Yeni Uroloji Dergisi最新文献

{"title":"Transcatheter bilateral superselective arterial embolization, a minimally invasive method for persistent hematuria in elderly and comorbid patients with bladder and prostate cancer","authors":"Eser Ördek, M. Kolu, M. Demir, E. S. Pelit, H. Çiftçi","doi":"10.33719/yud.2021;16-2-841651","DOIUrl":"https://doi.org/10.33719/yud.2021;16-2-841651","url":null,"abstract":"Objective: In this article, we aimed to share our experience with superselective vesical and prostatic artery embolization applied by transarterial microcatheter method as a treatment option for recurrent resistant hematuria due to bladder and prostate cancer in elderly and comorbid patients.\u0000Materials and Methods: Bilateral transarterial microcatheter method was used for superselective vesical or prostatic artery embolization in 10 patients whose follow-up treatment was continued in our clinic with macroscopic hematuria due to bladder and prostate cancer diagnoses and could not be treated with other palliative and radical surgical methods due to comorbidity and high surgical operative risk. Before and after embolization treatment; hemoglobin (Hb) and hematocrit (Hct) values of the patients, the amount of transfusion of blood and blood products, postoperative complications, urethral foley catheter removal times and patient satisfaction were evaluated. The patients were followed up with controls intermittently for an average of 15 months.\u0000Results: The mean age of the patients included in the study was 77.5 (69-86) years. The average hemoglobin value before and after the embolization procedure was 8,16 mg/dL and 9,48 mg/dL, respectively. The average hematocrit value before and after the embolization procedure was 25,5 and 30,4 , respectively. The average amount of blood products (erythrocyte suspension) transfusion was 2.1 (1-3) units before the procedure, and there was no need for blood transfusion in the follow-up after the procedure. The urethral catheters of all patients were removed on the 5th day (3-7 days) after the urine color became completely clear. There were no major complications, recurrent urethral catheterization or mortality, morbidity related to the treatment after the embolization procedure.\u0000Conclusion: Superselective vesical and prostatic artery embolization treatment applied by transarterial microcatheter method is an effective and reliable alternative in the case of resistant hematuria due to bladder or prostate cancer that cannot be controlled with other palliative methods due to the high risk of anesthesia in elderly patients with comorbidities.\u0000Keywords: persistent hematuria, bladder cancer, superselective vesical artery embolization","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671098","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}

{"title":"Extraprostatic extension of gleason 6 prostate cancer: single center experience","authors":"O. Ceylan, R. Demirtaş","doi":"10.33719/yud.2021;16-2-844173","DOIUrl":"https://doi.org/10.33719/yud.2021;16-2-844173","url":null,"abstract":"Objective: For Gleason Score (GS) 3+3:6 prostate cancer (PC) cases, recent guidelines recommend clinical follow-up instead of radical treatment due to complications. One of the most important disadvantages of clinical follow-up is that low-grade PC may include local aggressive behavior. Hence, our aim here was to investigate the incidence of extraprostatic extension (EPE), a local aggressive behavior, in GS6 PC cases.\u0000Material and Methods: We examined 119 materials diagnosed with prostatic adenocarcinoma (GS 3+3:6) with no tertiary pattern and that were sent to our department as radical prostatectomy materials between January 2010 – May 2019. We investigated how many of the materials had EPE. \u0000Results: We observed EPE in 16 (13.45%) of our cases. 5 of the cases had vesicula seminalis invasion (pT3b) and 11 had EPE and/or bladder neck invasion (pT3a) without vesicula seminalis invasion. \u0000Conclusion: Among our patients diagnosed with GS-6 PC, we observed EPE (pT3) in 13.45% and vesicula seminalis invasion (pT3b) in 4.2%, which suggests that the possibility of EPE is not uncommon in GS-6 PC. Based on these findings, we argue that patients with GS-6 PC under clinical follow-up should be followed more carefully for EPE. \u0000Keywords: prostate cancer; gleason score; extraprostatic extension","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671111","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}

{"title":"Acute testicular vein thrombosis in a young patient with a solitary testicle: \u0000a rare urological emergency","authors":"A. Kumcu, Ferhat Yakup Suçeken, Metin Mod, A. Aksoy, A. İnkaya, E. V. Küçük, K. Ener","doi":"10.33719/yud.2021;16-2-769944","DOIUrl":"https://doi.org/10.33719/yud.2021;16-2-769944","url":null,"abstract":"Acute scrotal pain due to testicular vein thrombosis is a rare condition. Thrombosis is defined as clot formation within the blood vessels and as a result, it interrupts the blood supply of the peripheral organs. In routine urology practice, the incidence of thromboembolic diseases is <1%, and it is mostly encountered in patients at the postoperative period. Nevertheless, testicular vein thrombosis should also be remembered in the differential diagnosis of patients admitted to the emergency department due to acute scrotum. In general, conservative treatment is the first choice in treatment management, but surgical intervention may also be required in some cases. Since the available data on this subject are based on the information obtained from case reports, a standard treatment approach should be developed by examining the current treatment methods. We aim to present the case report of testicular vein thrombosis in the light of the literature, which is one of the rarely seen emergencies of urology.\u0000Keywords: acute pain; color doppler ultrasonography; venous thrombosis; testicular diseases","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49354229","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}

