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Turkish Journal of Urology

Şenol Tonyalı, Mehmet Yılmaz, Mustafa Karaaslan, Cavit Ceylan, Levent Işıkay
OBJECTIVE: To determine the possible factors effecting stone-free status (SFS) after single-session retrograde intrarenal surgery (RIRS) for renal stones. MATERIAL AND METHODS: We retrospectively analyzed the charts of 100 consecutive patients who underwent RIRS. Unilateral procedures performed for single renal stones were included in the study. The studied parameters included patient demographics, stone characteristics (size, volume, location and attenuation according to Hounsfield unit [HU]), operation time, presence of preoperative double-J stent (DJS), use of ureteral access sheath (UAS) and SFS...
July 5, 2018: Turkish Journal of Urology
Patrick Temi Adegun, Michael Simidele Odimayo, Julius Gbenga Olaogun, Eyitayo Ebenezer Emmanuel
OBJECTIVE: Advanced age is one of the notable risk factors for catheter-associated urinary tract infections (CAUTIs), and differences between middle aged and elderly men with CAUTIs is poorly understood. This study aimed at comparing the pattern of urinary pathogens and antibiotic susceptibility in ambulant catheterized middle-aged and elderly Nigerian men. MATERIAL AND METHODS: One hundred and fifty-four patients catheterized for >48 hours had provided clean catch mid-stream urine samples for microscopic analysis, culture and sensitivity tests...
June 5, 2018: Turkish Journal of Urology
Gül Kanyılmaz, Meryem Aktan, Berrin Benli Yavuz, Mehmet Koç
OBJECTIVE: Metastases from prostate cancer to the brain are very unusual and very few case series have been reported in the literature. Present study was performed to assess the proportion of brain metastasis from prostate cancer among other brain metastasis in men, to evaluate the distribution, pattern and magnetic resonance imaging (MRI) appearance of these metastatic lesions, and prognosis of brain metastasis in patients with prostate cancer. MATERIAL AND METHODS: Between January 2010 and November 2016, 339 males who had received radiotherapy at our department were retrospectively reviewed...
June 5, 2018: Turkish Journal of Urology
Ali Al-Daghmin, Sohaib Alhamss, Khloud Al-Qasem, Hani Al-Najjar, Khaled Al-Smadi, Aseel Olaimat, Layana Al-Halbouni
OBJECTIVE: Translocation renal cell carcinoma (TRCC) represents 1% to 5% of all cases of renal cell carcinoma (RCC), with the highest frequency among children and young adults. Management of these tumors is ill defined. We sought to characterize clinicopathological features of TRCC and patterns of medical and surgical management in a middle eastern health institute. MATERIAL AND METHODS: Clinical and pathological data of 23 patients from a single institution diagnosed with TRCC between January 2005 and July 2017 were retrospectively reviewed...
June 5, 2018: Turkish Journal of Urology
Syed Muhammad Nazim, Qamar Riaz, Muhammad Hammad Ather
OBJECTIVE: Continuing Medical Education (CME) is an established method for facilitating the lifelong learning and developing knowledge, skills and attitudes to ensure delivery of a medical care which is up-to-date, evidence based, safe and patient-centered. An extensive 2 day urology course was conducted to meet the needs of learners. The purpose of the current study was to measure the effect of this CME activity on the knowledge of the participants. MATERIAL AND METHODS: This quasi-experimental, single group pre-, and post-test study measured the gain in learning as a result of the two-day extensive CME course conducted by the section of Urology at Department of Surgery, the Aga Khan University, Karachi- Pakistan...
June 5, 2018: Turkish Journal of Urology
Tuğba Özdemir
OBJECTIVE: Epithelial to Mesenchymal Transition (EMT) is an important phenomenon that is recently been recognized to play roles on prostate cancer metastasis through both epigenetic and biochemical signaling pathways. Using tissue engineering tools, we recreated a metastatic tumor niche to study the role of mir200 (a small RNA proven to reverse EMT processes) on extracellular matrix (ECM) fiber diameter guided prostate cancer cell EMT. MATERIAL AND METHODS: LNCaP cells were cultured on fibrous scaffolds for 48 hours...
May 31, 2018: Turkish Journal of Urology
Çağla Serpil Doğan, Nevin Semerci Koyun, Gülşah Kaya Aksoy, Bülent Çekiç, Murat Savaş, Elif Çomak
OBJECTIVE: In this study, we aimed to assess renal outcomes of delayed diagnosis of dilating primary vesicoureteral reflux (VUR) following recurrent febrile urinary tract infections (fUTIs) and its diagnostic imaging procedures. MATERIAL AND METHODS: The medical records of patients who underwent ultrasonography (US), non- acute dimercaptosuccinic acid (Tc-99mDMSA) scintigraphy and voiding cystourethrography (VCUG), and who were older than 2 years at the time of VUR diagnosis were retrospectively reviewed...
