Material and Methods: Twenty-one patients treated due to erectile dysfunction between June 2018-October 2019, taking inadequate response from first-line treatment modalities, were applied intracavernosal alprostadil in second-line treatment and continued it for more than 12 weeks were included in the study, retrospectively. Ages, comorbid diseases, drug usage duration, drug-related side effects, penile Doppler ultrasonography (USG) parameters before application and the erection functions before and 12 weeks after drug use were evaluated with IIEF-15 form for the patients. Intracavernosal alprostadil was started with a dose of 5 μg and was continued with a dose of 10 μg as the result of dose titration. Results: The mean peak systolic blood flow velocity (PS) value of the patients was 24.4 ±15.1 cm/sec, and the mean end-diastolic flow velocity (ED) value was measured as 4.3±4.5 cm/sec based on the pre-treatment penile Doppler USG.Although the IIEF scores were measured in the 12th week, mean drug usage durations were measured as 21.9±16.6 weeks. Erectile Function Score was 9.2±5.3 before application; it was detected as 20.33±6.2 after the application. Orgasmic Function Score was 3.2±2.5 before application; it was detected as 7.5±2.4 after the application. Sexual Desire Score was 3.72±1.48 before application; it was detected as 8.9±1.4 after the application. Intercourse Satisfaction Score was 3.7±2.8 before application; it was detected as 9.1±2.7 after the application. Overall Satisfaction Score was 4±1.7 before application; it was detected as 8.1±1.7 after the application (All parameters p<0.001). Conclusion: Intracavernosal alprostadil treatment used in erectile dysfunction second-line treatment is a cost-effective and efficient treatment method with a tolerable side effect profile and provides recovery in sexual parameters that can be measured with IIEF-15 parameters. Keywords: Alprostadil, erectile dysfunction, intracavernosal treatment.
{"title":"The effect of intracavernosal alprostadil use in erectile dysfunction second line treatment on sexual functions","authors":"H. Taşkapu, M. T. Kılınç, Nurullah Altınkaya, A. Aydın, M. Balasar","doi":"10.33719/yud.2022;17-1-940774","DOIUrl":"https://doi.org/10.33719/yud.2022;17-1-940774","url":null,"abstract":"Objective: In patients treated through the application of intracavernosal alprostadil in second-line treatment due to erectile dysfunction, the effect of the treatment on sexual functions measured with a 15-question International Index of Erectile Function (IIEF-15) questionnaire was investigated in this study. Material and Methods: Twenty-one patients treated due to erectile dysfunction between June 2018-October 2019, taking inadequate response from first-line treatment modalities, were applied intracavernosal alprostadil in second-line treatment and continued it for more than 12 weeks were included in the study, retrospectively. Ages, comorbid diseases, drug usage duration, drug-related side effects, penile Doppler ultrasonography (USG) parameters before application and the erection functions before and 12 weeks after drug use were evaluated with IIEF-15 form for the patients. Intracavernosal alprostadil was started with a dose of 5 μg and was continued with a dose of 10 μg as the result of dose titration. Results: The mean peak systolic blood flow velocity (PS) value of the patients was 24.4 ±15.1 cm/sec, and the mean end-diastolic flow velocity (ED) value was measured as 4.3±4.5 cm/sec based on the pre-treatment penile Doppler USG.Although the IIEF scores were measured in the 12th week, mean drug usage durations were measured as 21.9±16.6 weeks. Erectile Function Score was 9.2±5.3 before application; it was detected as 20.33±6.2 after the application. Orgasmic Function Score was 3.2±2.5 before application; it was detected as 7.5±2.4 after the application. Sexual Desire Score was 3.72±1.48 before application; it was detected as 8.9±1.4 after the application. Intercourse Satisfaction Score was 3.7±2.8 before application; it was detected as 9.1±2.7 after the application. Overall Satisfaction Score was 4±1.7 before application; it was detected as 8.1±1.7 after the application (All parameters p<0.001). Conclusion: Intracavernosal alprostadil treatment used in erectile dysfunction second-line treatment is a cost-effective and efficient treatment method with a tolerable side effect profile and provides recovery in sexual parameters that can be measured with IIEF-15 parameters. Keywords: Alprostadil, erectile dysfunction, intracavernosal treatment.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48109355","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 : 2022-02-21DOI: 10.33719/yud.2022;17-1-991862
Murat Demir, V. Avcı
Objective: Female genital mutilation is the removal of female genital organs for non-medical reasons, which is widely practiced worldwide. Female genital mutilation is a dark subject for the scientific world since it is often practiced in closed societies. In this study, we aimed to evaluate the role of YouTube videos in the prevention of female genital mutilation. Material and Methods: In this cross-sectional study, an internet search was conducted on YouTube.com on May 1, 2021, using the keywords «female genital mutilation» and «female circumcision» on a web browser with a clear cache and latest updates. Search results were evaluated in terms of the demographic characteristics of uploaders and the quality and reliability of the videos. Results: Most of the videos were shared by women. The videos shared by women and healthcare professionals were higher quality and more reliable compared to videos uploaded by men and religious personnel. Conclusion: YouTube.com videos may be beneficial for the prevention of female genital mutilation, but more attention should be paid to this issue, particularly by healthcare professionals, and more reliable videos with the higher quality should be shared. Keywords: Circumcision, female, genitalia.
