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Turkish Journal of Urology

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September 2016: Turkish Journal of Urology
Mehmet İlker Gökçe, Akın Fırat Kocaay, Serkan Aktürk, Acar Tüzüner
Renal transplantation is the best option in the treatment of end-stage renal disease However these patients are under the risk of developing malignancies particularly due to effects of immune supression. These malignancies tend to be more agressive compared to the general population. Here, we present a case of urothelial carcinoma develoing in the ureter of allograft kidney.
September 2016: Turkish Journal of Urology
Yasemin Yuyucu Karabulut, Mesut Tek, Neslihan Eti, Erdem Akbay
Cholesteatoma in the urinary system is a rarely seen benign condition. Rosina firstly defined this condition in the year 1953. Histopathologically it is characterized with keratinization, and squamous metaplasia of urothelial epithelium associated with desquamation of keratinized layers. Flank pain is the most common symptom that is caused by elimination of keratinous material. In our case we will discuss cholesteatoma developed in an ectopic kidney which has not been described in the literature before.
September 2016: Turkish Journal of Urology
Anubhav Panwar, Raju Ranjan, Nityasha Drall, Neha Mishra
Tuberculosis can involve any part of the body. Urogenital tuberculosis is a fairly common extra-pulmonary manifestation of tuberculosis and renal tuberculosis is the most common form of urogenital tuberculosis. Renal tuberculosis seldom presents as a mass, usually due to hydronephrosis of the involved kidney. However in extremely rare cases it may present as an inflammatory pseudotumor which may mimic renal cell carcinoma. We present a case of a 65- year- old male who was provisionally diagnosed as renal cell carcinoma based on clinical and radiological findings and managed accordingly but was finally diagnosed as renal tuberculosis based on histopathological examination of surgical specimen...
September 2016: Turkish Journal of Urology
Erdal Alkan, Yeşim Sağlıcan, Ahmet Oğuz Özkanlı, Mevlana Derya Balbay
Intravascular papillary endothelial hyperplasia (IPEH, Masson's Tumor) of the kidney is an unusual, benign vascular lesion. A rare case of recurrent IPEH in the kidney was presented in this article. A 50-year-old male with a diagnosis of a suspicious mass in the left kidney was referred to our center for robotic partial nephrectomy. Robotic zero ischemia partial nephrectomy was performed due to the suspicion of a renal malignancy. On the basis of the histopathological results, the patient was diagnosed as IPEH...
September 2016: Turkish Journal of Urology
Brian D Montgomery, Stephen A Boorjian, Matthew J Ziegelmann, Daniel D Joyce, Brian J Linder
OBJECTIVE: Hemorrhagic cystitis is a challenging clinical entity with limited evidence available to guide treatment. The use of intravesical silver nitrate has been reported, though supporting literature is sparse. Here, we sought to assess outcomes of patients treated with intravesical silver nitrate for refractory hemorrhagic cystitis. MATERIAL AND METHODS: We identified nine patients with refractory hemorrhagic cystitis treated at our institution with intravesical silver nitrate between 2000-2015...
September 2016: Turkish Journal of Urology
Ömer Gökhan Doluoğlu, Mehmet Ali Karagöz, Muhammet Fatih Kılınç, Tolga Karakan, Cem Nedim Yücetürk, Haşmet Sarıcı, Berat Cem Özgür, Muzaffer Eroğlu
OBJECTIVE: In this study we aimed to evaluate prognostic factors for the survival of patients with Fournier's gangrene (FG), and overview different validated scoring systems for outcome prediction. MATERIAL AND METHODS: We retrospectively analyzed the data of 39 patients treated for FG in our clinic. Data were collected on medical history, symptoms, physical examination findings, vital signs, laboratory parameters at admission and at the end of treatment, timing and extent of surgical debridement, and the antibiotic treatment used...