May 31, 2018: Turkish Journal of Urology
Semih Tangal, Yasemin Taşçı, Emre Göksan Pabuçcu, Gamze Sinem Çağlar, Ahmet Hakan Haliloğlu, Kanay Yararbaş
OBJECTIVE: This study was designed to evaluate the prevalence of Human Papilloma Virus (HPV) in semen and document the cycle outcomes in couples with previous intra-cytoplasmic sperm injection (ICSI) failures. MATERIAL AND METHODS: One hundred and seventeen couples with at least two ICSI attempts were included in the study. HPV infection in semen and DNA fragmentation in samples were analyzed by commercially available kits. The percentage of spermatozoa with fragmented DNA (DNA fragmentation index: DFI) was determined during fluorescence microscopic examination as previously described...
May 21, 2018: Turkish Journal of Urology
Taha Numan Yıkılmaz, Erdem Öztürk, Nurullah Hamidi, Halil Başar, Önder Yaman
OBJECTIVE: Obturator nerve injuries may be seen during pelvic lymph node dissection in oncological surgery and although not common it is an important complication. According to the shape and location of the injury, tingling and loss of sensation may develop on the inner surface of the leg, together with loss of motor function of the adductor muscles. In this study an evaluation was made of these complications encountered in our clinic and the management strategies applied to these patients...
May 21, 2018: Turkish Journal of Urology
Abdulmuttalip Şimşek, Mustafa Gürkan Yenice, Kamil Gökhan Şeker, Yusuf Arıkan, Yunus Çolakoğlu, Emre Şam, Volkan Tuğcu
OBJECTIVE: Evaluation of the results of dorsolateral buccal mucosal augmentation urethroplasty in patients with a long- segment urethral strictures. MATERIAL AND METHODS: Twenty male patients who underwent urethroplasty in our clinic between November 2015 and January 2017 were evaluated. The outcomes of single-stage dorsolateral buccal mucosal augmentation urethroplasty were retrospectively evaluated. Patients were followed-up at 2nd -3rd weeks, 3rd and 6th months after the operation...
May 21, 2018: Turkish Journal of Urology
Cüneyd Sevinç, Orkunt Özkaptan, Muhsin Balaban, Tahir Karadeniz, Abdullah As, Nuran Sevimli Kuşlu Çicek, Muzaffar Sarıyar, Selçuk Şahin, Volkan Tuğcu
OBJECTIVE: The aim of the study was to compare the different surgical approaches of two centers on outcomes of live donor laparoscopic nephrectomy. MATERIAL AND METHODS: The first 98 patients of each centre who underwent laparoscopic donor nephrectomy (LDN) or hand-assisted laparoscopic donor nephrectomy (HALDN) were included in the study. The following data were used for analyses: donor age, weight, height, body mass index (BMI), transfusion requirement, operative time, ischemia time and postoperative complications...
July 2018: Turkish Journal of Urology
Mohamed Oulad Saiad
OBJECTIVE: Penile injuries are not rare in children. Our aim is to establish their causes and to report our experience in the management of those accidents. MATERIAL AND METHODS: A retrospective study of all penile injuries presented from January 2009 to January 2017 was performed. Hemorrhage and excess of mucosa or skin remnants are the most frequent and benign injuries after circumcisions, so they were excluded from the study. RESULTS: Four groups were reported including the circumcision accident group, the traumatic accident group, the strangulation group and the electrocution group...
July 2018: Turkish Journal of Urology
Pietro Ferrara, Maria Elisa Amodeo, Annamaria Sbordone, Francesca Ianniello, Alberto Verrotti, Tommaso Petitti, Antonio Ruggiero
OBJECTIVE: The aim of this study is to determine the impact of a motivational therapy (MT) on the outcomes for individuals diagnosed with nocturnal enuresis (NE). MATERIAL AND METHODS: We enrolled 158 patients with NE referred to the Service of Pediatrics, Campus Bio-Medico University Hospital of Rome, from January 2013 to September 2017. Of these, 21 were excluded because they didn't meet the inclusion criteria. The study was carried out in compliance with the Helsinki Declaration...
