Yeni Uroloji Dergisi最新文献

The Effects of Viburnum Opulus L. on Kidneys of Rats with Ethylene Glycol-induced Nephrolithiasis 紫荚草对乙二醇性肾结石大鼠肾脏的影响

Yeni Uroloji Dergisi Pub Date : 2023-10-25 DOI: 10.33719/yud.2023-18-3-1345876

Emre ŞAM, Mithat EKŞİ, Fatih AKKAŞ, Halil BAYTEKİN, Eray Metin GÜLER, Abdülmüttalip ŞİMŞEK, Feyzi Arda ATAR, Abdurrahim KOÇYİĞİT, Ali İhsan TAŞÇI

{"title":"The Effects of Viburnum Opulus L. on Kidneys of Rats with Ethylene Glycol-induced Nephrolithiasis","authors":"Emre ŞAM, Mithat EKŞİ, Fatih AKKAŞ, Halil BAYTEKİN, Eray Metin GÜLER, Abdülmüttalip ŞİMŞEK, Feyzi Arda ATAR, Abdurrahim KOÇYİĞİT, Ali İhsan TAŞÇI","doi":"10.33719/yud.2023-18-3-1345876","DOIUrl":"https://doi.org/10.33719/yud.2023-18-3-1345876","url":null,"abstract":"Objective: Recent research has centered on the role of oxidative stress and free oxygen radicals in the formation of stones. Viburnum opulus L. (VO) is a fruit species known for its antioxidant activity, and its juice preparation is used in Turkish traditional medicine for stone removal. This study aimed to investigate the effects of VO on calcium oxalate (CaOx) crystallization and oxidative stress in rats with ethylene glycol (EG)-induced nephrolithiasis. Material and Methods: Fifty adult male Wistar Hannover rats were divided into five groups: control (Group 1), EG (Group 2), EG + 50 mg/kg VO (Group 3), EG + 100 mg/kg VO (Group 4), and EG + 200 mg/kg VO (Group 5). On days 7, 14, and 28, 24-hour urine was collected, and blood samples were taken. On day 28, the rats were sacrificed, and inflammation, oxidative stress, and CaOx crystallization in kidney tissue were evaluated under polarized light microscopy. Results: A statistically significant difference was found between Group 1 and Group 2 in terms of serum inflammation parameters, acute kidney injury, and oxidative stress evaluated on days 7, 14, and 28, and tissue inflammation and oxidative stress parameters evaluated on day 28. It was observed that these parameters improved in Groups 3-5 compared to Group 2, and the level of statistical significance increased as the dose increased. In the histopathological evaluation of the tissues on day 28, the mean number of crystals was statistically significantly higher in Group 2 than in Group 1. These parameters improved in Groups 3-5 compared to Group 2, and there was a statistically significant difference when Groups 4 and 5 were compared to Group 2. Conclusion: It was found that VO improved inflammation, oxidative stress, acute kidney injury, and CaOx crystallization in rats with EG-induced nephrolithiasis in direct proportion to the increase in dose.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"19 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134973594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Quality of Life of Patients Who Use Intermittant SelfCatheterization by Themselves and by Their Caregivers 自我和护理人员间歇自我导尿患者的生活质量评价

Yeni Uroloji Dergisi Pub Date : 2023-10-25 DOI: 10.33719/yud.2023-18-3-1328451

Bahadır ERMEÇ, Mehmet Gökhan ÇULHA

{"title":"Evaluation of the Quality of Life of Patients Who Use Intermittant SelfCatheterization by Themselves and by Their Caregivers","authors":"Bahadır ERMEÇ, Mehmet Gökhan ÇULHA","doi":"10.33719/yud.2023-18-3-1328451","DOIUrl":"https://doi.org/10.33719/yud.2023-18-3-1328451","url":null,"abstract":"Objective: The clean intermittent catheterization is a device used by individuals with neurogenic bladder. The ISC can be used by the patient or by a caregiver. The aim of this study is to examine the relationship between ISC practice skills and quality of life of individuals using ISC. Material and Methods: Between June 2018 and May 2019,126 patients using Clean Intermittent Self Catheterization (ISC) in a city hospital urology clinic was included in the study. All patients completed the Turkish version of the ISC-Q(T-ISC-Q) and Qualiveen questionnaires. ISC users were divided into two groups: Self-administered and caregiver practitioners. Spearman’s correlation coefficients between ISC-Q and Qualiveen were used. Results: The mean age of the patients was 51.53±16.47 years, and the duration of ISC was 42.15 ± 12.56 months. A total of 72 patients reported that they performed the ISC, while the number of patients who underwent ISC by the caregiver was 54. ISC-Q scores were 70.98±15.41 for ease of use, 42.85±18.40 for convenience, 75.71±14.97 for privacy, and 56.34±14.57 for psychological well-being, respectively. The results of the Cronbach α was 0.782. ISC-Q total score was positively correlated with Qualiveen total score (r=0.567, p=0.04). Patients who used their own ISC had higher ISC-Q scores than patients who had ISC administered by the caregiver. Conclusion: As a result, while the ease of use of ISC is high, there is a decrease in the convenience and psychological well-being of the patients using ISC. This was lower in patients who had ISC administered by the caregiver.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"17 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134973595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessment of Hematological Parameters in the Diagnosis Brucella Epididymorchitis: Comparison of Brucella Epididymorchitis and Non-Brucella Epididymorchitis 血液学参数在诊断布氏菌附睾炎中的评价:布氏菌附睾炎与非布氏菌附睾炎的比较