September 2016: Turkish Journal of Urology
Emrah Yürük, Serhat Yentur, Ömer Onur Çakır, Kasım Ertaş, Ege Can Şerefoğlu, Atilla Semerciöz
OBJECTIVE: Cold-knife direct vision internal urethrotomy (DVIU) is frequently used as the first-line treatment for urethral stricture disease. Although the steps of the procedure are defined in detail, the duration of catheterization and the diameter of the catheter to be used after the operation are not clearly defined. The aim of this study is to evaluate the effects of catheter dwell time and diameter on recurrence rates of urethral stricture disease after DVIU. MATERIAL AND METHODS: Data of 193 consecutive treatment naïve bulbar urethral stricture patients who underwent DVIU between January 2009 and June 2013 were retrospectively analyzed...
September 2016: Turkish Journal of Urology
Faruk Küçükdurmaz, Erkan Efe, Önder Malkoç, Eyüp Kolus, Akın Soner Amasyalı, Sefa Resim
OBJECTIVE: The aim of the present study was to determine the prevalence and associated factors of female sexual dysfunction together with the concerns of women about sexuality during pregnancy. MATERIAL AND METHODS: A total of 207 healthy, sexually active pregnant women were enrolled in the study. Demographic data of all participants were noted and sexual functions were evaluated by Female Sexual Function Index (FSFI). Each FSFI domain score was calculated and mean scores were noted...
September 2016: Turkish Journal of Urology
Çağrı Güneri, Turgut Alkibay, Lütfi Tunç
OBJECTIVE: The study aims to evaluate the correlation of testicular sperm extraction (TESE) and histopathology with various features of non-obstructive azoospermia (NOA) cases who consulted to our university-based infertility clinic, and the probability of prompting couples about TESE success and to investigate the cost reduction chance through cost-beneficial aspects. MATERIAL AND METHODS: One hundred and twenty-five patients were enrolled in this study. Age, unprotected intercourse period, age of puberty, and concomittant diseases were noted...
September 2016: Turkish Journal of Urology
Hüseyin Buğra Karakaş, İzzet Çiçekbilek, Adem Tok, Tamer Alışkan, Bülent Akduman
OBJECTIVE: In this study we aimed to evaluate intraoperative and postoperative complications which developed according to pre-operative American Society of Anesthesiologists (ASA) risk criteria in patients who had undergone percutaneous nephrolithotomy (PNL). MATERIAL AND METHODS: Five hundred and sixty patients who had undergone PNL between 2002 and 2014 were included in the study. Patients operated on the ipsilateral kidney, those with solitary kidney or the cases who had previously undergone more than one access were excluded from this study...
September 2016: Turkish Journal of Urology
Abdulla Al-Naimi, Abdulqadir Alobaidy, Ahmad Majzoub, Tarek Ahmed Amin Ibrahim
OBJECTIVE: To evaluate factors affecting semi-rigid ureteroscopy (URS) results highlighting the influence of teaching on its outcomes. MATERIAL AND METHODS: We reviewed the files of 891 adult patients who had undergone 1182 ureteroscopies at our institute during the period from July 2008 to June 2011. The outcomes of all URSs were evaluated. Outcomes were measured by stone- free rate and presence of complications, which were assessed using the Clavien-Dindo system...
September 2016: Turkish Journal of Urology
İbrahim Buldu, Abdulkadir Tepeler, Tuna Karatağ, Ramazan İnan, Abdullah Armağan, Okan İstanbulluoğlu
OBJECTIVE: We aimed to present the technique of combination of standard percutaneous nephrolithotomy (PNL) with microperc for achieving higher success rates without increasing complication rates in the management of complex renal calculi. MATERIAL AND METHODS: The patients who underwent microperc procedure as a complementary procedure to standard PNL for complex kidney stones in two reference hospitals between 2013 and 2015, were evaluated retrospectively. RESULTS: All patients underwent a total of two accesses one for standard PNL and one for microperc...