{"title":"An analysis of YouTube videos on female genital mutilation as a global issue","authors":"Murat Demir, V. Avcı","doi":"10.33719/yud.2022;17-1-991862","DOIUrl":"https://doi.org/10.33719/yud.2022;17-1-991862","url":null,"abstract":"Objective: Female genital mutilation is the removal of female genital organs for non-medical reasons, which is widely practiced worldwide. Female genital mutilation is a dark subject for the scientific world since it is often practiced in closed societies. In this study, we aimed to evaluate the role of YouTube videos in the prevention of female genital mutilation. Material and Methods: In this cross-sectional study, an internet search was conducted on YouTube.com on May 1, 2021, using the keywords «female genital mutilation» and «female circumcision» on a web browser with a clear cache and latest updates. Search results were evaluated in terms of the demographic characteristics of uploaders and the quality and reliability of the videos. Results: Most of the videos were shared by women. The videos shared by women and healthcare professionals were higher quality and more reliable compared to videos uploaded by men and religious personnel. Conclusion: YouTube.com videos may be beneficial for the prevention of female genital mutilation, but more attention should be paid to this issue, particularly by healthcare professionals, and more reliable videos with the higher quality should be shared. Keywords: Circumcision, female, genitalia. ","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49422222","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 : 2022-02-21DOI: 10.33719/yud.2022;17-1-947050
S. Karadağ, Ahmet Faysal Güler, T. Kargı, A. Hacıislamoğlu, H. Polat, I. Evren, M. Ekşi, O. Özdemir
Objective: There is a need for native kidney nephrectomy to increase renal transplant surgery’s safety or improve postoperative function in some cases. The timing of the procedure is still controversial. This study aimed to present our native nephrectomy procedures performed simultaneously with the transplantation in light of the literature. Material and Methods: A retrospective analysis was performed on the data of 245 patients who underwent renal transplantation due to end-stage renal failure (ESRD) between September 2011 and February 2020. Patients who underwent unilateral or bilateral nephrectomy simultaneously with transplantation were included. Demographic characteristics of the patients, preoperative and postoperative laboratory data, primary disease, presence of comorbid diseases, duration of dialysis, duration of vascular anastomosis, surgical and clinical complications, duration of hospital stay, and graft functions were recorded. Results: 12 patients underwent ipsilateral or bilateral native nephrectomy simultaneously with renal transplantation. The primary diseases of the patients leading to ESRD were as follows; 6 (50%) patients with Polycystic Kidney Disease (PKD), 5 (41.6%) patients with vesicoureteral reflux (VUR), one (8.3%) patient with kidney stones. Postoperative fever in three patients, erythrocyte replacement therapy in three patients, urosepsis and urinary drainage catheter requirement in one patient due to lymphocele was recorded. Two patients developed humoral rejection, and two patients developed BK virus nephropathy. Conclusion: In the presence of appropriate indications, simultaneous native nephrectomy is a safe and effective method in patients preparing for renal transplantation. In centers with sufficient experience and equipment, it may be preferable to perform native nephrectomy simultaneously with renal transplantation. Keywords: Kidney transplantation, nephrectomy, bilateral nephrectomy, polycystic kidney disease, complications.