July 2018: Turkish Journal of Urology
Muhammad Salman, Amer Hayat Khan, Syed Azhar Syed Sulaiman, Jeffery Hughes, Junaid Habib Khan, Khalid Hussain
OBJECTIVE: The objective of the current study was to develop an Urdu version of the International Prostate Symptom Score (IPSS-U) and validate it for Pakistani patients suffering from lower urinary tract symptoms (LUTS). MATERIAL AND METHODS: IPSS-U was developed by a two-step forward and back translation and to evaluate its psychometric properties, a prospective study involving patients suffering from LUTS (n=267) was conducted at Outpatient Urology Department, Mayo Hospital, Lahore, Pakistan...
July 2018: Turkish Journal of Urology
Sandeep Gupta, Susanta Kumar Das, Dilip Kumar Pal
OBJECTIVE: The ultra-mini percutaneous nephrolithotomy (PCNL) for treating low-volume renal nephrolithiasis is being used as an alternative modality to the conventional PCNL. However its use in the supine position has been scarcely reported. MATERIAL AND METHODS: Patients who underwent ultra-mini PCNL in the supine position within the time frame of January 2017 to July 2017 were studied. All these patients had this as their first-line treatment. The patients had calculus limited to either a single calyx or just extending to the pelvis and the stone size was less than 2 cm in its maximal dimension...
July 2018: Turkish Journal of Urology
Ahmet Bindayi, Michelle L Mcdonald, Alp T Beksac, Gerant Rivera-Sanfeliz, Ahmed Shabaik, Fiona Hughes, Lejla Aganovic, Donna E Hansel, Ithaar H Derweesh
OBJECTIVE: To investigate the utility of multiphase computed tomography (CT) and percutaneous renal mass biopsy (PRMB) in differentiating between papillary renal cell carcinoma (pRCC)-Type 1 and -Type 2, as emerging data have suggested differential enhancement patterns in different renal tumor histologies. MATERIAL AND METHODS: Retrospective analysis of 51 patients (23 pRCC-Type 1/28 pRCC-Type 2) who underwent multiphase CT followed by surgery from July 2011 to April 2016 was performed...
July 2018: Turkish Journal of Urology
Ekrem İslamoğlu, Hakan Anıl, İbrahim Erol, Selim Taş, Mutlu Ateş, Murat Savaş
OBJECTIVE: To present the surgical and pathological results of robotic radical cystectomy (RRC) operations performed in our clinic. MATERIAL AND METHODS: A total of 18 patients, who underwent RRC and intracorporeal urinary diversion between October 2016 and September 2017 for clinically localized bladder cancer in our clinic, were included in the study. The results were evaluated under three headings. 1. operative outcomes (total operation time, perioperative blood loss, postoperative hematocrit decrease) 2...
July 2018: Turkish Journal of Urology
Daniar K Osmonov, Amr A Faddan, Alexey V Aksenov, Carsten M Naumann, Leonid M Rapoport, Evgeny A Bezrukov, Dmitry G Tsarichenko, Klaus P Jünemann
OBJECTIVE: Surgical site infection (SSI) is defined as infection at or near surgical incisions within 30 days of an operative procedure and classified either incisional superficial and deep or organ/space. The aim of the study is to report and compare the incidence and management of SSIs after robot-assisted laparoscopic radical prostatectomy (RALP) and retropubic radical prostatectomy (RRP). MATERIAL AND METHODS: Within the last 4 years, we identified 285 patients that underwent RRP, n=187 (66%) or RALP, n=98 (34%)...
July 2018: Turkish Journal of Urology
Clinton Burnside, Tamaro Hudson, Carla Williams, William Lawson, Adeyinka O Laiyemo
OBJECTIVE: Cancer imposes higher burden on men. Sex differences in healthcare utilization may contribute to this problem. We compared healthcare utilization among adults with and without a history of cancer as measured by having at least one physician visit within the previous 12 months. MATERIAL AND METHODS: We analyzed data from 7,229 responders (weighted population size=211,722,892) enrolled in the 2007 Health Information and National Trends Survey (HINTS), a nationally representative sample of non-institutionalized adults in the United States...
July 2018: Turkish Journal of Urology
Fatma Ela Keskin, Hande Mefkure Özkaya, Mazhar Ortaç, Emre Salabaş, Ateş Kadıoğlu, Pınar Kadıoğlu
OBJECTIVE: The aim of this study is to determine the severity of female sexual dysfunction (FSD), quality of life, and depression status in female patients with Cushing's syndrome (CS). MATERIAL AND METHODS: This study included 29 sexually active women with CS and 30 healthy age and body mass index matched women. The Female Sexual Function Index (FSFI) questionnaire, Beck Depression Inventory (BDI) and Short Form Health Survey (SF-36) were filled by each participant...
July 2018: Turkish Journal of Urology
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