Yeni Uroloji Dergisi Pub Date : 2023-10-25 DOI: 10.33719/yud.2023-18-3-1333185

Dilek BULUT, Çağrı COŞKUN, Uğur AYDIN

{"title":"Assessment of Hematological Parameters in the Diagnosis Brucella Epididymorchitis: Comparison of Brucella Epididymorchitis and Non-Brucella Epididymorchitis","authors":"Dilek BULUT, Çağrı COŞKUN, Uğur AYDIN","doi":"10.33719/yud.2023-18-3-1333185","DOIUrl":"https://doi.org/10.33719/yud.2023-18-3-1333185","url":null,"abstract":"Objective: To analyze the parameters that can facilitate the differential diagnosis of brucella epididymorchitis (BEO) and non-brucella epididymorchitis (NBEO) and to facilitate early diagnosis. Material And Methods: The data of 23 BEO patients and 80 NBEO patients, who applied in a tertiary center in eastern Turkey, where brucellosis is common, were retrospectively analyzed. Age, hemogram parameters (white blood cell (WBC)), neutrophil, lymphocyte, monocyte, eosinophil, basophil, platelet, neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), platelet-to-lymphocyte ratio (PLR), mean platelet volume (MPV), red blood cell distribution width (RDW), biochemical parameters (aspartate transaminase and alanine aminotransferase), inflammatory markers (C-reactive protein, erythrocyte sedimentation rate, and procalcitonin), urine culture, and scrotal doppler ultrasound findings were analyzed retrospectively and were compared between BEO and NBEO groups. Results: In the comparison of the BEO and NBEO groups, there was a significant difference between the two groups in WBC count, neutrophil count, monocytes count, NLR, MLR, MPV, and procalcitonin levels (p = 0.035, p = 0.007, p = 0.003, p = 0.005, p = 0.01, p < 0.001, p < 0.001, respectively). Conclusions: The NLR may be promising for use in the early diagnosis of BEO. The MPV also drew attention as parameters that can be evaluated","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"96 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134973596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship of Systemic Immune-Inflammation Index and Neutrophil-Lymphocyte ratio with Disease Recurrence and Progression risk in Non-Muscle-Invasive Bladder Cancer 非肌肉浸润性膀胱癌患者全身免疫炎症指数和中性粒细胞淋巴细胞比值与疾病复发和进展风险的关系

Yeni Uroloji Dergisi Pub Date : 2023-10-25 DOI: 10.33719/yud.2023-18-3-1293426

Mehmet Hamza GÜLTEKİN, Ufuk ÇAĞLAR, Abdullah ESMERAY, Akif ERBİN, Fatih YANARAL, Murat BAYKAL, Faruk ÖZGÖR, Ömer SARİLAR, Mehmet Fatih AKBULUT

{"title":"Relationship of Systemic Immune-Inflammation Index and Neutrophil-Lymphocyte ratio with Disease Recurrence and Progression risk in Non-Muscle-Invasive Bladder Cancer","authors":"Mehmet Hamza GÜLTEKİN, Ufuk ÇAĞLAR, Abdullah ESMERAY, Akif ERBİN, Fatih YANARAL, Murat BAYKAL, Faruk ÖZGÖR, Ömer SARİLAR, Mehmet Fatih AKBULUT","doi":"10.33719/yud.2023-18-3-1293426","DOIUrl":"https://doi.org/10.33719/yud.2023-18-3-1293426","url":null,"abstract":"Objective: Some systemic inflammatory response-based biomarkers are promising for predicting prognosis of non-muscle-invasive bladder cancer (NMIBC) patients and can contribute to the risk classification without any significant cost. We aimed to evaluate the neutrophil-lymphocyte ratio (NLR) and systemic immune-inflammation index (SII) for the prediction of recurrence and progression risk in patients with NMIBC. Material and Methods: The study included a retrospective analysis of 211 patients who underwent transurethral resection of bladder (TURB) in a tertiary referral center between 2015 and 2019. The receiver operating characteristic (ROC) curve was used to determine the cut-off value. The Kaplan-Meier curves and the log-rank test were constructed to evaluate the recurrence-free and progression-free survival rates according to different levels of inflammatory markers. The multivariate regression analysis was undertaken to estimate the independent prognostic factors. Results: The optimal cut-off value of SII was found to be 568 in the ROC analysis. According to the multivariate analysis, the SII value, number of tumors at the time of initial TURB, and European Organization for Research and Treatment of Cancer (EORTC) recurrence classification were statistically significant parameters in predicting recurrence. While tumor size, NLR, and SII achieved statistically significant levels in the univariate analysis, they didn’t have significance in the multivariate analysis. Conclusion: The SII, number of tumors, and EORTC recurrence classification are prognostic parameters that can be used in the assessment of recurrence. However, inflammatory parameters do not have the same predictive ability in the prediction of the progression rate.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134973598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Is High Power (200w) Thulium Laser Vapoenucleation of the Prostate Impacting Functional Parameters? Short-Term Follow-Up Results 高功率(200w)铥激光前列腺汽化对功能参数的影响?短期随访结果

