{"title":"Bellini Duct Carcinoma: Case Report and Review of the Literature","authors":"G. Dundar, E. Korgalı","doi":"10.4274/UOB.693","DOIUrl":"https://doi.org/10.4274/UOB.693","url":null,"abstract":"","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977630","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}
Ünsal Eroğlu, M. Koparal, I. Üre, S. Çetin, E. C. Bulut, C. Acar, T. Sözen
{"title":"The Clinical, Oncological, Functional and Surgical Outcomes of Patients Who Underwent Adrenalectomy","authors":"Ünsal Eroğlu, M. Koparal, I. Üre, S. Çetin, E. C. Bulut, C. Acar, T. Sözen","doi":"10.4274/UOB.691","DOIUrl":"https://doi.org/10.4274/UOB.691","url":null,"abstract":"Summary Oz Results: A total of 88 patients with adrenal masses were endocrinologically evaluated. Fifty nine (67%) patients had functional masses and 29 (33%) patients had non-functional masses. Open transabdominal adrenalectomy and laparoscopic adrenalectomy were performed in 20 (22.7%) and 68 (77.3%) patients, respectively. According to the results of histopathological evaluation, benign and malignant masses were determined in 79 (89.7%) and nine (10.3%) patients, respectively. Bleeding amount and mass size were significantly higher in patients with malignant masses and in patients with functional masses (p=0.003 and p=0.002; p=0.007 and p=0.004, respectively). The duration of operation and hospitalization were significantly longer, and peri-operative complication and blood transfusion rates were significantly higher in patients with malignant masses (p=0.006 and p=0.003; p=0.027 and p=0.001, respectively). Neither functionality nor pathology of adrenal masses had a statistically significant relationship with ASA score and BMI.","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2016-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977613","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":"Controversies in Radical Cystectomy: Meta-Analysis and Systemic Comparison of Open Surgery with Laparoscopic and Robotic Surgery","authors":"M. Kaynar, S. Goktas","doi":"10.4274/UOB.542","DOIUrl":"https://doi.org/10.4274/UOB.542","url":null,"abstract":"Kas invaziv ve yüksek riskli invaziv olmayan mesane kanserlerinin tedavisinde açık radikal sistektomi (ARS) standart tedavi yöntemidir. ARS avantajlı onkolojik sonuçlarına rağmen yüksek morbidite ve mortalite oranlarına sahiptir. Son yıllarda üroteknolojideki gelişmeler ile birlikte minimal invaziv tedavi seçeneklerinden laparoskopik radikal sistektomi (LRS) ve robot yardımlı radikal sistektomi (RYRS) mesane tümörlerinin tedavisinde ARS’ye alternatif olarak ortaya çıkmıştır. Her iki yöntemin etkin cerrahi ve benzer onkolojik sonuçlarının olduğu çeşitli çalışmalarda gösterilmiştir. Fakat LRS’deki uygulama zorluğu ve RYRS’deki yüksek maliyetler nedeni ile yaygınlaşması kısıtlanmaktadır. Deneyimli merkezlerin uygulamalarının yanında genel popülasyona dayalı geniş hasta serilerini içeren uzun süreli onkolojik sonuçların karşılaştırmalı olarak ortaya konması ile birlikte invaziv mesane tümörlerinin standart tedavisindeki manzaranın değişmesi kaçınılmaz görünmektedir. Anahtar Kelimeler: Mesane kanseri, laparoskopi, robotik cerrahi, sistektomi Open radical cystectomy (ORC) is the standard treatment modality in high-risk non-muscle-invasive and invasive bladder carcinoma. Although it has some advantages, oncologic outcomes of ORC are associated with high morbidity and mortality risks. In line with recent developments in urotechnology, the minimally invasive treatment modalities, such as laparoscopic radical cystectomy (LRC) and robotic-assisted radical cystectomy (RARC) have emerged as an alternative to ORC. Compared to ORC, both treatment modalities have effective surgical and similar oncological outcomes as reported in various studies. However, due to inherent difficulties in the practice of LRC and high costs of RRC have hindered these two treatment modalities to become widespread. Considering the results obtained in experienced centers as well as longterm oncologic outcomes of large patient series forming samples of the whole population, changes in the standard treatment modality of invasive bladder tumors seem to be unavoidable.","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70976070","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":"Early and Late Complications of Urinary Diversions after Radical Cystectomy","authors":"U. Gonulalan, M. Koşan","doi":"10.4274/uob.577","DOIUrl":"https://doi.org/10.4274/uob.577","url":null,"abstract":"","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70976855","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}
Ozan Bozkurt, Kaan Çömez, Ozgur Gurboga, O. Demir, G. Aslan, A. Esen
