Pub Date : 2022-12-01DOI: 10.4274/jus.galenos.2022.2022.0053
M. Tuna, Tunkut Doğanca, Ömer Burak Argun, B. Z. Pirdal, İ. Tüfek, C. Obek, A. Kural
? Rezum™ system is a safe minimal invasive treatment modality for benign prostate hyperplasia treatment. This is the first study from Turkiye that reports the initial short-term results of Rezum™ therapy.
{"title":"Water Vapor Thermal Therapy (Rezum™) for Benign Prostate Hyperplasia: Initial Experience from Turkiye","authors":"M. Tuna, Tunkut Doğanca, Ömer Burak Argun, B. Z. Pirdal, İ. Tüfek, C. Obek, A. Kural","doi":"10.4274/jus.galenos.2022.2022.0053","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0053","url":null,"abstract":"? Rezum™ system is a safe minimal invasive treatment modality for benign prostate hyperplasia treatment. This is the first study from Turkiye that reports the initial short-term results of Rezum™ therapy.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41334289","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 : 2022-12-01DOI: 10.4274/jus.galenos.2022.2021.0123
I. Erol
Objective: In our study, we retrospectively analyzed the pathology results of radical orchiectomy operations performed in our clinic and to correlate preoperative color Doppler ultrasonography (CDUSG) findings with small-testicular masses (SmTM) with negative serum tumor markers (STM). Materials and Methods: Male patients (n=98) who underwent radical orchiectomy between January 2010 and January 2021 to treat intratesticular solid lesions that were detected via CDUSG were evaluated retrospectively. All patients were evaluated in terms of age, atrophic testis, echogenicity, size of tumoral lesions, testicular palpability, preoperative STM and postoperative pathology results. Results: Expression of at least one STM was elevated in 58 (59.2%) patients preoperatively. STM elevation continued to occur in 25 (25.5%) patients postoperatively; furthermore, 81 (82.7%) patients presented with malignant pathology. The mean age of patients was 39.47±15.20 years, whereas the mean age of patients with benign pathology was higher than patients with malignant pathology (p=0.008). The mean size of malignant lesions was significantly greater than that of benign lesions (5.4 vs 3.5 cm; p=0.033). Statistically elevated STM, lower age, heterogeneity in CDUSG, and large lesion size were found as parameters predicting malignancy. Although lesions in 9 (45%) of 20 STM-negative patients with a lesion smaller than 3 cm were benign, benign pathology was detected in 6 (75%) of 8 STM-negative patients with a lesion smaller than 1.5 cm. Conclusion: CDUSG plays an important role in detecting small non-palpable masses. Especially in STM-negative patients with a SmTM, CDUSG can reasonably guide the decision-making phase although it cannot provide definitive diagnosis. Radical orchiectomy, which is the traditional approach for all solid testicular lesions, leads to unnecessary treatment in patients with benign lesions, so testicular-sparing surgery should be preferred in STM-negative non-palpable SmTMs because the risk of cancer is low.