{"title":"Simultaneous native nephrectomy with renal transplantation: Our experience and a brief literature review","authors":"S. Karadağ, Ahmet Faysal Güler, T. Kargı, A. Hacıislamoğlu, H. Polat, I. Evren, M. Ekşi, O. Özdemir","doi":"10.33719/yud.2022;17-1-947050","DOIUrl":"https://doi.org/10.33719/yud.2022;17-1-947050","url":null,"abstract":"Objective: There is a need for native kidney nephrectomy to increase renal transplant surgery’s safety or improve postoperative function in some cases. The timing of the procedure is still controversial. This study aimed to present our native nephrectomy procedures performed simultaneously with the transplantation in light of the literature. Material and Methods: A retrospective analysis was performed on the data of 245 patients who underwent renal transplantation due to end-stage renal failure (ESRD) between September 2011 and February 2020. Patients who underwent unilateral or bilateral nephrectomy simultaneously with transplantation were included. Demographic characteristics of the patients, preoperative and postoperative laboratory data, primary disease, presence of comorbid diseases, duration of dialysis, duration of vascular anastomosis, surgical and clinical complications, duration of hospital stay, and graft functions were recorded. Results: 12 patients underwent ipsilateral or bilateral native nephrectomy simultaneously with renal transplantation. The primary diseases of the patients leading to ESRD were as follows; 6 (50%) patients with Polycystic Kidney Disease (PKD), 5 (41.6%) patients with vesicoureteral reflux (VUR), one (8.3%) patient with kidney stones. Postoperative fever in three patients, erythrocyte replacement therapy in three patients, urosepsis and urinary drainage catheter requirement in one patient due to lymphocele was recorded. Two patients developed humoral rejection, and two patients developed BK virus nephropathy. Conclusion: In the presence of appropriate indications, simultaneous native nephrectomy is a safe and effective method in patients preparing for renal transplantation. In centers with sufficient experience and equipment, it may be preferable to perform native nephrectomy simultaneously with renal transplantation. Keywords: Kidney transplantation, nephrectomy, bilateral nephrectomy, polycystic kidney disease, complications.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48464773","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 : 2022-02-21DOI: 10.33719/yud.2022;17-1-1016256
Ö. Bozan, Y. O. Danacıoğlu, Mehmet Muzaffer Islam
Objective: This study was conducted to describe the current diagnosis and treatment strategies of patients admitted to the emergency department and diagnosed with acute renal colic. Material and Methods: In this study, an internet-based cross-sectional survey was administered to emergency medicine physicians. In addition to the participants’ demographic data, such as age and gender, years of experience in the emergency medicine department, and whether they were a specialist or resident, the survey also inquired about their choices of imaging methods, laboratory tests, analgesic medications, and intravenous fluids, and tendency to refer patients to a urologist for a consultation. Results: The median age of the 108 volunteers participating in the study was calculated as 31 (27 - 34.8) years and their years of experience as 4 (2-8) years. More than half (60.2%, n=65) of the participants were emergency medicine residents, while the remaining 39.8% (n=43) were emergency medicine specialists. The emergency medicine specialists and residents were compared in terms of the variables related to their approaches to patients presenting to the emergency department with a preliminary diagnosis of renal colic. The first choice of analgesic drugs was dichotomised as diclofenac and other non-steroidal anti-inflammatory drugs, with 34 (79.1%) of the specialists and 60 (92.3%) of the residents reporting diclofenac as their first choice, and there was a statistically significant difference between the two groups. Conclusion: In this study, the emergency medicine residents preferred diclofenac more than the emergency medicine specialists in primary care, although they had similar renal colic imaging methods preferences. Keywords: Acute renal colic, emergency medicine, kidney stone.
{"title":"The approach of emergency physicians to patients with acute renal colic","authors":"Ö. Bozan, Y. O. Danacıoğlu, Mehmet Muzaffer Islam","doi":"10.33719/yud.2022;17-1-1016256","DOIUrl":"https://doi.org/10.33719/yud.2022;17-1-1016256","url":null,"abstract":"Objective: This study was conducted to describe the current diagnosis and treatment strategies of patients admitted to the emergency department and diagnosed with acute renal colic. Material and Methods: In this study, an internet-based cross-sectional survey was administered to emergency medicine physicians. In addition to the participants’ demographic data, such as age and gender, years of experience in the emergency medicine department, and whether they were a specialist or resident, the survey also inquired about their choices of imaging methods, laboratory tests, analgesic medications, and intravenous fluids, and tendency to refer patients to a urologist for a consultation. Results: The median age of the 108 volunteers participating in the study was calculated as 31 (27 - 34.8) years and their years of experience as 4 (2-8) years. More than half (60.2%, n=65) of the participants were emergency medicine residents, while the remaining 39.8% (n=43) were emergency medicine specialists. The emergency medicine specialists and residents were compared in terms of the variables related to their approaches to patients presenting to the emergency department with a preliminary diagnosis of renal colic. The first choice of analgesic drugs was dichotomised as diclofenac and other non-steroidal anti-inflammatory drugs, with 34 (79.1%) of the specialists and 60 (92.3%) of the residents reporting diclofenac as their first choice, and there was a statistically significant difference between the two groups. Conclusion: In this study, the emergency medicine residents preferred diclofenac more than the emergency medicine specialists in primary care, although they had similar renal colic imaging methods preferences. Keywords: Acute renal colic, emergency medicine, kidney stone.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671326","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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