{"title":"Bellini Duct Carcinoma: Case Report and Review of the Literature","authors":"G. Dundar, E. Korgalı","doi":"10.4274/UOB.693","DOIUrl":"https://doi.org/10.4274/UOB.693","url":null,"abstract":"","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":"15 1","pages":"170-173"},"PeriodicalIF":0.2,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977630","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}
Ünsal Eroğlu, M. Koparal, I. Üre, S. Çetin, E. C. Bulut, C. Acar, T. Sözen
Summary Oz Results: A total of 88 patients with adrenal masses were endocrinologically evaluated. Fifty nine (67%) patients had functional masses and 29 (33%) patients had non-functional masses. Open transabdominal adrenalectomy and laparoscopic adrenalectomy were performed in 20 (22.7%) and 68 (77.3%) patients, respectively. According to the results of histopathological evaluation, benign and malignant masses were determined in 79 (89.7%) and nine (10.3%) patients, respectively. Bleeding amount and mass size were significantly higher in patients with malignant masses and in patients with functional masses (p=0.003 and p=0.002; p=0.007 and p=0.004, respectively). The duration of operation and hospitalization were significantly longer, and peri-operative complication and blood transfusion rates were significantly higher in patients with malignant masses (p=0.006 and p=0.003; p=0.027 and p=0.001, respectively). Neither functionality nor pathology of adrenal masses had a statistically significant relationship with ASA score and BMI.
{"title":"The Clinical, Oncological, Functional and Surgical Outcomes of Patients Who Underwent Adrenalectomy","authors":"Ünsal Eroğlu, M. Koparal, I. Üre, S. Çetin, E. C. Bulut, C. Acar, T. Sözen","doi":"10.4274/UOB.691","DOIUrl":"https://doi.org/10.4274/UOB.691","url":null,"abstract":"Summary Oz Results: A total of 88 patients with adrenal masses were endocrinologically evaluated. Fifty nine (67%) patients had functional masses and 29 (33%) patients had non-functional masses. Open transabdominal adrenalectomy and laparoscopic adrenalectomy were performed in 20 (22.7%) and 68 (77.3%) patients, respectively. According to the results of histopathological evaluation, benign and malignant masses were determined in 79 (89.7%) and nine (10.3%) patients, respectively. Bleeding amount and mass size were significantly higher in patients with malignant masses and in patients with functional masses (p=0.003 and p=0.002; p=0.007 and p=0.004, respectively). The duration of operation and hospitalization were significantly longer, and peri-operative complication and blood transfusion rates were significantly higher in patients with malignant masses (p=0.006 and p=0.003; p=0.027 and p=0.001, respectively). Neither functionality nor pathology of adrenal masses had a statistically significant relationship with ASA score and BMI.","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":"15 1","pages":"129-135"},"PeriodicalIF":0.2,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977613","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}
Kas invaziv ve yüksek riskli invaziv olmayan mesane kanserlerinin tedavisinde açık radikal sistektomi (ARS) standart tedavi yöntemidir. ARS avantajlı onkolojik sonuçlarına rağmen yüksek morbidite ve mortalite oranlarına sahiptir. Son yıllarda üroteknolojideki gelişmeler ile birlikte minimal invaziv tedavi seçeneklerinden laparoskopik radikal sistektomi (LRS) ve robot yardımlı radikal sistektomi (RYRS) mesane tümörlerinin tedavisinde ARS’ye alternatif olarak ortaya çıkmıştır. Her iki yöntemin etkin cerrahi ve benzer onkolojik sonuçlarının olduğu çeşitli çalışmalarda gösterilmiştir. Fakat LRS’deki uygulama zorluğu ve RYRS’deki yüksek maliyetler nedeni ile yaygınlaşması kısıtlanmaktadır. Deneyimli merkezlerin uygulamalarının yanında genel popülasyona dayalı geniş hasta serilerini içeren uzun süreli onkolojik sonuçların karşılaştırmalı olarak ortaya konması ile birlikte invaziv mesane tümörlerinin standart tedavisindeki manzaranın değişmesi kaçınılmaz görünmektedir. Anahtar Kelimeler: Mesane kanseri, laparoskopi, robotik cerrahi, sistektomi Open radical cystectomy (ORC) is the standard treatment modality in high-risk non-muscle-invasive and invasive bladder carcinoma. Although it has some advantages, oncologic outcomes of ORC are associated with high morbidity and mortality risks. In line with recent developments in urotechnology, the minimally invasive treatment modalities, such as laparoscopic radical cystectomy (LRC) and robotic-assisted radical cystectomy (RARC) have emerged as an alternative to ORC. Compared to ORC, both treatment modalities have effective surgical and similar oncological outcomes as reported in various studies. However, due to inherent difficulties in the practice of LRC and high costs of RRC have hindered these two treatment modalities to become widespread. Considering the results obtained in experienced centers as well as longterm oncologic outcomes of large patient series forming samples of the whole population, changes in the standard treatment modality of invasive bladder tumors seem to be unavoidable.
