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Turkish Journal of Urology

Fuat Kızılay, Bülent Semerci, Adnan Şimşir, Serdar Kalemci, Barış Altay
OBJECTIVE: There is no clear consensus on which patients and how many of microscopic testicular sperm extraction (mTESE) procedures will be successful. In this study, we aimed to evaluate the sperm retrieval rates and factors affecting these rates in men who underwent repeat mTESEs. MATERIAL AND METHODS: A total of 346 patients who underwent mTESE for sperm retrieval were included in the study. Patients were divided into groups according to the number of mTESE operations...
February 20, 2019: Turkish Journal of Urology
Gökhan Sönmez, Şevket Tolga Tombul, Hakan İmamoğlu, Hülya Akgün, Abdullah Demirtaş, Atila Tatlışen
OBJECTIVE: The aim of this prospective study was to evaluate the early results of transrectal prostate biopsies performed under the guidance of multiparametric prostate magnetic resonance imaging (mpMRI) in biopsy naive patients. MATERIAL AND METHODS: Biopsy naive patients who had prostate-specific antigen level 4-10 ng/mL and/or abnormal digital rectal examination findings and provided informed consent were examined using mpMRI. The study included 80 patients with an MRI-defined lesion with a Prostate Imaging and Reporting and Data System (PIRADS) score of ≥3...
February 20, 2019: Turkish Journal of Urology
Manoj Kumar, Gaurav Garg, Ashish Sharma, Siddharth Pandey, Manmeet Singh, Satya Narayan Sankhwar
OBJECTIVE: Data on outcome of patients with ischemic priapism (IP) due to malignant causes are scant. In this study, we compared outcome of patients with malignant vs. non-malignant IP in adult North Indian men. MATERIAL AND METHODS: We analyzed medical records of patients with IP who presented to a large tertiary care referral center from August 2005 to July 2017. RESULTS: Data of 71 patients were analyzed. The median age was 30 years (range 17-65)...
February 20, 2019: Turkish Journal of Urology
Ali Atan, Aykut Aykaç, Özer Baran, Melih Sunay
OBJECTIVE: To evaluate the effect of glanular and urethral catheter fixation to the abdominal skin on wound dehiscence. MATERIAL AND METHODS: After a standard tubularized incised plate urethroplasty (TIPU) for hypospadias repair, 128 patients were divided into two groups based on glanular and urethral catheter fixation to the abdominal skin as follows: no glanular and urethral catheter fixation (Group A) and glanular and urethral catheter fixation (Group B). Groups A and B included 61 and 67 patients, respectively...
February 20, 2019: Turkish Journal of Urology
Ashish Sharma, Rahul Janak Sinha, Vishwajeet Singh, Gaurav Garg, Samarth Agarwal, Siddharth Pandey
OBJECTIVE: Maintaining the optimum bone health is one of the important concerns in patients with prostate cancer, but it usually remains neglected. Failure to screen these patients is detrimental to both the length and the quality of life. The estimation of bone mineral density (BMD) and more recently the World Health Organization's fracture risk assessment (FRAX) algorithm in appropriate patients is recommended by several specialty organizations/associations at the time of instituting androgen deprivation therapy (ADT) for metastatic and high-risk individuals...
February 20, 2019: Turkish Journal of Urology
Mohamed Mohamed Elawdy, Yasser Osman, Diaa Eldin Taha, Samer El-Halwagy, Mohamed Abd El-Hamid, Rasha T Abouelkheir
OBJECTIVE: We aimed to report our 25-year experience on upper tract urothelial carcinoma (UTUC) on a larger number of patients with long-term follow-up at a single tertiary urology institute. MATERIAL AND METHODS: A retrospective study was conducted on 275 patients from 1990 to 2015. Basic patient demographic data with the laboratory and radiologic investigations were collected. We used 1997 TNM classification and the three-tiered WHO grading system. Data were collected using an SPSS® version 21 spreadsheet...
