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Turkish Journal of Urology

Nadeem Iqbal, Omar Zia Syed, Amna Haider Bukhari, Abdul Ahad Ehsan Sheikh, Umair Syed Mahmud, Faheemullah Khan, Ijaz Hussain, Saeed Akhter
OBJECTIVE: Mitrofanoff procedure has been employed commonly as bladder draining tool in patients unable to do clean intermittent self catheterization through native urethera. Single centre experience of pediatric age group patients undergoing Mitrofanoff procedure has been presented here. MATERIAL AND METHODS: It was a retrospective study of 29 children who underwent continent catheterizable conduit (CCC), from January 2009 till March 2017. Charts were reviewed for age, gender, presenting complaints, need for augmentation cystoplasty, Mitrofanoff channel source such as appendix or ileal patch, duration of surgery in minutes, hospital stay in days, per operative and postoperative complications...
November 26, 2018: Turkish Journal of Urology
Matthew J Ziegelmann, Brian J Linder, Boyd R Viers, Laureano J Rangel, Marcelino E Rivera, Daniel S Elliott
OBJECTIVE: Artificial urinary sphincter (AUS) device failure or revision can be due to multiple etiologies including erosion, infection, mechanical malfunction, and urethral atrophy. However, few studies have evaluated factors that predispose patients to urethral atrophy. Here, we sought to identify preoperative and perioperative risk factors associated with urethral atrophy in men undergoing primary artificial urinary sphincter (AUS) placement for stress urinary incontinence. MATERIAL AND METHODS: From 1987 to 2013, 1829 AUS procedures were performed at our institution...
November 26, 2018: Turkish Journal of Urology
Hasan Anıl Atalay, Gökhan Çetinkaya, Samir Agalarov, Sait Özbir, Gökhan Çulha, Lütfi Canat
OBJECTIVE: Medical questionnaires, which enable collection, comparison and analysis of appropriate data as a means of written communication between a patient and a doctor, must be easily readable, and understandable. Here, we measure the readability and understandability of questionnaires used in andrology and examine the relationship between the educational status of the patients and the understandability of the forms. MATERIAL AND METHODS: Seven questionnaires used to diagnose andological diseases were selected from the European Association of Urology guidelines...
November 26, 2018: Turkish Journal of Urology
Manoj Kumar, Siddharth Pandey, Apul Goel, Deepanshu Sharma, Gaurav Garg, Ajay Aggarwal
OBJECTIVE: To analyze the patterns of presentation and management for urologic complications of obstetrics and gynecology in the form of genitourinary fistulas at a tertiary referral center and highlight the social issues associated with them. MATERIAL AND METHODS: We conducted this retrospective study analyzing 311 patients with genitourinary fistulas after obstetric and gynecologic surgeries between January 2005 and January 2018. We recorded the patients' characteristics and area of residence and then analyzed the etiology, surgical management and success rates by grouping the patients into four types of genitourinary fistulas...
November 26, 2018: Turkish Journal of Urology
Jack R Andrews, Brian J Linder, Joseph A Scales, Daniel S Elliott
OBJECTIVE: To evaluate characteristics of artificial urinary sphincter (AUS) mechanical failures and compare outcomes based on the use of either suture-tied connections or Quick-Connects® (QC) for single-component revisions. MATERIAL AND METHODS: A total of 46 patients underwent single-component AUS revisions following primary AUS placement from January 1983 to January 2011 at our institute. Prior to 1996 all revision cases were performed with suture-tie connections and after that time we used QC for revisions...
November 26, 2018: Turkish Journal of Urology
Mustafa Suat Bolat, Emrah Yürük, Önder Çınar, Ekrem Akdeniz, Fatih Altunrende, Ünsal Özkuvancı, Leman Tomak, Ateş Kadıoğlu, Ahmet Yaser Müslümanoğlu
OBJECTIVE: To investigate the prevalence of Burnout syndrome (BS) with its emotional exhausting (EE), depersonalization (DP), and personal accomplishment (PA) dimensions among Turkish urologists. MATERIAL AND METHODS: A total of 2,259 certified Turkish urologists were invited by e-mail to participate in this cross-sectional survey-based study. An online survey was conducted to evaluate three dimensions of BS ie: -EE, DP and PA-and their association with socio-demographic variables of Turkish urologists using the Maslach Burnout Inventory (MBI)...
November 21, 2018: Turkish Journal of Urology
Pritesh Jain, Debansu Sarkar, Krishnendu Maiti, Sandeep Gupta, Dilip Kumar Pal
OBJECTIVE: Purpose of our study was to aggregate and analyse rare cases of Ectopic Ureter (EU), their association with other anomalies, clinical features, diagnosis and management. MATERIAL AND METHODS: A total of nine patients with rare presentation of EU were evaluated. Combination of endoscopic and imaging modalities was used as required to define the anatomy and devise the best surgical approach in these cases. RESULTS: Among six females and three males with EU, four cases had bilateral EU, four unilateral EU and one case had EU of a solitary kidney...
