Pub Date : 2023-06-05DOI: 10.4274/jus.galenos.2022.2022.0043
A. Elmacı, H. Alp, M. Dönmez
Objective: Information on cardiovascular problems related to childhood urinary stone disease is limited. The aim of this study was to assess the ventricular functions and subclinical cardiovascular risk in children with urolithiasis using echocardiographic measurements. Materials and Methods: Children diagnosed with urolithiasis were prospectively enrolled in the study as well as children with no urinary stone disease were confirmed via urinary ultrasonography. Body mass index and blood pressures were noted, as well as basic serum parameters. Carotid intima media thickness (cIMT), epicardial fat tissue (EFT) thickness and periaortic fat tissue (PFT) thickness were measured via transthoracic echocardiography in addition to pulsed and tissue Doppler imaging. Myocardial performance indexes were also calculated and correlation analyses were conducted. Results: A total of 17 patients (10 boys) with a mean age of 8.57±2.62 years were included in this study. There were 17 children (12 boys) in the control group and their mean age was 9.53±1.72 years. There was no statistically significant difference between the two groups in terms of demographic and laboratory variables. Tissue Doppler echocardiography revealed that Tei indexes of the left ventricle, right ventricle and septum were significantly higher in the study group than in the controls (p<0.001 for all). The cIMT (0.041±0.012 vs. 0.025±0.002), EFT (0.432±0.083 vs. 0.325±0.032) and PFT thicknesses (0.138±0.029 vs. 0.113±0.008) of the study group was statistically higher than the control group (p<0.001, p<0.001 and p=0.002, respectively) indicating a higher CVD risk. Conclusion: Children with urolithiasis had not only biventricular early systolic and diastolic dysfunction but also subclinical atherosclerosis at early ages. Cardiovascular complications should be considered in the follow-up and treatment of children with urolithiasis.
{"title":"Assessment of Cardiac Functions and Subclinical Cardiovascular Risk in Children with Urolithiasis: A Pilot Study","authors":"A. Elmacı, H. Alp, M. Dönmez","doi":"10.4274/jus.galenos.2022.2022.0043","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0043","url":null,"abstract":"Objective: Information on cardiovascular problems related to childhood urinary stone disease is limited. The aim of this study was to assess the ventricular functions and subclinical cardiovascular risk in children with urolithiasis using echocardiographic measurements. Materials and Methods: Children diagnosed with urolithiasis were prospectively enrolled in the study as well as children with no urinary stone disease were confirmed via urinary ultrasonography. Body mass index and blood pressures were noted, as well as basic serum parameters. Carotid intima media thickness (cIMT), epicardial fat tissue (EFT) thickness and periaortic fat tissue (PFT) thickness were measured via transthoracic echocardiography in addition to pulsed and tissue Doppler imaging. Myocardial performance indexes were also calculated and correlation analyses were conducted. Results: A total of 17 patients (10 boys) with a mean age of 8.57±2.62 years were included in this study. There were 17 children (12 boys) in the control group and their mean age was 9.53±1.72 years. There was no statistically significant difference between the two groups in terms of demographic and laboratory variables. Tissue Doppler echocardiography revealed that Tei indexes of the left ventricle, right ventricle and septum were significantly higher in the study group than in the controls (p<0.001 for all). The cIMT (0.041±0.012 vs. 0.025±0.002), EFT (0.432±0.083 vs. 0.325±0.032) and PFT thicknesses (0.138±0.029 vs. 0.113±0.008) of the study group was statistically higher than the control group (p<0.001, p<0.001 and p=0.002, respectively) indicating a higher CVD risk. Conclusion: Children with urolithiasis had not only biventricular early systolic and diastolic dysfunction but also subclinical atherosclerosis at early ages. Cardiovascular complications should be considered in the follow-up and treatment of children with urolithiasis.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45438848","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 : 2023-06-05DOI: 10.4274/jus.galenos.2022.2022.0054
H. Yılmaz, I. E. Avci, C. Özkürkçügil, Emre Özcan, A. Eruyar