{"title":"Role of Prostate Specific Antigen Density for the Prediction of Radical Therapy Requirement in Localized Prostate Cancer","authors":"Ozan Bozkurt, Kaan Çömez, Ozgur Gurboga, O. Demir, G. Aslan, A. Esen","doi":"10.4274/uob.701","DOIUrl":"https://doi.org/10.4274/uob.701","url":null,"abstract":"","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977724","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}
Z. Demirer, A. Guragac, S. Uğuz, Bilal Fırat Alp, I. Yildirim
{"title":"A Rare Case: Contralateral Testicular Seminoma Accompanied by Right Undescended Testicle and Right Inguinal Hernia with Ipsilateral Renal Agenesis and Seminal Vesicle Agenesis","authors":"Z. Demirer, A. Guragac, S. Uğuz, Bilal Fırat Alp, I. Yildirim","doi":"10.4274/UOB.551","DOIUrl":"https://doi.org/10.4274/UOB.551","url":null,"abstract":"Unilateral veya bilateral olabilen seminal vezikül agenezisi (SVA) erkeklerde nadir infertilite sebepleridir. İnsidansı %0,6-1 olan unilateral SVA’ya renal agenezi (RA) ya da vaz deferens agenezisi (VDA) eşlik edebilir (1). Daha nadir izlenen bilateral SVA’da genellikle kistik fibrozis transmembran reseptör (KFTR) mutasyonu izlenir ve bilateral VDA ile birliktedir (1). Erkek reprodüktif sistemi ile üriner sisteminin embriyolojik ve anatomik olarak yakın ilişkide olmaları nedeniyle bu iki sisteme ait konjenital anomalilerde genellikle bir arada görülürler (1,2). Mezonefrik kanalın [(MK) Wolf kanalı] uygun gelişmemesi; böbrek, üreter, vaz deferans (VD) ve seminal vezikülün çeşitli konjenital anomalilerine sebep olabilmektedir (1,2). İnmemiş testis, testisin skrotum dışında, inguinal kesede, inguinal kanal dışında veya eksternal ringte palpe edilebilmesidir. İnmemiş testise en sık eşlik eden bozukluk inguinal herni olup, oluşumunda temel etken prosesus vajinalisin (PV) açık kalmasıdır (3). Biz burada sağ inguinal bölgede şişlik ve ağrı şikayetiyle merkezimize refere edilen; sağ inguinal herni ve sağ inmemiş testise, ipsilateral SVA ve ipsilateral RA’nın eşlik ettiği ayrıca sol testisinde seminom saptanan tedavi yönetimi oldukça zor olan bir olguyu sunduk.","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70976640","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":"The Prostatic Urethral Lift Method: A New Minimally Invasive Modality as an Alternative in the Treatment of Benign Prostatic Hyperplasia","authors":"Alpaslan Yüksel, A. Tekin","doi":"10.4274/UOB.584","DOIUrl":"https://doi.org/10.4274/UOB.584","url":null,"abstract":"","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70976940","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}
A. Şahan, A. Garayev, M. Akgül, T. E. Şener, S. Evman, H. Batirel, E. Bozkurtlar, R. Ahıskalı, L. Türkeri, I. Tinay
{"title":"Should We Perform Thoracic Imaging for Every Patient with a Renal Mass","authors":"A. Şahan, A. Garayev, M. Akgül, T. E. Şener, S. Evman, H. Batirel, E. Bozkurtlar, R. Ahıskalı, L. Türkeri, I. Tinay","doi":"10.4274/uob.678","DOIUrl":"https://doi.org/10.4274/uob.678","url":null,"abstract":"Objective: Current guidelines for the management of renal mass recommend thoracic imaging for potential metastatic nodules. Small size of the renal mass can be associated with low metastatic potential, which might question the necessity of thoracic imaging in this patient population. This study sought to evaluate the association of thoracic imaging findings with the renal mass characteristics in patients with pathologically proven renal cell carcinoma (RCC). Materials and Methods: We performed a retrospective analysis of patients with RCC, who underwent radical/partial nephrectomy and had baseline thoracic imaging available for review. Patients with a suspicious pulmonary mass were evaluated by the Department of Thoracic Surgery. Presence of lung nodule(s) and metastasis was determined and compared with patient and renal mass characteristics. Results: A total of 215 patients were included in the study. Pulmonary nodules suspicious for malignancy were present in 26.8% of the cases and 42% of these patients underwent further examination for the presence of a pulmonary mass. Pathological examination of the pulmonary nodule revealed RCC metastasis in 80% of patients who underwent biopsy or excision of the pulmonary nodule. Of note, in the subgroup analysis according to the pathological stage of the renal mass, 19.3% of patients with pT1a disease had a suspicious pulmonary mass on thoracic imaging. Of these patients, 25% underwent further examination of the pulmonary nodule with a RCC metastasis in 66.6%. Conclusion: The presence of suspicious lung nodules in patients with RCC has metastatic potential regardless of the size of the renal mass. These findings underscore the importance of baseline thoracic imaging and vigilant further evaluation of patients in whom pulmonary nodules are identified.","PeriodicalId":40816,"journal":{"name":"Uroonkoloji Bulteni-Bulletin of Urooncology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2016-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977567","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}