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Turkish Journal of Urology

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https://www.readbyqxmd.com/read/29511592/management-of-a-patient-with-vesicocutaneous-fistula-presenting-13-years-after-radiotherapy-performed-for-cervical-cancer
#1
Sang Won Kim, Jun Nyung Lee, Hyun Tae Kim, Eun Sang Yoo
A vesicocutaneous fistula (VCF) is a tract that is formed abnormally between the bladder and the external surface of the body. VCF results in a great deal of inconvenience, discomfort, and physical disability for the affected patient. This condition can be caused by extensive trauma with pelvic bone fracture, radical pelvic surgery, irradiation of pelvic malignancies, hip arthroplasty, a large bladder calculus, and various other pathologies. The management of VCF should be approached on a case-by-case basis because of the complexity of the disease...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511591/scrotal-kaposi-s-sarcoma-in-hiv-negative-patient-a-case-report-and-review-of-the-literature
#2
Mustafa Gürkan Yenice, Esra Varnalı, Kamil Gökhan Şeker, Ayşe Kavak, Volkan Tuğcu
Kaposi's Sarcoma (KS) is a malignancy that generally effects the skin, and can be systemic with internal organ involvement. It originates from the vascular endothelium. KS's relationship with human immunodeficiency virus (HIV) infection is well known. Isolated scrotal KS in the urogenital system is quite rare and scrotal KS in an HIV-negative patient is limited to a few cases. In this case report, the biopsy result from the violescent nodular lesions on the scrotum of the HIV-negative 81-year-old patient was found compatible with KS and a pathology was not detected in the systemic screening...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511590/primary-high-grade-testicular-leiomyosarcoma-a-rare-malignancy-in-a-young-male
#3
Fouzia Siraj, Shruti Sharma, Chandra Bhushan Rai, Pawan Vasudeva
A 27-year-old male presented with a gradually increasing left scrotal mass. There was no significant past medical history. Ultrasonography of the left scrotum showed a hypoechoic, intratesticular mass with solid and cystic components. Laboratory investigations revealed normal serum levels of alpha-fetoprotein, beta human chorionic gonadotropin and lactate dehydrogenase. He underwent left high inguinal orchidectomy due to suspicion of testicular malignancy. After histopathologic examination and immunostaining, a diagnosis of high-grade primary testicular leimyosarcoma was ascertained...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511589/the-outcomes-of-transurethral-incision-resection-of-the-prostate-tuip-turp-performed-early-after-renal-transplantation
#4
Mehmet Sarıer, İbrahim Duman, Meltem Demir, Yücel Yüksel, Mestan Emek, Erdal Kukul
Objective: In the early period after renal transplantation, urinary retention stemming from bladder outlet obstruction (BOO) may directly affect graft success. The aim of this study was to evaluate the early and long-term outcomes of transurethral resection of the prostate (TURP) and transurethral incision of prostate (TUIP) procedures performed in the first month following RT due to BOO. Material and methods: Between February 2009 and March 2016, 38 male patients underwent TURP/TUIP due to BOO within the first 30 days of renal transplantation...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511588/management-of-the-patients-with-persistent-m%C3%A3-llerian-duct-syndrome-is-the-ultimate-goal-testicular-descent
#5
Serpil Sancar, Esra Özçakır, Mete Kaya
Objective: Persistent Müllerian duct syndrome (PMDS) is a rare congenital disease characterized by the presence of rudimentary Müllerian structures within an intra-abdominal or hernial sac in a virilized male, often presenting as undescended testes. In this study, we aim to present a series of the PMDS patients who were managed by orchiopexy without removal of Müllerian remnants (MR). Material and methods: Between May 2010 and June 2017, we treated six cases diagnosed as PMDS in our department...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511587/long-term-follow-up-of-proximal-hypospadias-repair-urethral-stricture-should-be-excluded-in-adults-who-present-with-epididymo-orchitis
#6
Kailas P Bhandarkar, Dinesh H Kittur, Santosh V Patil, Sudhakar S Jadhav
Objective: Epididymo-orchitis (EO) is a well-known complication of urinary tract infections (UTI) in children. This is commonly seen in children who had hypospadias repair or in those who had surgery for anorectal malformation especially when it results in urethral stricture. However EO occurring as a complication of urethral stricture in adults operated for hypospadias in childhood is not well documented in the literature. Material and methods: This is a retrospective review of four adults who had proximal hypospadias repair in childhood...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511586/investigating-knowledge-levels-of-university-students-about-infertility
#7
Diğdem Müge Siyez, Seçil Seymenler, Erol Esen, Ender Siyez, Yelda Kağnıcı, Bahar Baran, Barışcan Öztürk