A solitary fibrous tumor (SFT) originating from the prostate has been rarely reported, presenting the 44 th case. We evaluated a 44-year-old man who presented with a two-year history of pressure in the lower abdomen. On magnetic resonance imaging, a 48×66 mm, well-circumscribed mass was observed. 12-core prostatic needle biopsy was performed. Histological examination reported hypocellular and hypercellular areas composed of bland spindle cells arranged in a haphazard pattern. One or two mitotic figures were observed per 10 high-power-fields. Immunohistochemistry analysis showed a strong expression of CD34, STAT-6, and vimentin by tumor cells. We conducted a surveillance protocol for the patient due to the avoidance the surgery. Although there was an increase of approximately 2 cm in tumor diameter, no change was detected in tumor cellularity, number of mitosis, and other histopathological findings in complementary prostatic needle biopsy after three years of follow-up. A literature review of all prostatic SFTs was performed on histopathological features, treatment modality, and reported recurrence and progression data to identify optimal treatment. Local recurrence was reported in five (11.6%) cases and metastasis in two (4.7%) cases. Twenty-two patients underwent radical surgery with a negative margin. None of these had local recurrence and metastasis was reported in only one. Palliative surgery was reported in 18 patients, including five with local recurrence. However, six had no local recurrence or metastasis during the reported follow-up period. Careful surveillance can be conducted in informed patients if there is no malignancy in the histopathologic examination. In all other cases, surgery is strongly advised and should be radical rather than palliative.
{"title":"Solitary Fibrous Tumor of the Prostate: What is the Optimal Treatment? Description of A Case and Review of the Pertinent Literature","authors":"H. Yılmaz, I. E. Avci, C. Özkürkçügil, Emre Özcan, A. Eruyar","doi":"10.4274/jus.galenos.2022.2022.0054","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0054","url":null,"abstract":"A solitary fibrous tumor (SFT) originating from the prostate has been rarely reported, presenting the 44 th case. We evaluated a 44-year-old man who presented with a two-year history of pressure in the lower abdomen. On magnetic resonance imaging, a 48×66 mm, well-circumscribed mass was observed. 12-core prostatic needle biopsy was performed. Histological examination reported hypocellular and hypercellular areas composed of bland spindle cells arranged in a haphazard pattern. One or two mitotic figures were observed per 10 high-power-fields. Immunohistochemistry analysis showed a strong expression of CD34, STAT-6, and vimentin by tumor cells. We conducted a surveillance protocol for the patient due to the avoidance the surgery. Although there was an increase of approximately 2 cm in tumor diameter, no change was detected in tumor cellularity, number of mitosis, and other histopathological findings in complementary prostatic needle biopsy after three years of follow-up. A literature review of all prostatic SFTs was performed on histopathological features, treatment modality, and reported recurrence and progression data to identify optimal treatment. Local recurrence was reported in five (11.6%) cases and metastasis in two (4.7%) cases. Twenty-two patients underwent radical surgery with a negative margin. None of these had local recurrence and metastasis was reported in only one. Palliative surgery was reported in 18 patients, including five with local recurrence. However, six had no local recurrence or metastasis during the reported follow-up period. Careful surveillance can be conducted in informed patients if there is no malignancy in the histopathologic examination. In all other cases, surgery is strongly advised and should be radical rather than palliative.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45672050","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 : 2023-06-05DOI: 10.4274/jus.galenos.2023.2022.0039
M. Akgül, H. Çakir, Ö. Çınar, O. Özman, C. Başataç, Duygu Sıddıkoğlu, Ç. Doğan, A. B. Başeskioğlu, C. Yazıcı, E. Sancak, H. Akpınar, Bülent Önal
Retrograde intrarenal surgery (RIRS) is a reliable surgical method for the treatment of urinary system stone disease. This study evaluated the effectiveness and safety of RIRS considering more than 1000 cases based on multi-center experience. The size of the stone, stone location and surgical experience could affect the success rate. Although most consequences are mild and rare, there could nevertheless be serious, life-threatening complications.