November 21, 2018: Turkish Journal of Urology
Gaurav Garg, Manmeet Singh, Manoj Kumar, Ajay Aggarwal, Siddharth Pandey, Deepanshu Sharma, Satya Narayan Sankhwar
OBJECTIVE: The management of recurrent posterior urethral strictures developing after pelvic fracture urethral injury (PFUI) is a challenging task. Despite availability of many surgical approaches, there is no consensus regarding the optimal approach. The objective of this study was to present our 10-year experience in the management of recurrent urethral strictures due to PFUI. MATERIAL AND METHODS: We did a retrospective single-institution review of patients who underwent surgical management for recurrent posterior urethral strictures from January 2006 to December 2016 using descriptive statistics...
November 21, 2018: Turkish Journal of Urology
Hammouda Sherif, Ahmed Sebay, Wael Kandeel, Tarek Othman, Abdallah Fathi, Ahmed Mohey, Ali Eshazly
OBJECTIVE: To evaluate the safety and efficacy of intravesical instillation of hyaluronic acid/chondroitin sulfate in the treatment of refractory painful bladder syndrome. MATERIAL AND METHODS: Forty patients were subjected to intravesical instillations of hyaluronic acid/chondroitin sulfate weekly for 4 weeks and at 6., 8., 12. and 16. weeks, afterwards. Then we evaluated the efficacy of this treatment modality by determining the mean changes in visual analogue scale (VAS) pain score, the pelvic pain and urgency/frequency questionnaire, the O'Leary-Sant interstitial cystitis symptoms index/problems index and 3 day-voiding diary results including daily number of voids and mean voided volume at 2 weeks, 3, and 9 months after the last dose (4th month) and urodynamic studies including cystometric capacity, 1st sensation of urination, and Q-max at 9 months after the last dose...
November 21, 2018: Turkish Journal of Urology
Ali İhsan Taşçı, Abdulmuttalip Şimşek, Emre Şam, Kamil Gökhan Şeker, Feyzi Arda Atar, Selçuk Şahin, Volkan Tuğcu
Radical prostatectomy (RP) is the gold standard treatment method of localized prostate cancer. Today, this surgery is performed with open or minimally invasive methods. The history of open perineal RP (RPP) is very old, but it is not often preferred by urologists. The use of robot-assisted laparoscopic RP (RALP) is very frequently applied today. Robotic perineal RP (r-RPP) by using a Gel-Point and insufflating CO2 into the perineal region was first described in 2014. In this case report, we report a 68-year-old patient with localized prostate cancer in whom we successfully performed gasless r-RPP, and according to our knowledge, this is the first case of gasless r-RPP to be reported...
November 21, 2018: Turkish Journal of Urology
Mohammedaman Mama, Aseer Manilal, Tigist Gezmu, Aschalew Kidanewold, Firew Gosa, Atsede Gebresilasie
OBJECTIVE: Urinary tract infection (UTI) is a common and grave health problem in the world. In fact, patients with diabetes mellitus have an immense risk for developing UTI. The development of resistance among uropathogens to antibiotics is a major crisis which limits the use of drug of choice for the treatment of UTI. On this view point, the aim of the present study is to elucidate the prevalence of UTI, associated factors, causative agents and their antimicrobial susceptibility amongst diabetic patients attending Arba Minch Hospital, Arba Minch, Ethiopia...
November 21, 2018: Turkish Journal of Urology
Ufuk Ateş, Günay Ekberli, Nil Yaşam Taştekin, Gülnür Göllü, Murat Çakmak
OBJECTIVE: Aim of the study is to determine the hemostatic techniques among pediatric urologists in Turkey. MATERIAL AND METHODS: Questionnaire forms were sent to 459 pediatric urologist by e-mail. RESULTS: Ninety eight of 459 participants answered the questionnaire forms. Eighty-one (84.4%) of the participants were using tourniquet. The participants who didn't use tourniquet stated their justifications as follows: lack of need (n=10: 66.7%), development of edema, ischemia, delay of wound-graft healing and fistula risk (n=5: 33...
November 21, 2018: Turkish Journal of Urology
Mehmet Akyüz, Emre Tokuç, Emrah Özsoy, Orhan Koca, Hüseyin Kanberoğlu, Metin Öztürk, Ramazan Topaktaş
OBJECTIVE: Urethral stricture is a common pathology with different etiologic factors in different age groups and societies. In our research, patients who underwent urethroplasty because of urethral stricture were evaluated in terms of etiology, localization, surgical technique and demographic characteristics. MATERIAL AND METHODS: One hundred and sixty-three patients with a mean age of 53.43±16.5 years, operated between January 2008 and May 2016 because of urethral stricture were retrospectively included in the study...