ARS是治疗无创和非高危网状癌症的标准方法。ARS具有很高的发病率和死亡率，即使具有肿瘤学的优势。Son yıllardaüroteknolojideki gelişmeler ile birlikte minimum invaziv tedavi seçeneklerinden laparoskopik radikal sistektomi（LRS）ve robot yardımlıradikal ssistektomi（RYRS）mesane tümörlerinin tedavisinde ARS’ye alternatif olaak ortayaçıkmıştır。这两种方法已经在各种研究中得到了证明，在这些研究中，手术和类似的肿瘤学结果都有影响。但是LRS和RYRS的应用难度是有限的。随着实验中心的应用，普通人群似乎可以避免将长期肿瘤学后果与侵袭性台面肿瘤的标准治疗进行比较。关键词：Mesane癌症、腹腔镜、机器人cerrahi、开放性根治性膀胱切除术（ORC）是高风险非肌肉浸润性和侵袭性膀胱癌的标准治疗方式。尽管它有一些优点，但ORC的肿瘤学结果与高发病率和死亡率风险相关。根据尿路技术的最新发展，微创治疗模式，如腹腔镜根治性膀胱切除术（LRC）和机器人辅助根治性膀胱摘除术（RARC）已成为ORC的替代方案。与ORC相比，这两种治疗方式都具有有效的手术效果，并且在各种研究中报告的肿瘤学结果相似。然而，由于LRC实践中固有的困难和RRC的高成本阻碍了这两种治疗模式的普及。考虑到在经验丰富的中心获得的结果，以及形成整个人群样本的大型患者系列的长期肿瘤学结果，浸润性膀胱肿瘤的标准治疗模式的变化似乎是不可避免的。
{"title":"Controversies in Radical Cystectomy: Meta-Analysis and Systemic Comparison of Open Surgery with Laparoscopic and Robotic Surgery","authors":"M. Kaynar, S. Goktas","doi":"10.4274/UOB.542","DOIUrl":"https://doi.org/10.4274/UOB.542","url":null,"abstract":"Kas invaziv ve yüksek riskli invaziv olmayan mesane kanserlerinin tedavisinde açık radikal sistektomi (ARS) standart tedavi yöntemidir. ARS avantajlı onkolojik sonuçlarına rağmen yüksek morbidite ve mortalite oranlarına sahiptir. Son yıllarda üroteknolojideki gelişmeler ile birlikte minimal invaziv tedavi seçeneklerinden laparoskopik radikal sistektomi (LRS) ve robot yardımlı radikal sistektomi (RYRS) mesane tümörlerinin tedavisinde ARS’ye alternatif olarak ortaya çıkmıştır. Her iki yöntemin etkin cerrahi ve benzer onkolojik sonuçlarının olduğu çeşitli çalışmalarda gösterilmiştir. Fakat LRS’deki uygulama zorluğu ve RYRS’deki yüksek maliyetler nedeni ile yaygınlaşması kısıtlanmaktadır. Deneyimli merkezlerin uygulamalarının yanında genel popülasyona dayalı geniş hasta serilerini içeren uzun süreli onkolojik sonuçların karşılaştırmalı olarak ortaya konması ile birlikte invaziv mesane tümörlerinin standart tedavisindeki manzaranın değişmesi kaçınılmaz görünmektedir. Anahtar Kelimeler: Mesane kanseri, laparoskopi, robotik cerrahi, sistektomi Open radical cystectomy (ORC) is the standard treatment modality in high-risk non-muscle-invasive and invasive bladder carcinoma. Although it has some advantages, oncologic outcomes of ORC are associated with high morbidity and mortality risks. In line with recent developments in urotechnology, the minimally invasive treatment modalities, such as laparoscopic radical cystectomy (LRC) and robotic-assisted radical cystectomy (RARC) have emerged as an alternative to ORC. Compared to ORC, both treatment modalities have effective surgical and similar oncological outcomes as reported in various studies. However, due to inherent difficulties in the practice of LRC and high costs of RRC have hindered these two treatment modalities to become