{"title":"The Efficacy and Safety of Retrograde Intrarenal Surgery: A Multi-Center Experience of the RIRSearch Group Study","authors":"M. Akgül, H. Çakir, Ö. Çınar, O. Özman, C. Başataç, Duygu Sıddıkoğlu, Ç. Doğan, A. B. Başeskioğlu, C. Yazıcı, E. Sancak, H. Akpınar, Bülent Önal","doi":"10.4274/jus.galenos.2023.2022.0039","DOIUrl":"https://doi.org/10.4274/jus.galenos.2023.2022.0039","url":null,"abstract":"Retrograde intrarenal surgery (RIRS) is a reliable surgical method for the treatment of urinary system stone disease. This study evaluated the effectiveness and safety of RIRS considering more than 1000 cases based on multi-center experience. The size of the stone, stone location and surgical experience could affect the success rate. Although most consequences are mild and rare, there could nevertheless be serious, life-threatening complications.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47011725","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 : 2023-03-06DOI: 10.4274/jus.galenos.2023.2023.0007
S. Akinci, O. Açıkgöz, Mert Altınel
Objective: Mayo Adhesive Probability score (MAP score) is a nephrometry system to predict surgical difficulty using radiologic image-based measurements and interpretations. MAP score is based on two main factors: Perinephric fat thickness at the level of the renal vein and perinephric fat stranding, which was defined as a linear area of soft tissue attenuation in the perinephric space. This study evaluated the efficacy of the MAP score on intraoperative parameters of laparoscopic donor nefrectomy and bench surgery. Materials and Methods: Four hundred twenty-one laparoscopic live-donor nephrectomies (LDN) and subsequent bench surgeries carried out between 2016 and 2022 have been included in this study. Preoperative computerized tomography images of donors were blindly scored for determination of MAP scores. Sex, age, hypertension, cigarette smoking, dyslipidemia, and body mass index (BMI) were evaluated as risk factors for high MAPS. Results: In females and males, the percentage of donors in the high MAPS group was 11.79% and 25.32%, respectively, and the difference between the two groups is statistically significant. Similarly, the percentage of donors in the high MAPS group is higher in smokers (42.57%) compared to non-smokers (8.75%) (p<0.05). Conclusion: Although a high MAP score can lead to longer operative time both in LDN and bench surgery, complications in LDN and bench surgery do not seem to be affected by a high MAP score.
{"title":"The Effect of the MAYO Adhesive Probability Score on Intraoperative Parameters in Laparoscopic Live Donor Nephrectomy and Bench Surgery","authors":"S. Akinci, O. Açıkgöz, Mert Altınel","doi":"10.4274/jus.galenos.2023.2023.0007","DOIUrl":"https://doi.org/10.4274/jus.galenos.2023.2023.0007","url":null,"abstract":"Objective: Mayo Adhesive Probability score (MAP score) is a nephrometry system to predict surgical difficulty using radiologic image-based measurements and interpretations. MAP score is based on two main factors: Perinephric fat thickness at the level of the renal vein and perinephric fat stranding, which was defined as a linear area of soft tissue attenuation in the perinephric space. This study evaluated the efficacy of the MAP score on intraoperative parameters of laparoscopic donor nefrectomy and bench surgery. Materials and Methods: Four hundred twenty-one laparoscopic live-donor nephrectomies (LDN) and subsequent bench surgeries carried out between 2016 and 2022 have been included in this study. Preoperative computerized tomography images of donors were blindly scored for determination of MAP scores. Sex, age, hypertension, cigarette smoking, dyslipidemia, and body mass index (BMI) were evaluated as risk factors for high MAPS. Results: In females and males, the percentage of donors in the high MAPS group was 11.79% and 25.32%, respectively, and the difference between the two groups is statistically significant. Similarly, the percentage of donors in the high MAPS group is higher in smokers (42.57%) compared to non-smokers (8.75%) (p<0.05). Conclusion: Although a high MAP score can lead to longer operative time both in LDN and bench surgery, complications in LDN and bench surgery do not seem to be affected by a high MAP score.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46451446","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 : 2023-03-01DOI: 10.4274/jus.galenos.2022.2022.0021