{"title":"Determining an Approach to Small Testicular Masses by Examining Scrotal Doppler Ultrasonography and Serum Tumor Markers","authors":"I. Erol","doi":"10.4274/jus.galenos.2022.2021.0123","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0123","url":null,"abstract":"Objective: In our study, we retrospectively analyzed the pathology results of radical orchiectomy operations performed in our clinic and to correlate preoperative color Doppler ultrasonography (CDUSG) findings with small-testicular masses (SmTM) with negative serum tumor markers (STM). Materials and Methods: Male patients (n=98) who underwent radical orchiectomy between January 2010 and January 2021 to treat intratesticular solid lesions that were detected via CDUSG were evaluated retrospectively. All patients were evaluated in terms of age, atrophic testis, echogenicity, size of tumoral lesions, testicular palpability, preoperative STM and postoperative pathology results. Results: Expression of at least one STM was elevated in 58 (59.2%) patients preoperatively. STM elevation continued to occur in 25 (25.5%) patients postoperatively; furthermore, 81 (82.7%) patients presented with malignant pathology. The mean age of patients was 39.47±15.20 years, whereas the mean age of patients with benign pathology was higher than patients with malignant pathology (p=0.008). The mean size of malignant lesions was significantly greater than that of benign lesions (5.4 vs 3.5 cm; p=0.033). Statistically elevated STM, lower age, heterogeneity in CDUSG, and large lesion size were found as parameters predicting malignancy. Although lesions in 9 (45%) of 20 STM-negative patients with a lesion smaller than 3 cm were benign, benign pathology was detected in 6 (75%) of 8 STM-negative patients with a lesion smaller than 1.5 cm. Conclusion: CDUSG plays an important role in detecting small non-palpable masses. Especially in STM-negative patients with a SmTM, CDUSG can reasonably guide the decision-making phase although it cannot provide definitive diagnosis. Radical orchiectomy, which is the traditional approach for all solid testicular lesions, leads to unnecessary treatment in patients with benign lesions, so testicular-sparing surgery should be preferred in STM-negative non-palpable SmTMs because the risk of cancer is low.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49643200","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 : 2022-12-01DOI: 10.4274/jus.galenos.2022.2021.0119
Batuhan Ergani, H. Türk, Mustafa Karabıçak, H. Yılmaz
Kidney stones can develop because of specific changes in the kidney tissue due to various diseases such as type 2 diabetes, hypertension, metabolic syndrome, and non-alcoholic fatty liver. Particularly, a triple mechanism is recognized between metabolic syndrome, non-alcoholic fatty liver disease and syndrome, and atherosclerosis the formation of kidney stones. To our results; triglyceride level and waist circumference were found to have a statistically significant effect on kidney stone formation. The formation of kidney stones caused by these risk factors in the patient can be prevented by eliminating these factors through preventable or treatable modifications.
{"title":"Specific Effects of Some Metabolic Syndrome Components on Kidney Stone Formation: A Multicentric Multidisciplinary Study","authors":"Batuhan Ergani, H. Türk, Mustafa Karabıçak, H. Yılmaz","doi":"10.4274/jus.galenos.2022.2021.0119","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0119","url":null,"abstract":"Kidney stones can develop because of specific changes in the kidney tissue due to various diseases such as type 2 diabetes, hypertension, metabolic syndrome, and non-alcoholic fatty liver. Particularly, a triple mechanism is recognized between metabolic syndrome, non-alcoholic fatty liver disease and syndrome, and atherosclerosis the formation of kidney stones. To our results; triglyceride level and waist circumference were found to have a statistically significant effect on kidney stone formation. The formation of kidney stones caused by these risk factors in the patient can be prevented by eliminating these factors through preventable or treatable modifications.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45609136","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 : 2022-12-01DOI: 10.4274/jus.galenos.2022.2021.0122
D. Voci, N. Kucher, A. Zimmermann, S. Barco
A 54-year-old man with a non-invasive urothelial carcinoma (T1N0M0) was scheduled for transurethral resection after a 2-year treatment with adjuvant Bacillus CalmetteGuérin (BCG) instillation therapy. During this period, the patient received antibiotic therapy (Rifampicin, Isoniazid, Ethambutol) for a suspected Mycobacterium bovis systemic infection with B symptoms and lymphadenopathy. A culture of Mycobacterium bovis BCG grew from the sputum of the patient. The preoperative computed tomography (CT) showed an aneurysm of the left common iliac artery with a diameter of approximately 3.5 cm (Figure 1) and a dissection of the right common iliac artery (Figure 2). These findings had not been documented in a previous CT scan done 8 months before. The clinical and imaging findings were consistent with those of a BCG-associated mycotic aneurysm. A xenopericardial graft replacement via midline laparotomy was performed two days after diagnosis without complications. A Ziehl-Neelson staining procedure and a polymerase chain reaction (IS6110 and M65 methods) were performed on an intraoperative tissue sample and confirmed the diagnosis. The patient could be discharged home a few days after the procedure with the same established preoperative antibiotic therapy. After consultation with the infectiologists in the domo, the patient was recommended to continue the antibiotic therapy for another 4 months.