widespread. Considering the results obtained in experienced centers as well as longterm oncologic outcomes of large patient series forming samples of the whole population, changes in the standard treatment modality of invasive bladder tumors seem to be unavoidable.","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":"15 1","pages":"107-112"},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70976070","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}
Ozan Bozkurt, Kaan Çömez, Ozgur Gurboga, O. Demir, G. Aslan, A. Esen
{"title":"Role of Prostate Specific Antigen Density for the Prediction of Radical Therapy Requirement in Localized Prostate Cancer","authors":"Ozan Bozkurt, Kaan Çömez, Ozgur Gurboga, O. Demir, G. Aslan, A. Esen","doi":"10.4274/uob.701","DOIUrl":"https://doi.org/10.4274/uob.701","url":null,"abstract":"","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":"15 1","pages":"103-106"},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977724","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}
{"title":"Early and Late Complications of Urinary Diversions after Radical Cystectomy","authors":"U. Gonulalan, M. Koşan","doi":"10.4274/uob.577","DOIUrl":"https://doi.org/10.4274/uob.577","url":null,"abstract":"","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":"15 1","pages":"113-118"},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70976855","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}
Z. Demirer, A. Guragac, S. Uğuz, Bilal Fırat Alp, I. Yildirim
Unilateral veya bilateral olabilen seminal vezikül agenezisi (SVA) erkeklerde nadir infertilite sebepleridir. İnsidansı %0,6-1 olan unilateral SVA’ya renal agenezi (RA) ya da vaz deferens agenezisi (VDA) eşlik edebilir (1). Daha nadir izlenen bilateral SVA’da genellikle kistik fibrozis transmembran reseptör (KFTR) mutasyonu izlenir ve bilateral VDA ile birliktedir (1). Erkek reprodüktif sistemi ile üriner sisteminin embriyolojik ve anatomik olarak yakın ilişkide olmaları nedeniyle bu iki sisteme ait konjenital anomalilerde genellikle bir arada görülürler (1,2). Mezonefrik kanalın [(MK) Wolf kanalı] uygun gelişmemesi; böbrek, üreter, vaz deferans (VD) ve seminal vezikülün çeşitli konjenital anomalilerine sebep olabilmektedir (1,2). İnmemiş testis, testisin skrotum dışında, inguinal kesede, inguinal kanal dışında veya eksternal ringte palpe edilebilmesidir. İnmemiş testise en sık eşlik eden bozukluk inguinal herni olup, oluşumunda temel etken prosesus vajinalisin (PV) açık kalmasıdır (3). Biz burada sağ inguinal bölgede şişlik ve ağrı şikayetiyle merkezimize refere edilen; sağ inguinal herni ve sağ inmemiş testise, ipsilateral SVA ve ipsilateral RA’nın eşlik ettiği ayrıca sol testisinde seminom saptanan tedavi yönetimi oldukça zor olan bir olguyu sunduk.