M. Kutluhan, S. Ünal, A. Özayar, E. Okulu, Ö. Kayıgil
{"title":"Ventral and One-sided Dorsolateral Onlay Buccal Mucosa Graft Urethroplasty for Simultaneous Penile and Bulbar Urethral Stricture: A Case Report and Review of Literature","authors":"M. Kutluhan, S. Ünal, A. Özayar, E. Okulu, Ö. Kayıgil","doi":"10.4274/jus.galenos.2022.2022.0021","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0021","url":null,"abstract":"","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43362720","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 : 2023-03-01DOI: 10.4274/jus.galenos.2022.2022.0029
H. Topcu, Cemil Aydın, A. Şentürk, Özgür Yağan
{"title":"Effect of Ultrasound-guided Obturator Nerve Block on Complications in Transurethral Resection for Bladder Cancer","authors":"H. Topcu, Cemil Aydın, A. Şentürk, Özgür Yağan","doi":"10.4274/jus.galenos.2022.2022.0029","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0029","url":null,"abstract":"","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44626809","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 : 2023-03-01DOI: 10.4274/jus.galenos.2022.2022.0022
R. Müller, A. K. Lindner, C. Mayerhofer, G. Laimer, F. Aigner, C. Radmayr
{"title":"Torsion of the Testis or Appendix Testis? An Analysis of Presentation, Management and Outcome of Acute Scrotum in Children","authors":"R. Müller, A. K. Lindner, C. Mayerhofer, G. Laimer, F. Aigner, C. Radmayr","doi":"10.4274/jus.galenos.2022.2022.0022","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0022","url":null,"abstract":"","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42672285","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 : 2023-03-01DOI: 10.4274/jus.galenos.2022.2022.0033
Salih Bürlukkara, Özer Baran, A. Aykaç, M. M. Sunay
{"title":"Evaluation of Dynamic Thiol/Disulfide Homeostasis in Patients with Non-Muscle Invasive Bladder Tumor","authors":"Salih Bürlukkara, Özer Baran, A. Aykaç, M. M. Sunay","doi":"10.4274/jus.galenos.2022.2022.0033","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0033","url":null,"abstract":"","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43164211","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 : 2023-03-01DOI: 10.4274/jus.galenos.2022.2022.0042
S. Taş, E. Islamoglu, A. Eren, M. Savaş
{"title":"Does the Daily Dose of Tadalafil for the Treatment of Erectile Dysfunction Increase Penile Sensation?","authors":"S. Taş, E. Islamoglu, A. Eren, M. Savaş","doi":"10.4274/jus.galenos.2022.2022.0042","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0042","url":null,"abstract":"","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48038373","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 : 2023-03-01DOI: 10.4274/jus.galenos.2022.2022.0027
N. Mangır, M. Uçar, Ö. Gülpınar, C. Özkürkçügil, O. Demirkesen, T. Tarcan
{"title":"Duloxetine in the Treatment of Women with Urinary Incontinence: A Systematic Review and Meta-analysis of Efficacy Data from Randomized Controlled Clinical Trials","authors":"N. Mangır, M. Uçar, Ö. Gülpınar, C. Özkürkçügil, O. Demirkesen, T. Tarcan","doi":"10.4274/jus.galenos.2022.2022.0027","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0027","url":null,"abstract":"","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44400327","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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