September 2016: Turkish Journal of Urology
Ferhat Ateş, Furkan Dursun, Ercan Malkoç, Ömer Yılmaz, Hasan Soydan, Hüseyin Şen, Şeref Başal, Fatih Zekey, Kenan Karademir
OBJECTIVE: To compare two different doses of lidocaine used for periprostatic nerve block on pain perception during transrectal ultrasound (TRUS) guided prostate biopsy. MATERIAL AND METHODS: A total of 288 patients with elevated prostate specific antigen (PSA) levels and/or abnormal digital rectal examination who underwent TRUS-guided prostate biopsy were included in the study. The patients were divided into 3 groups: Group 1 (n=103) prostate biopsy were performed after administering perianal intrarectal application of 10 mL 2% lidocaine gel, Group 2 (n=98) 2 mL of 2% lidocaine injection on each side following rectal installation of lidocaine gel and Group 3 (n=87) 4 mL of 2% lidocaine injection on each side after rectal instillation of lidocaine gel...
September 2016: Turkish Journal of Urology
Göksel Bayar, Kaya Horasanlı, Hüseyin Acinikli, Orhan Tanrıverdi, Ayhan Dalkılıç, Serdar Arısan
OBJECTIVE: To evaluate long-term outcomes of active surveillance (AS) applied in low-risk prostate cancer patients, and the impact of re-biopsy results on the prediction of progression. MATERIAL AND METHODS: In our clinic, patients who had undergone AS for low-risk localized prostate cancer between the years 2005-2013 were included in the study. Our AS criteria are Gleason score ≤6, prostate-specific antigen (PSA) level <10 ng/mL, number of positive cores <3, maximum cancer involvement ratio <50% each core...
September 2016: Turkish Journal of Urology
Sadi Turkan, Faruk Doğan, Ozan Ekmekçioğlu, Aslıhan Çolak, Mehmet Kalkan, Çoşkun Şahin
OBJECTIVE: Our aim was to determine the general knowledge and awareness levels, information sources, and the state of medical check-up for prostate cancer (PCa) and relevant effective factors. MATERIAL AND METHODS: The participants were asked to answer to 14 questions of a questionnaire about age, education, economic and social condition, knowledge about PCa, state of being examined and their related factors. According to demographic characteristics of the participants, levels of awareness about PCa, sources of information, affecting factors and their interrelationships were examined...
September 2016: Turkish Journal of Urology
Müslüm Ergün, Ekrem İslamoğlu, Soner Yalçınkaya, Hüsnü Tokgöz, Murat Savaş
OBJECTIVE: To investigate whether core length is a significant biopsy parameter in the detection of prostate cancer. MATERIAL AND METHODS: We retrospectively analyzed pathology reports of the specimens of 188 patients diagnosed with prostate cancer who had undergone initial transrectal ultrasound (TRUS) guided prostate biopsy, and compared biopsy core lengths of the patients with, and without prostate cancer. The biopsy specimens of prostate cancer patients were divided into 3 groups according to core length, and the data obtained were compared (Group 1; total core length <10 mm, Group 2; total core length 10 mm-19 mm, and Group 3; total core length >20 mm)...
September 2016: Turkish Journal of Urology
Jihad H Kaouk, Ercan Malkoç
Nephron sparing surgery (NSS) is the gold standard treatment option for patients with a solitary kidney in order to preserve renal function. Open partial nephrectomy (OPN) has been long considered the standard care for NSS. Robotic partial nephrectomy (RPN) is being gradually used more commonly even for solitary kidney and complex tumors. There was no difference between RPN and OPN regarding the rate of intraoperative-postoperative complications and positive surgical margin (PSM) (RPN: 7.5%, OPN: 8%) for patients with solitary kidney who underwent partial nephrectomy for small renal masses...
September 2016: Turkish Journal of Urology
Paul F Schellhammer
A urologist's personal experience with multiple surgical, hormonal, and radio/immunotherapeutic options for the treatment of advanced prostate cancer and thoughts on the role of old and new therapies.
September 2016: Turkish Journal of Urology
Ali Atan
No abstract text is available yet for this article.
June 2016: Turkish Journal of Urology
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