具有开创性意义的视觉议程（SVA）可以是单侧的，也可以是双侧的，在男性中很少不孕。保险可以相当于0.6-1肾发育不全（RA）或vaz差异不全（VDA）的单侧SVA。在最罕见的双侧SVA中，观察到氧纤维化跨膜受体（KFTR）突变并与双侧VDA结合（1）。由于人类生殖系统与胚胎和生产系统的解剖结构密切相关，因此这两种属于该系统的常规异常通常一起出现（1.2）。中间相通道[（MK）Wolf通道]的发展是不合适的；肾脏、生产、vaz差异（VD）和精囊可能导致各种认知异常（1.2）。Il nmemiş睾丸、睾丸、腹股沟kesede、腹股沟kanal dışında veya eksternal ringte palpe edilefilmesidir。非感染测试中最常见的成分紊乱是缺乏基于PV的阴道过程（3）。我们在这里指的是我们的中心，抱怨在合适的环境中肥胖和疼痛；如果正确的成分不是正确的成分测试，我们在神学院障碍治疗的左侧测试中也提出了一个非常困难的流行病。
{"title":"A Rare Case: Contralateral Testicular Seminoma Accompanied by Right Undescended Testicle and Right Inguinal Hernia with Ipsilateral Renal Agenesis and Seminal Vesicle Agenesis","authors":"Z. Demirer, A. Guragac, S. Uğuz, Bilal Fırat Alp, I. Yildirim","doi":"10.4274/UOB.551","DOIUrl":"https://doi.org/10.4274/UOB.551","url":null,"abstract":"Unilateral veya bilateral olabilen seminal vezikül agenezisi (SVA) erkeklerde nadir infertilite sebepleridir. İnsidansı %0,6-1 olan unilateral SVA’ya renal agenezi (RA) ya da vaz deferens agenezisi (VDA) eşlik edebilir (1). Daha nadir izlenen bilateral SVA’da genellikle kistik fibrozis transmembran reseptör (KFTR) mutasyonu izlenir ve bilateral VDA ile birliktedir (1). Erkek reprodüktif sistemi ile üriner sisteminin embriyolojik ve anatomik olarak yakın ilişkide olmaları nedeniyle bu iki sisteme ait konjenital anomalilerde genellikle bir arada görülürler (1,2). Mezonefrik kanalın [(MK) Wolf kanalı] uygun gelişmemesi; böbrek, üreter, vaz deferans (VD) ve seminal vezikülün çeşitli konjenital anomalilerine sebep olabilmektedir (1,2). İnmemiş testis, testisin skrotum dışında, inguinal kesede, inguinal kanal dışında veya eksternal ringte palpe edilebilmesidir. İnmemiş testise en sık eşlik eden bozukluk inguinal herni olup, oluşumunda temel etken prosesus vajinalisin (PV) açık kalmasıdır (3). Biz burada sağ inguinal bölgede şişlik ve ağrı şikayetiyle merkezimize refere edilen; sağ inguinal herni ve sağ inmemiş testise, ipsilateral SVA ve ipsilateral RA’nın eşlik ettiği ayrıca sol testisinde seminom saptanan tedavi yönetimi oldukça zor olan bir olguyu sunduk.","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":"15 1","pages":"123-126"},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70976640","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}
{"title":"The Prostatic Urethral Lift Method: A New Minimally Invasive Modality as an Alternative in the Treatment of Benign Prostatic Hyperplasia","authors":"Alpaslan Yüksel, A. Tekin","doi":"10.4274/UOB.584","DOIUrl":"https://doi.org/10.4274/UOB.584","url":null,"abstract":"","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":"15 1","pages":"119-122"},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70976940","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}
F. Narter, F. Tarhan, Erkin Sağlam, K. Erdem, Övünç Kavukoğlu, E. Çamur, G. Faydaci
{"title":"Importance of the Re-Transurethral Resection in Bladder Cancer Treatment","authors":"F. Narter, F. Tarhan, Erkin Sağlam, K. Erdem, Övünç Kavukoğlu, E. Çamur, G. Faydaci","doi":"10.4274/UOB.703","DOIUrl":"https://doi.org/10.4274/UOB.703","url":null,"abstract":"","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":"15 1","pages":"94-97"},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977777","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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