{"title":"An inflammatory marker for predicting prostate cancer in prostate biopsy: monocyte-to-lymphocyte ratio","authors":"M. Demirkol, Osman Barut, Enes Baki Bilecan, T. Şahinkanat, Ömer Faruk Boran, M. Metin, S. Resim","doi":"10.33719/yud.2021;16-2-794684","DOIUrl":"https://doi.org/10.33719/yud.2021;16-2-794684","url":null,"abstract":"Objective: To evaluate the predictive role of the inflammatory parameters, especially monocyte-to-lymphocyte (MLR) ratio, on the diagnosis of prostate cancer (PCa).\u0000Material and Methods: The data of patients undergoing prostate biopsy between July 2015 and July 2019 were retrospectively analyzed. The data including age, PSA, neutrophil-to-lymphocyte (NLR), platelet-to-lymphocyte (PLR), MLR and histopathologies were recorded. Patients were grouped as benign prostatic hyperplasia (BPH), PCa and prostatitis according to PBx histopathology and all variables were analyzed.\u0000Results: Pathology results of 338 patients are as follows: 124 (36.7%) BPH, 132 (39.1%) PCa and 82 (24.3%) prostatitis. Patients with PCa were older and had higher serum PSA, PLR, NLR and MLR values compared to non-PCa patients. In the comparison made by excluding metastatic patients, only serum PSA and MLR values remained statistically high. All three parameters had significant AUC to predict PCa in entire-cohort, but only the MLR had significant AUC to predict PCa in the cohort which metastatic patients were excluded. Multivariate logistic regression analysis revealed that only serum PSA and MLR values were significant independent predictors of PCa. \u0000Conclusion: In our study, it was observed that only MLR among all inflammatory markers found to be high in PCa patients continued to be high in nonmetastatic PCa patients. In the multivariate regression model created from age, PSA and MLR, MLR was found to be a significant independent predictor of PCa like PSA. MLR can be used as an inexpensive, easily accessible and applicable new marker to predict PCa. \u0000Keywords: inflammatory markers, monocyte-to-lymphocyte ratio, prostate biopsy, prostate cancer","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69670996","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}

{"title":"Basic factors predicting prostate cancer in Prostate Imaging Reporting and Data System-3 lesions","authors":"S. Yılmaz, M. Yılmaz, S. Yalçın, E. Kaya, E. Gazel, H. C. Aybal, H. Özdemir, M. Yorubulut, A. Oner, L. Tunc","doi":"10.33719/yud.2021;16-2-850090","DOIUrl":"https://doi.org/10.33719/yud.2021;16-2-850090","url":null,"abstract":"Objective: We aimed to investigate the role of the digital rectal examination, PSA density, regional location of the lesion and prostate size in predicting prostate cancer in Prostate Imaging and Data Reporting System (PI-RADS)-3 lesions.\u0000Material and Methods: A total of 236 patients with multiparametric MRI performed for clinical suspicion of prostate cancer and reported PI-RADS-3 enrolled between January 2016 and July 2019 in this retrospective study. The datas were extracted from the hospital’s electronic records, patient files and outpatient clinic records. Multiparametric MRI was performed patients to whom have elevated PSA level and/or suspicious digital rectal examination. Patients diagnosed with and without prostate cancer were compared in terms of age, PSA, PSA density, prostate size, pathological results, lesion localization and DRE findings.\u0000Results: One hundred thirty- independent predictor seven patients with an initial score of PI-RADS-3 were subjected to further analysis. Prostat cancer detection rate in overall and clinically significant prostate cancer detection rate was 26.2% and 4.3%, respectively. There was a significant difference regarding DRE findings (p=0.001) and PZ location of the lesion (p=0.005) between PCa and no PCa groups. Digital rectal examination (p=0.001) was an independent predictor of prostate cancer in multivariate logistic regression analysis. \u0000Conclusion: Digital rectal examination is a practical and important parameter in clarifying the suspicion of prostate cancer in PI-RADS-3 lesions.\u0000Keywords: prostatic neoplasms, digital rectal examination, multiparametric magnetic resonance imaging, image guided biopsy","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671237","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}