Yeni Uroloji Dergisi Pub Date : 2023-10-25 DOI: 10.33719/yud.2023-18-3-1306328

Ümit YILDIRIM, Mehmet EZER, Mehmet USLU, Bumin ÖRS, Fatih GOKALP

{"title":"How Is High Power (200w) Thulium Laser Vapoenucleation of the Prostate Impacting Functional Parameters? Short-Term Follow-Up Results","authors":"Ümit YILDIRIM, Mehmet EZER, Mehmet USLU, Bumin ÖRS, Fatih GOKALP","doi":"10.33719/yud.2023-18-3-1306328","DOIUrl":"https://doi.org/10.33719/yud.2023-18-3-1306328","url":null,"abstract":"Objective: To assess the efficacy and safety of thulium laser vapoenucleation of the prostate and its impact on patient’s lower urinary tract symptoms, erectile, and ejaculatory functions, we conducted the current prospective trial employing a high-power (200 W) Thulium: YAG laser system. Material and Methods: Between December 2021 and June 2022, we prospectively collected data on patients who underwent Thulium vapoenucleation of the prostate (ThuVEP) in our clinic to treat the signs and symptoms of benign prostatic hyperplasia. A sample size of 50 cases was obtained after applying exclusion criteria. In the first and sixth months following surgery, all patients were compared to their preoperative status in terms of lower urinary tract symptoms, erectile function, and ejaculatory symptoms. The Modified Clavien-Dindo Classification was also used to classify the complications that occurred. Results: The patients' IPSS scores showed a notable and significant improvement at the end of the 6-month follow-up. When compared to the preoperative state, erectile functions as measured by the IIEF-5 score did not significantly change with the surgery. At the end of the follow-up period, there was a substantial deterioration of ejaculatory functions as measured by the MSHQ-EjD score. During and after the procedure, complications at the Clavien 3a level were seen in 2 (4%) of the patients, but no complications above this level were seen. Conclusion: The ThuVEP method, used in the surgical management of symptomatic benign prostatic hyperplasia, is safe and effective in terms of functional outcomes despite high-power (200 W) vapoenucleation. In this field, further randomized controlled studies with extended follow-up are required.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134973599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Unusual Presentation of Penile Kaposi’s Sarcoma in an HIV-Negative Patient with a Circumcised Penis 一个不寻常的表现阴茎卡波西肉瘤的hiv阴性患者的阴茎包皮环切

Yeni Uroloji Dergisi Pub Date : 2023-10-25 DOI: 10.33719/yud.2023-18-3-1341287

Ayberk İPLİKÇİ, Ahmet KELEŞ, Ümit Furkan SOMUN, Fatma YILMAZER, Gözde KIR, Asıf YILDIRIM

引用次数: 0

Hemodialysis Vascular Access and Care 血液透析血管获取与护理

Yeni Uroloji Dergisi Pub Date : 2023-10-25 DOI: 10.33719/yud.2023;18-3-1269349

Mehtap KAVURMACI

引用次数: 0

Could Renal Tumour Scoring Systems Predict Tumour Aggressivity? 肾肿瘤评分系统能否预测肿瘤侵袭性?