November 21, 2018: Turkish Journal of Urology
Lukasz Bialek, Slawomir Poletajew, Piotr Maciej Magusiak, Mikolaj Ostrach, Jakub Szpernalowski, Bartosz Dybowski, Piotr Radziszewski
OBJECTIVE: To analyze the frequency of performing bimanual palpation (BP) during transurethral resection of the bladder tumor (TURBT) and to identify its predictors. MATERIAL AND METHODS: This retrospective analysis enrolled 568 consecutive patients, who underwent TURBT due to primary bladder cancer. There were thirty surgeons involved in the analysis, each performed a mean of 18.9 TURBTs (range 1-43). Univariate and multivariate logistic regression analyses were performed to identify factors predicting the BP use...
November 21, 2018: Turkish Journal of Urology
Mustafa Koray Kırdağ, Devrim Tuğlu, Ercan Yuvanç, Üçler Kısa, Mahi Balcı, Ertan Batislam, Erdal Yılmaz
OBJECTIVE: In this study, we aimed to investigate the antioxidant effects of selenium and coenzyme Q on renal damage in a partial unilateral ureteral obstruction (PUUO) in a rat model. MATERIAL AND METHODS: A total of 24 Sprague-Dawley rats were divided into four groups as Group 1 Control Group, Group 2, PUUO Group, Group 3 PUUO + coenzyme Q group, Group 4 PUUO + selenium group. Paraoxonase (PON), total antioxidant capacity (TAC), and total oxidant levels (TOS) were analyzed biochemically from tissue and blood samples...
November 19, 2018: Turkish Journal of Urology
Erdal Benli, Abdullah Çırakoğlu, Ercan Öğreden, Yasemin Kaya, Ali Ayyıldız, Ahmet Yüce
OBJECTIVE: The aim of this study is to investigate whether there is a correlation between AB0 blood group antigens and Rhesus factor and lower urinary tract symptoms (LUTS). MATERIAL AND METHODS: A total of 556 male patients applying to our clinic with LUTS complaints from April 2012-2015 and complying with the study criteria were included in the study. The patients were divided into two groups as those with (Group 1; n=283) and without LUTS (Group 2; n=273) complaints...
November 19, 2018: Turkish Journal of Urology
Saleh Ghiasy, Amir Reza Abedi, Afshin Moradi, Seyed Yousef Hosseini, Morteza Fallah Karkan, Ghazal Sadri, Mohammadreza Davari
OBJECTIVE: Prostate cancer is one of the common malignant tumors in men worldwide. Nowadays it seems that Gleason Score 3+3 may not need definite treatment and some of the experts even ignore it as a cancer but we should be aware that in some patients with Gleason Score 3+3 there is a higher risk for harboring higher-grade cancer. We had done this study to evaluate patients with prostate cancer with Gleason Score 3+3 to determine the value of tumor volume in these cases. MATERIAL AND METHODS: From September 2010 to October 2017, radical prostatectomy was done for 123 sequential patients with localized prostate cancer in two referral centers of Shahid Beheshti Medical University, Tehran, Iran, and 42 cases with Gleason Scores 3+3 which who were candidates for active surveillance were included in the study...
November 19, 2018: Turkish Journal of Urology
Theodore R Saitz, Michael J Conlin, Christopher D Tessier, Thomas R Hatch
OBJECTIVE: Previous studies have demonstrated the efficacy of transurethral microwave therapy (TUMT) in the management of high-risk catheter-dependent men, although few have assessed safety in high-risk patients, including those continuing anticoagulation therapy during treatment. Our goal was to assess the safety and effectiveness of TUMT in a population of high-risk catheter-dependent men. MATERIAL AND METHODS: A retrospective analysis of patients who underwent TUMT at a single Veterans Affairs facility for the treatment of benign prostatic hyperplasia was completed...
November 19, 2018: Turkish Journal of Urology
Drisya Udayan, Sadia Khan, Unnimaya Pullanhi, Anil Kumar
No abstract text is available yet for this article.
November 2018: Turkish Journal of Urology
Hamid Pakmanesh, Mohsen Alinejad
Perinatal testicular torsion is a rare emergency in a neonate that prompts immediate attention. Bilateral testicular torsion is extremely rare. We report a case of bilateral torsion that presented with unilateral scrotal swelling but significant atrophy and dark discoloration of the contralateral testis that was secondary to asynchronous prenatal torsion. There is no consensus about exploration of the contralateral testis when exploring a case with unilateral testicular torsion. Nevertheless, findings in this case report indicate that bilateral exploration is mandatory in each case of perinatal testicular torsion to evaluate the condition of contralateral testis and fix it to prevent development of future torsion that may result in anorchia...
November 2018: Turkish Journal of Urology
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