{"title":"Mycobacterium bovis Associated Aneurysm of the Common Iliac Artery After Bacillus Calmette-Guérin Intravesical Treatment for Urothelial Carcinoma","authors":"D. Voci, N. Kucher, A. Zimmermann, S. Barco","doi":"10.4274/jus.galenos.2022.2021.0122","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0122","url":null,"abstract":"A 54-year-old man with a non-invasive urothelial carcinoma (T1N0M0) was scheduled for transurethral resection after a 2-year treatment with adjuvant Bacillus CalmetteGuérin (BCG) instillation therapy. During this period, the patient received antibiotic therapy (Rifampicin, Isoniazid, Ethambutol) for a suspected Mycobacterium bovis systemic infection with B symptoms and lymphadenopathy. A culture of Mycobacterium bovis BCG grew from the sputum of the patient. The preoperative computed tomography (CT) showed an aneurysm of the left common iliac artery with a diameter of approximately 3.5 cm (Figure 1) and a dissection of the right common iliac artery (Figure 2). These findings had not been documented in a previous CT scan done 8 months before. The clinical and imaging findings were consistent with those of a BCG-associated mycotic aneurysm. A xenopericardial graft replacement via midline laparotomy was performed two days after diagnosis without complications. A Ziehl-Neelson staining procedure and a polymerase chain reaction (IS6110 and M65 methods) were performed on an intraoperative tissue sample and confirmed the diagnosis. The patient could be discharged home a few days after the procedure with the same established preoperative antibiotic therapy. After consultation with the infectiologists in the domo, the patient was recommended to continue the antibiotic therapy for another 4 months.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45577197","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 : 2022-12-01DOI: 10.4274/jus.galenos.2022.2021.0136
Ubeyd Sungur, H. Polat, Habip Yılmaz, Ekrem Güner
The multidisciplinary evaluation is known be an essential component of today’s medical practice. The urology department requires to be in communication with other surgical branches throughout the preoperative, intraoperative and postoperative periods due to the close neighboring of numerous organs and iatrogenic injuries. This is the first study in the literature to present a review of cases in which multidisciplinary surgeries were performed with the involvement of urology and other surgical specialties.
{"title":"Multidisciplinary Collaborative Operations of Urology and Other Surgical Specialties: Thirteen Years of Experience at a Single Center","authors":"Ubeyd Sungur, H. Polat, Habip Yılmaz, Ekrem Güner","doi":"10.4274/jus.galenos.2022.2021.0136","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0136","url":null,"abstract":"The multidisciplinary evaluation is known be an essential component of today’s medical practice. The urology department requires to be in communication with other surgical branches throughout the preoperative, intraoperative and postoperative periods due to the close neighboring of numerous organs and iatrogenic injuries. This is the first study in the literature to present a review of cases in which multidisciplinary surgeries were performed with the involvement of urology and other surgical specialties.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47161456","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 : 2022-12-01DOI: 10.4274/jus.galenos.2022.2022.0036
F. Ok, Emrullah Durmuş
Objective: To investigate the effectiveness of CHOKAI and STONE scoring systems in predicting ureter stones in patients admitted to emergency and urology departments. Materials and Methods: This was a single-center prospective observational study. Patients over the age of 18 years with back, flank, or lower abdominal pain and suspected of ureteral stones and performed non-contrast abdominal computed tomography for diagnostic imaging were included. Each patient’s CHOKAI and STONE score was calculated on their medical interviews and physical and laboratory findings. Receiver operating characteristic analysis was used for the sensitivity and specificity of the scoring systems at optimal cut-off values. Results: Of the 348 patients in the study, 228 were detected with ureteral stones. For the CHOKAI score, the area under the curve (AUC) at an optimal cut-off point of 8 was 0.923 [95% confidence interval (CI), 0.894-0.952], with a sensitivity of 0.842, and specificity of 0.975, a positive likelihood ratio (LR+) of 33.68, and a negative likelihood ratio (LR-) 0.162. For the STONE score, the AUC at an optimal cut-off point of 9 was 0.847 (95% CI, 0.807-0.887), with a sensitivity of 0.697 and specificity of 0.900, an LR+ of 6.97, and an LR- 0.336. Conclusion: The CHOKAI score is more sensitive and specific than the STONE score in predicting ureteral stones. Using the CHOKAI score in routine practice will reduce radiation exposure and cost and prevent time loss for serious differential diagnosis.