Objective: The aim of this study was to determine the knowledge levels of university students about infertility and investigate the differences in knowledge levels according to sociodemographic variables and some lifestyle factors. Material and methods: The sample of the study consisted of 9693 undergraduate students (5002 females, 4691 males) from 12 regions. Regions were determined according to Statistical Region Units Classification-1 criteria. Infertility Knowledge Test (IKT) was used as a data collection tool...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511585/the-outcome-of-percutaneous-nephrolithotomy-on-%C3%A2-50-mm-staghorn-and-multiple-calyceal-stones
#8
Engin Kaya, Turgay Ebiloğlu, Murat Zor, Serdar Yalçın, Adem Emrah Coğuplugil, Selahattin Bedir
Objective: To determine the success rate of percutaneous nephrolithotomy (PNL) in kidney stones over 50 milimeters. Material and methods: Twenty-four patients with a renal stone size of >50 mm between January 2007 and December 2016 were enrolled. Stone-free and complication rates were investigated. Results: Twenty-one (87.5%) patients were male and 3 (12.5%) were female. Fifteen (62.5%) stones were located in the right, and 9 (37.5%) in the left kidney...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511584/efficacy-of-antegrade-and-retrograde-warm-saline-pyeloperfusion-during-renal-cryoablation-for-ureteral-preservation
#9
Benjamin West, Mohamed Keheila, Jason C Smith, Alexander Erskine, Samuel R Abourbih, Nazih Khater, D Duane Baldwin
Objective: Cryoablation of renal tumors adjacent to the ureter or pelvicalyceal system carries risks for thermal injury of the collecting system. Although cold antegrade perfusion has been described for radiofrequency ablation, warm saline perfusion for renal cryoablation has not been well-characterized. The purpose of this study was to determine the safety and feasibility of antegrade and retrograde warm saline perfusions during percutaneous renal cryoablation. Material and methods: A retrospective review was performed on 136 patients treated with percutaneous renal cryoablation at a single academic institution between 2009 and 2015...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511583/choosing-the-appropriate-size-of-amplatz-sheath-during-percutaneous-nephrolithotomy-a-novel-method
#10
Vasudevan Thirugnanasambandam, Deepak David, Kalyanaram Kone, Joseph Philipraj, Abdulrazzak Mossadeq
Objective: To choose appropriate size Amplatz sheath during percutaneous nephrolithotomy (PCNL) based on retrograde pyelogram. Material and methods: We performed standard PCNL in prone position in 20 patients. All these patients had placement of appropriate size of Amplatz sheath based on retrograde pyelogram images. All patients had nephrostomy tubes postoperatively. The preoperative and postoperative renal parameters, hemoglobin, mean operating time and mean hospitalisation stay were measured...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511582/prognostic-influence-of-5-alpha-reductase-inhibitors-in-patients-with-localized-prostate-cancer-under-active-surveillance
#11
Tayyar Alp Özkan, Oğuz Özden Cebeci, İbrahim Çevik, Özdal Dillioğlugil
Objective: The incidence of prostate adenocarcinoma (PCa) is increased with the use of prostate-specific antigen (PSA). In the current study, we aimed to investigate the impact of 5- alpha- reductase inhibitors (5-ARI) on pathological progression in patients followed by active surveillance (AS). Material and methods: Records of 69 patients with localized prostate cancer under AS (PSA ≤15 ng/mL, PSAD ≤0.20, ≤cT2c, Gleason sum ≤3+3, the number of cancer positive cores ≤3) were evaluated retrospectively...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511581/detection-of-cyp1a1-and-gstp1-gene-polymorphisms-in-bladder-cancer-patients-in-a-turkish-population-using-a-polymerase-chain-reaction-restriction-fragment-length-polymorphism-method
#12
Adem Altunkol, Murat Savaş, Fuat Dilmeç, Mehmet Mazhar Utanğaç, Deniz Abat, Kemal Gümüş, İsmail Karlıdağ, Ercan Yeni
Objective: Understanding genetic polymorphisms might facilitate the analysis of differences between individuals in their susceptibility to developing cancers as a result of environmental carcinogens. Skin, lung, colon and bladder cancers emerge from biological defects in GSTM1, GSTT1 and GSTP1 gene expressions. In this study, we aimed to investigate whether there was an association between CYP1A1 and GSTP1 gene polymorphisms and bladder cancer in a Turkish population. Material and methods: Blood samples were collected from 120 individuals (60 patients with bladder cancer and 60 healthy individuals), and their DNAs were isolated...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511580/predictive-role-of-neutrophil-to-lymphocyte-ratio-on-upstaging-of-organ-confined-invasive-urothelial-bladder-cancer-to-non-organ-confined-disease
#13
Ertuğrul Şefik, Bülent Günlüsoy, Özgü Aydoğdu, Yusuf Kadir Topçu, Yasin Ceylan, Tansu Değirmenci, Çetin Dinçel