February 5, 2019: Turkish Journal of Urology
Rohit Bhattar, Sher S Yadav, Vinay Tomar
OBJECTIVE: Histopathological changes in oral (buccal or lingual) mucosa after exposure to urine are still not completely understood. We evaluated these changes in free oral mucosal graft integrated in human urethra. MATERIAL AND METHODS: Total 19 patients with recurrent urethral stricture after oral mucosa urethroplasty (buccal 12 and lingual 7) were prospectively evaluated. Intraoperatively integrated buccal or lingual mucosal graft sample that was previously engrafted to urethra was completely excised along with healthy oral mucosa, and it was sample processed for histopathological evaluation by dedicated pathologist...
February 5, 2019: Turkish Journal of Urology
Cenk Gürbüz, Marcus J Drake
Urodynamic studies assess the function of the bladder and bladder outlet. They are often useful in the assessment and diagnosis of patients presenting with lower urinary tract symptoms (LUTS). The evidence regarding the value and risks of invasive urodynamics remains insufficient. However, men with LUTS who are assessed by invasive urodynamics are more likely to have their management changed and less likely to undergo surgery. This review discusses the role of urodynamic diagnosis and application in the diagnosis and treatment of male LUTS...
February 5, 2019: Turkish Journal of Urology
Sara Darbandi, Mahsa Darbandi, Hamid Reza Khorram Khorshid, Mohammad Reza Sadeghi, Mahnaz Heidari, Ghazaleh Cheshmi, Mohammad Mehdi Akhondi
OBJECTIVE: Studies showed a decrease of the semen analysis parameters and an increase in the average age of first-time fathers over the past several decades. The aim of the present study was to assess the influence of paternal age on semen quality and fertilization outcomes in men with normal sperm DNA fragmentation and chromatin maturation index (DFI and CMI), reactive oxygen species (ROS), and total antioxidant capacity (TAC) levels. MATERIAL AND METHODS: The study was performed on 70 men with their wife's age ≤38 years and normal sperm DFI, CMI, ROS, and TAC levels...
February 5, 2019: Turkish Journal of Urology
Fevzi Bedir, Murat Keske, Şaban Oğuz Demirdöğen, Hüseyin Kocatürk, Erdem Koç, Abdullah Erdem Canda, Ali Fuat Atmaca
OBJECTIVE: This study presents the surgical, oncological, and functional outcomes of the first 93 robotic radical prostatectomy (RARP) procedures performed in Erzurum, Turkey. These procedures were performed by a single surgeon who had completed the European Association of Urology Robotic Urology Section (ERUS) RARP curriculum in an ERUS-certified training center in Ankara. MATERIAL AND METHODS: The mean patient age was 63.62±7.04 years, and the mean preoperative serum prostate-specific antigen level was 8...
February 4, 2019: Turkish Journal of Urology
Pietro Ferrara, Federica Di Ruscio, Margherita Zona, Antonio Ruggiero
OBJECTIVE: The aim of this study was to evaluate the prevalence of innocent heart murmurs in children affected by nocturnal enuresis (NE). MATERIAL AND METHODS: We enrolled a total of 401 children (G1), 300 males and 101 females, aged 5-15 years, affected by NE and referred to the Service of Pediatrics, "Campus Bio-Medico" University Hospital of Rome, from September 2013 to September 2018, into the study. The control group was composed of 394 children without NE (G2)...
February 4, 2019: Turkish Journal of Urology
Ömer Bayrak, Roger Roman Dmochowski
According to the International Continence Society standardization reports, underactive bladder (UAB) is a decrease in detrusor contraction and/or shortening of the contraction time, resulting in an incomplete and/ or prolongation of the bladder emptying within the normal time frame. It has been indicated that idiopathic, neurogenic, myogenic, and iatrogenic factors play a role in the etiology. To make a diagnosis, it is absolutely necessary to perform a pressure-flow study. Treatment alternatives are generally based on the evacuation of the lower urinary tract, independent of the etiology...
February 4, 2019: Turkish Journal of Urology
Halil Tosun, Abdullah Demirtaş, Gökhan Sönmez, Şevket Tolga Tombul, Hilal Akalın, Yusuf Özkul
OBJECTIVE: The aim of the present study was to evaluate the predictive value of the serum expression level of Piwi-like 2 (PIWIL2), a stem cell protein, for prostate cancer (PCa). MATERIALS AND METHOD: This randomized and prospective study included a total of 60 volunteers between 50 and 75 years old. Cases were assigned to three groups according to prostate-specific antigen (PSA) elevations and pathology reports, with 20 participants in each group. The first group included patients with a PSA level of >4 ng/dL and with PCa, the second group included patients with a PSA level of >4 ng/dL and with benign prostate hyperplasia, and the third group included patients with a PSA level of ≤4 ng/dL and with benign prostate hyperplasia...