{"title":"External Validation of CHOKAI and STONE Scores for Detecting Ureter Stones in the Eastern Turkish Population","authors":"F. Ok, Emrullah Durmuş","doi":"10.4274/jus.galenos.2022.2022.0036","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0036","url":null,"abstract":"Objective: To investigate the effectiveness of CHOKAI and STONE scoring systems in predicting ureter stones in patients admitted to emergency and urology departments. Materials and Methods: This was a single-center prospective observational study. Patients over the age of 18 years with back, flank, or lower abdominal pain and suspected of ureteral stones and performed non-contrast abdominal computed tomography for diagnostic imaging were included. Each patient’s CHOKAI and STONE score was calculated on their medical interviews and physical and laboratory findings. Receiver operating characteristic analysis was used for the sensitivity and specificity of the scoring systems at optimal cut-off values. Results: Of the 348 patients in the study, 228 were detected with ureteral stones. For the CHOKAI score, the area under the curve (AUC) at an optimal cut-off point of 8 was 0.923 [95% confidence interval (CI), 0.894-0.952], with a sensitivity of 0.842, and specificity of 0.975, a positive likelihood ratio (LR+) of 33.68, and a negative likelihood ratio (LR-) 0.162. For the STONE score, the AUC at an optimal cut-off point of 9 was 0.847 (95% CI, 0.807-0.887), with a sensitivity of 0.697 and specificity of 0.900, an LR+ of 6.97, and an LR- 0.336. Conclusion: The CHOKAI score is more sensitive and specific than the STONE score in predicting ureteral stones. Using the CHOKAI score in routine practice will reduce radiation exposure and cost and prevent time loss for serious differential diagnosis.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43080574","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 : 2022-12-01DOI: 10.4274/jus.galenos.2022.2022.0002
Günal Özgür, M. Çetin, T. Telli, D. Filinte, I. Tinay
We report on a patient, who was diagnosed with renal cell carcinoma (RCC) and presented with testicular metastasis at 5 years after the initial diagnosis, surgical interventions and systemic treatments. Although there are reports of testicular metastasis of RCC, to the best of our knowledge, our case is first who presented late recurrence in the testicular tissue despite previous tyrosine kinase inhibitor and PD1 inhibitor treatments.
{"title":"Testicular Metastasis in Renal Cell Carcinoma","authors":"Günal Özgür, M. Çetin, T. Telli, D. Filinte, I. Tinay","doi":"10.4274/jus.galenos.2022.2022.0002","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0002","url":null,"abstract":"We report on a patient, who was diagnosed with renal cell carcinoma (RCC) and presented with testicular metastasis at 5 years after the initial diagnosis, surgical interventions and systemic treatments. Although there are reports of testicular metastasis of RCC, to the best of our knowledge, our case is first who presented late recurrence in the testicular tissue despite previous tyrosine kinase inhibitor and PD1 inhibitor treatments.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43951311","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 : 2022-12-01DOI: 10.4274/jus.galenos.2022.2022.0012
K. Gasimov, R. Jafarov, V. Tatanis, A. Bozacı, E. Ceyhan, Turan Mammadaliyev, H. Doğan, S. Tekgül
Despite having different etiologies
尽管病因不同
{"title":"Children with Non-Neurogenic Lower Urinary Tract Dysfunction Require Less Frequent and Number of Botulinum Toxin Injections Than Neurogenic Ones","authors":"K. Gasimov, R. Jafarov, V. Tatanis, A. Bozacı, E. Ceyhan, Turan Mammadaliyev, H. Doğan, S. Tekgül","doi":"10.4274/jus.galenos.2022.2022.0012","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0012","url":null,"abstract":"Despite having different etiologies","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48686591","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 : 2022-12-01DOI: 10.4274/jus.galenos.2022.2021.0126
Mert Hamza Özbilen, Erdem Kısa, A. Çapar, Y. Ilbey
was performed
已执行
{"title":"Life-threatening Arterioureteral Fistula Between Iliac Vessel and Ureteral Stump: A Case Report","authors":"Mert Hamza Özbilen, Erdem Kısa, A. Çapar, Y. Ilbey","doi":"10.4274/jus.galenos.2022.2021.0126","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0126","url":null,"abstract":"was performed","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48932220","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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