Objective: The aim of this study is to examine the usefulness of preoperative neutrophile-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and lymphocyte-to-monocyte ratios to predict pathological upstaging of invasive bladder cancer who underwent radical cystectomy. Material and methods: A total of 126 patients who underwent radical cystectomy at our clinic between January 2006 and March 2015 were retrospectively analysed. One hundred and twelve patients with organ-confined invasive bladder tumors (T2) detected at histopathological examination of transuretral resection material were included in the study...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511579/robotic-perineal-radical-prostatectomy-and-robotic-pelvic-lymph-node-dissection-via-a-perineal-approach-the-tugcu-bakirkoy-technique
#14
Volkan Tuğcu, Oktay Akça, Abdulmuttalip Şimşek, İsmail Yiğitbaşı, Mustafa Gürkan Yenice, Selçuk Şahin, Ali İhsan Taşcı
Objective: To describe The Tugcu Bakirkoy robotic perineal radical prostatectomy and pelvic lymph node dissection technique, and present the results of seven patients. Material and methods: We performed seven robotic perineal radical prostatectomy and pelvic lymph node dissection operation using Da Vinci Xi HD Surgical System (Intuitive Surgical, Inc., Sunnyvale, California, USA) on single Gel-port platform. The operation is completed in 4 stages: stage 1 open perineal dissection and gel port placement, stage 2 robotic perineal radical prostatectomy, stage 3 robotic pelvic lymph node dissection, stage 4 vesico-urethral anastomosis...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511578/male-infertility-azoozpermia-and-cryptozoospermia-incidence-among-three-infertility-clinics-in-turkey
#15
Seda Karabulut, İlknur Keskin, Pelin Kutlu, Nuri Delikara, Özhan Atvar, Metin I Öztürk
Objective: Semen parameters are directly correlated with the infertility of the male. Incidence rates of male factor infertility, azoospermia and cryptozoospermia differ according to many factors such as geographic region, age, occupation and body weight. The aim of the present study is to determine the incidence of male factor infertility, azoospermia and cryptozoospermia among patients who have been admitted to three separate infertility clinics in Turkey for infertility investigation and analyze the outcomes of these patients...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511577/the-relationship-between-lipoprotein-associated-phospholipase-a2-with-cardiovascular-risk-factors-in-testosterone-deficiency
#16
Mustafa Keleşoğlu, Fuat Kızılay, Burcu Barutçuoğlu, Güneş Başol, Fulden Saraç, Işıl Mutaf, Bülent Semerci
Objective: Lipoprotein-associated phospholipase A2 (Lp-PLA2) which is believed to play a role in atherosclerotic inflammatory process due to its function in hydrolysis of phospholipids and release of pro-inflammatory products, is considered as a novel biomarker for vascular risk. In this study we aimed to investigate the alterations in Lp-PLA2 and its relationship with other cardiovascular risk factors in patients with testosterone deficiency. Material and methods: Forty hypogonadic male and 30 healthy male aged between 18-50 years were enrolled in this study...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29511576/multiparametric-magnetic-resonance-imaging-overview-of-the-technique-clinical-applications-in-prostate-biopsy-and-future-directions
#17
REVIEW
Hüseyin Cihan Demirel, John Warren Davis
Multiparametric magnetic resonance imaging (mpMRI) has managed to change the paradigms on prostate cancer detection and risk classification. The most clear-cut indication of mpMRI in guidelines is the patients with a history of negative biopsy/increasing prostate-specific antigen (PSA), and presence of additional findings supporting its use in non biopsied patients and active surveillance. mpMRI complements standard clinical exam, PSA measurements, and systematic biopsy, and will miss some tumors that lack enough size or change in tissue density...
March 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29485146/erratum
#18
(no author information available yet)
[This corrects the article on p. 414 in vol. 43, PMID: 29201501.].
January 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29485140/erratum
#19
(no author information available yet)
[This corrects the article on p. 401 in vol. 43, PMID: 29201499.].
January 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29484235/benign-diaphragmatic-neurilemmoma-mimicking-a-left-adrenal-cyst
#20
Rohit Bhattar, Vinay Tomar, Devendra Singh Dhakad, Neeraj Agarwal
Neurilemmomas are benign, slow growing, encapsulated nerve sheath tumor. These tumors arise from the schwann cells of neural crest. Neurilemmomas can manifest in various form according to site, extent and severity of involvement of organ. Diaphragmatic neurilemmomas are very unusual and even difficult to diagnose on preoperative imaging. We will report a case of 39 year old male, who presented with complaints of occasional left flank pain for one year and subsequently investigated, which showed left adrenal cyst with haemorrhagic fluid content...
January 2018: Turkish Journal of Urology
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