February 4, 2019: Turkish Journal of Urology
Tunç Özdemir, Ali Sayan, Belce Candan, Gizem Orhan, Gökhan Köylüoğlu
OBJECTIVE: Male circumcision is one of the most common surgical procedures worldwide. Although it is widely performed because of health issues, in Muslim-majority countries, the primary motivation yielding to male circumcision is religious. It is a relatively safe procedure with a low overall complication rate. We herein report an underrated complication of circumcision that can be termed as "secondary phimosis." MATERIAL AND METHODS: The medical records of 25 boys with post-circumcision secondary phimosis were reviewed...
January 22, 2019: Turkish Journal of Urology
Sakıp Erturhan, Ömer Bayrak, Haluk Şen, Ali Erdem Yılmaz, İlker Seçkiner
OBJECTIVE: To investigate the effects of alpha blocker treatment on the placement of ureteral access sheaths (UAS) during retrograde intrarenal surgery (RIRS). MATERIAL AND METHODS: This study was a retrospective analysis of prospectively collected data. Patients who underwent RIRS due to renal stones between November 2015 and December 2017 were seperated into two groups. Age, gender, body mass index (BMI), stone size, laterality, hydronephrosis degree, and renal stone density were recorded...
January 22, 2019: Turkish Journal of Urology
Erik Lundberg, Oskar Hagberg, Staffan Jahnson, Borje Ljungberg
OBJECTIVE: The incidence of urinary bladder cancer (UBC) has increased in Sweden despite decreased smoking, indicating that other factors might be associated. The increased use of statin medication for elevated blood lipids might be one such influencing factor. The aim of the present study was to assess whether statins are afflicted with an increased incidence of UBC. MATERIAL AND METHODS: Data from the Swedish National Register of Urinary Bladder Cancer, National Population Register, and Swedish Prescribed Drug Register were extracted...
January 22, 2019: Turkish Journal of Urology
Mahnaz Heidari, Sara Darbandi, Mahsa Darbandi, Mohammad Mehdi Akhondi, Mohammad Reza Sadeghi
OBJECTIVE: Fibronectin (FN) is a multifunctional diametric glycoprotein on the surface of the sperm that plays an important role in the sperm-oocyte interaction and fertilization process. The aim of the present study was to assess the FN levels as a sperm surface biomarker for sperm selection in assisted reproductive technology. MATERIAL AND METHODS: Polyclonal antibody against human FN was produced in rabbit. Its quality, purity, and immune reactivity were assessed by SDS-PAGE and western blot...
January 22, 2019: Turkish Journal of Urology
Jonathan Clavell-Hernandez, Bahadır Ermeç, Ateş Kadıoğlu, Run Wang
Radical prostatectomy has significantly improved prostate cancer survival rates but continues to have a negative impact on the patient's erectile function (EF). In attempts to improve erectile dysfunction (ED), clinicians have incorporated different treatment modalities to restore EF. Penile rehabilitation consists of understanding the mechanisms that affect post-prostatectomy EF and utilizing pharmacologic agents, devices, and interventions to promote the male sexual function. This article aims to summarize the available scientific research involving penile rehabilitation...
January 22, 2019: Turkish Journal of Urology
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No abstract text is available yet for this article.
January 1, 2019: Turkish Journal of Urology
Dena Moskowitz, Sarah A Adelstein, Alvaro Lucioni, Kathleen C Kobashi, Una J Lee
OBJECTIVE: The prevalence of fecal incontinence (FI) is 8% in the United States. Many patients will not seek treatment and the condition is underdiagnosed. Sacral neuromodulation (SNM) is effective in treating FI, and so urologists can play a key role in its treatment. We examine the practice patterns and treatment of FI with SNM in our institution. MATERIAL AND METHODS: The electronic medical record was queried for the proportion of patients seen for FI in the institution, the urology department, and among the female pelvic medicine and reconstructive surgery (FPMRS) urologists...
January 1, 2019: Turkish Journal of Urology
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