Yeni Uroloji Dergisi Pub Date : 2023-10-25 DOI: 10.33719/yud.2023-18-3-1355748

Arif ÖZKAN, Nusret ÇİLESİZ, Arif KALKANLI, Cem Tuğrul GEZMİŞ, Memduh AYDIN

{"title":"Could Renal Tumour Scoring Systems Predict Tumour Aggressivity?","authors":"Arif ÖZKAN, Nusret ÇİLESİZ, Arif KALKANLI, Cem Tuğrul GEZMİŞ, Memduh AYDIN","doi":"10.33719/yud.2023-18-3-1355748","DOIUrl":"https://doi.org/10.33719/yud.2023-18-3-1355748","url":null,"abstract":"Objective: The aim of this study is to investigate the relationship between R.E.N.A.L. nephrometry score (RNS), Padua score (PS), Centrality (C)-index and tumour aggressivity in T1 renal tumours and to question whether these scoring systems would provide information about the pathology of renal tumours to manage clinical judgement rather than the anatomy of tumour. Material and Methods: We evaluated 83 patients with stage 1 (T1N0M0) clear cell renal cell carcinoma (cRCC) according to preoperative radiological and pathological staging. Patients were divided according to pathological results of cRCC into two groups: Patients with Fuhrman grade 1 or 2 (FG1-2) (Non-aggresive group (NAG)) and patients with FG3-4 and/or TNM Stage 3 (Aggressive group (AG)). RNS, PS and C-index scores were calculated for each patient. Finally,the relationship between nephrometry scores and pathological aggressivity were compared. Results: The mean RNS was calculated as 7.3±2.4. Total RNS was significantly higher in AG (9.2±1.2) than in NAG (6±2.2) (p<0.001). RNS was an independent predictor of pathological aggressive disease (p<0.001). The cut off value of RNS at the highest area under curve was 8 (p<0.001). The mean PS was calculated as 8.1±1.6. PS was also an independent predictor of pathological aggressive disease (p<0.001). The cut off value of PS at the highest area under curve was 8 (p<0.001). The mean C-index score of AG (1.4 ± 0.4) was significantly lower (p<0.001) than NAG (2.7±2.0). C-index is significant in predicting pathological aggressiveness (p<0.001). Conclusions: Our results suggested that higher RNS and PS scores, lower C-index scores were associated with tumour aggressivity of renal tumours.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134973600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does Depth of Anesthesia Effect Clinical Results of Patients Who Underwent Radical Cystectomy in Accordance with Eras Protocols? 麻醉深度是否影响依Eras方案行根治性膀胱切除术患者的临床结果?

Yeni Uroloji Dergisi Pub Date : 2023-10-25 DOI: 10.33719/yud.2023-18-3-1350497

Nalan SAYGI EMİR, Fatma ÇITAK KARACAER

{"title":"Does Depth of Anesthesia Effect Clinical Results of Patients Who Underwent Radical Cystectomy in Accordance with Eras Protocols?","authors":"Nalan SAYGI EMİR, Fatma ÇITAK KARACAER","doi":"10.33719/yud.2023-18-3-1350497","DOIUrl":"https://doi.org/10.33719/yud.2023-18-3-1350497","url":null,"abstract":"Objective: To investigated whether low and high MAC (Minimum Aleveolar Concentration) level of anesthesia have an effect on the depth of anesthesia, clinical results paremeters in patients underwent radical cystectomy in accordance with ERAS (Enhanced Recovery After Surgery) protocols Material and Methods: Retrospective data of 41 patients underwent radical cystectomy between 2019-2022 were collected, 35 of them were included. The patients were divided in two groups: Group H (1 MAC, n:18) and Group L (0.5 MAC, n:17). All patients were prepared and managed in line with ERAS protocols. Perioperative and early postoperative parameters including depth of anesthesia which was followed by PSI (Pneumonia Severity Index) and SR (Supression Ratio), preoperative and postoperative 24th hours Mini Mental Test results, post-anesthesia care unit (PACU) unit admission and duration and complications were compared. Results: The mean age of the patients (61 and 65 years, in the Group H and L, respectively) were similar (p=0.234) in both groups. PSI was found to be significantly lower in Group H at the 60th, 120th minutes and fascia closure (p=0.004, p=0.001, and p=0.000 respectively). PSI <25 duration was significantly higher in group H (139.0±186.7 and 17.6±54.8 in group H and L, respectively, p=0.001). The duration of SR>0 was significantly higher in Group H (p=0.000). Both anesthesia (474 min) and surgery (432 min) times were significantly higher in Group H (p=0.013 and 0.029 respectivelly). Nausea and vomiting at 12 hours postoperatively was also common in Group H (p=0.008). The rest of parameters that compared were similar, including the minimental test. Conclusion: The MAC values did not significantly affect perioperative and early postoperative outcomes. While high MAC level MAC level generates a deeper anesthesia, low MAC level seems an effective alternative providig a lower inhalation anestesia agent consumption.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"23 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134973593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paraganglioma of Urinary Bladder: A Case Report 膀胱副神经节瘤1例

Yeni Uroloji Dergisi Pub Date : 2023-10-25 DOI: 10.33719/yud.2023;18-3-1287231

Tuğçem BIÇAK, Selver ÖZŞENER ÖZEKİNCİ, Yekta BIÇAK, Mansur DAĞGÜLLİ

引用次数: 0