{"title":"Determination of Nurses’ Attitudes and Beliefs on Sexual Care Towards\u0000Urology Patients","authors":"Aliye Okgün Alcan, S. Çetin, Ezgi Seyhan Ak, Yeliz Çulha, A. Özbaş","doi":"10.33719/YUD.2021;16-1-792798","DOIUrl":"https://doi.org/10.33719/YUD.2021;16-1-792798","url":null,"abstract":"Objective: The aim of this descriptive research is to determine the attitudes and beliefs of urology nurses regarding sexual care.\u0000\u0000Material and Methods: The data of this study were collected via internet between May and August 2020. The sample of the study consisted of 118 nurses who voluntarily agreed to participate in the study, able to use internet and working in clinics which urology patients are cared for. The data of the study were collected using data collection form that consists questions regarding the sociodemographic characteristics of the nurses and Sexual Attitudes and Belief Scale. Number and percentage distribution, Kruskal-Wallis, MannWhitney U test, Spearman Correlation Analysis were used in the analysis of the data.\u0000\u0000Results: It was determined that the average age of the nurses was 32.61±6.73 (min:22, max:46) years. In this study, the mean score of the Sexual Attitudes and Beliefs Scale was determined as 40.86±8.57 (min:15 max:65). It was found that 79.7% (n:94) of the nurses did not spare time to discuss the sexual problems of their patients. It was found that the marital status of the nurses (U:190.00 p:0.010) and being educated about sexual care (U:1052.00 p:0.007) affected their sexual attitudes and beliefs. It was determined that the mean score of the nurses to feel themselves competent in providing counseling regarding sexual care to their patients was 4.25±2.39 (min:0, max:10) out of 10. It was determined that the mean score of the nurses for feeling comfortable while giving counseling to their patients regarding sexual care was 4.32±2.63 out of 10 (min:0 to max:10).\u0000\u0000Conclusion: In conclusion, it has been determined that urology nurses have a moderate obstacle in providing consultancy to patients about sexual care, and do not feel comfortable and comfortable. It is recommended to strengthen nursing education curricula on sexual health and care.\u0000\u0000Keywords: Urology; nurse; sexual care; attitude; belief","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69671367","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}

{"title":"Prostat Spesifik Antijenin Akut Üriner Retansiyon Sonrası Üretral Kateter Yerleştirilen ve Benign Prostat Hiperplazisi Olan Hastalarda Prostat Adenokarsinomu Saptamadaki Rolü","authors":"Ahmet Hacii̇slamoğlu, Ismail Evren, Abdullah Hızır Yavuzsan, İsmail Yi̇ği̇tbaşi, Mithat Ekşi, Kamil Gökhan Şeker, Volkan Tuğcu","doi":"10.33719/yud.618815","DOIUrl":"https://doi.org/10.33719/yud.618815","url":null,"abstract":"","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47314522","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}

{"title":"Prostat Kanserli Yaşlanan Erkekte Palyatif Bakım Kararı","authors":"Ersin Erdinç Çelebi̇, Zülfü Sertkaya, Musab Ali Kutluhan, Selçuk Kaba, M. Öztürk, M. I. Karaman","doi":"10.33719/yud.621949","DOIUrl":"https://doi.org/10.33719/yud.621949","url":null,"abstract":"","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69672873","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}

{"title":"Prostatın Pür Leiomyomu: Olgu Sunumu","authors":"J. Musayev, Asif Jahangirov, A. Hasanov, M. Baghirzade","doi":"10.33719/YUD.676935","DOIUrl":"https://doi.org/10.33719/YUD.676935","url":null,"abstract":"Leiomyomas are benign mesenchymal smooth muscle tumours. Pure leiomyoma of prostate is very rare. Here we presented a case of 77-year-old men who admitted to hospital with symptoms of infravesical obstruction. The per-rectal and ultrasonographic examination revealed an enlarged prostate. Open prostatectomy procedure was performed. The prostate weigh was 172 gr in gross pathological examination and solid nodular lesion was observed on the cut surface of the prostate. Microscopically, the lesion was composed of spindle cell proliferation, without nuclear atypia, necrosis and mitotic activity. Radiological methods are inadequate for determination of the biological nature of such nodules. Therefore, histopathology is very important for excluding of malignancy. Open prostatectomy is an effective method for both treatment and diagnostic purposes.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69672531","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}

{"title":"Edoxaban Kullanımına Bağlı Spontan Renal Hematom: Olgu Sunumu","authors":"Ayberk Iplikçi, Özgür Efi̇loğlu, Asıf Yildirim","doi":"10.33719/yud.749137","DOIUrl":"https://doi.org/10.33719/yud.749137","url":null,"abstract":"Edoxaban is an oral anticoagulant drug that directly inhibits factor Xa. It is used for stroke prophylaxis, venous thromboembolism prophylaxis / treatment, and secondary prophylaxis of acute coronary syndromes. Drug interactions with edoxaban are rare and there is no need for routine blood monitoring. Clinicians should be more aware of potential complications and complication management, as they are prescribed quite frequently. In this article, a spontaneous renal hematoma in a patient using edoxaban for atrial fibrillation-induced stroke prophylaxis is reported. The treatment and follow-up decisions were made by the multidisciplinary team and the patient died despite all efforts. The use of these drugs should be carefully questioned in patients with bleeding who apply to the emergency room because they do not change the coagulation parameters. Larger case series and case reports are needed to develop treatment algorithms for fatal complications that may occur during their use.","PeriodicalId":33828,"journal":{"name":"Yeni Uroloji Dergisi","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49408077","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}