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Objective:This study aimed to present the impact of coronavirus disease-2019 pandemic on seeking treatment in patients with erectile dysfunction (ED) and compare the clinical characteristics, demographics, and laboratory analysis of patients with ED during and before the pandemic period.Materials and Methods:The clinical and demographic characteristics and laboratory analysis of patients with ED were compared between the time interval of March 9, 2020, to June 1, 2020, and the previous 3 months from the pandemics. The International Index of Erectile Function-5 questionnaire was used to assess ED and the results from two groups were compared.Results:A 76.4% decreased total number of outpatient clinics and a 70.9% decreased number of patients with ED was observed; however a significant increase was detected in the ratio of patients with ED to the total number of patients during the pandemic period (1.7% vs. 2.1%, p=0.008). The median age of patients was smaller in the pandemic period. Mild ED was significantly higher in the pandemic period and moderate ED was detected higher in the period before the pandemic.Conclusion:The admission rate of patients with ED has increased in the pandemic period. The patients presenting with ED during the pandemic period were younger, with milder ED symptoms.

Objective:To investigate the effect of preoperative non-contrast computed tomography (NCCT) findings and peroperative laser probe selection on total laser time, energy level and ureterorenoscopy (URS) time for distal ureteral stones.Materials and Methods:We prospectively evaluated 72 patients with single distal ureteral stone measuring 5-25 mm in diameter on NCCT, who were treated with ureteroscopic lithotripsy (URSL) between June 2015 and October 2016. The patients were divided into two groups according to probe selection as 365 μm and 550 μm groups. Stone diameters, stone volume and Hounsfield units (HU) measured on NCCT, and URSL findings were noted at the end of the treatment. These findings were compared between the groups. Also the possible predictive value of NCCT findings was evaluated for URSL data.Results:There were 17 patients in the 365 μm and 55 patients in the 550 μm groups. There was no significant difference in URSL success rate and other predictive data between the groups. However, among the peroperative data, laser time, laser energy level and laser energy/time ratio were significantly lower in the 365 μm group compared to the 550 μm group (p

Objective:We aimed to evaluate the prevalence and possible risk factors of overactive bladder symptoms (OABS) among women living in a western city of Turkiye, İzmir.Materials and Methods:A questionnaire and the validated Overactive Bladder Symptom Score were filled by urologists with face-to-face interview. The prevalence of OABS and independent possible risk factors of OABS such as age, obesity, systemic diseases, educational level, marital status and number of births were analyzed. The participants with OABS and without OABS were compared in terms of possible risk factors.Results:A total of 719 women were included and the prevalence of OABS was 42.8% in our study. The prevalence of OABS with urinary incontinence (UI) (OABwet) was 69.2% and the prevalence of OABS without UI (OABdry) was 30.8% and nocturia was the most common OABS besides urgency. There was a statistically significant association between OABS and presence of nocturia and UI types (r=0.363, p

Objective: This study aims to increase awareness of nocturia when evaluating and treating patients with Obstructive Sleep Apnea syndrome (OSAS). Materials and Methods: A total of 324 patients, who attended our sleep center with the suspected diagnosis of OSAS between June 2012 and December 2015, participated in our research. The patients were divided into 4 groups according to age distribution. Demographic variables, comorbid conditions and severity of OSAS were evaluated retrospectively for their association with the nocturia. Results: In this study, 176 patients had nocturia and 148 patients did not have. There was a statistically significant difference in the presence of nocturia between patients with and without OSAS (p≤0.001). We found that the prevalence of nocturia was higher in the severe OSAS group than in the moderate and the mild OSAS and normal groups (p≤0.001). We demonstrated that there were statistically significant differences in the frequency of nocturia and total apnea-hypopnea index between OSAS groups and age groups (p≤0.001). There was a statistically significant but weak correlation between nocturia and severity of OSAS and between frequency of nocturia and OSAS severity (r=0.310, p≤0.001 and r=0.276, p≤0.001). This relationship was more significant in women than in men and more significant in patients below age 40 than in the other age groups. However, we could not find any significant difference in the presence of nocturia between patients with and without comorbid diseases. Conclusion: The frequency of nocturia increases as the severity of OSAS increases and especially patients with OSAS below age 40 years should be evaluated for nocturia.

Perivascular epithelioid cell tumors are rare mesenchymal tumors composed of histologically and immunohistochemically distinctive perivascular epithelioid cells. They are mostly benign, however, malignant tumors with aggressive behavior and distant metastasis can also occur. The standard treatment is surgical excision. Here, we report a case of a 25-year-old male with a 4 cm-mass located in the inferior pole of the left kidney, treated by surgical excision.

Objective Partial nephrectomy represents the gold standard surgical procedure for the treatment of small renal cortical tumors. Tumor resection may be performed with the following techniques: on-clamp (warm or cold ischemia) and off-clamp (zero-ischemia). We aimed to share our experience with these two techniques and compare treatment outcomes in the present study. Materials and Methods Patients who have undergone open partial nephrectomy for clinical stage I renal cell carcinoma in our department between 2008 and 2012 were enrolled. Group 1 comprised patients with off-clamp technique and group 2 with on-clamp technique. Demographic data, length of operation, length of hospitalization, preoperative estimated glomerular filtration rate (eGFR) and postoperative eGFR on the last visit, complications and requirement of additional procedures, pathologic stage, and surgical margin status were compared between the groups retrospectively. Results A total of 73 patients, 40 in group 1 and 33 in group 2, were included in the study. Mean age, rate of comorbidities, R.E.N.A.L. nephrometry scores, preoperative eGFR, length of operation, length of hospitalization, complications, surgical margin status and additional procedure requirement did not differ significantly between the groups. Transfusion requirement was higher in group 1, however, it did not reach statistical significance (0.7±1.2 U vs. 0.2±0.5 U, p=0.066). After a median follow-up of 27 months for group 1 and 33 months for group 2, postoperative eGFR values were also similar (72.6±31.0 ml/min/1.73 m2 vs. 78.3±22.3 ml/min/1.73 m2, p=0.651). Conclusion Both surgical techniques, on-clamp and off-clamp partial nephrectomy, can be performed according to the surgeons’ preferences safely with similar outcomes.

Hounsfield units (HU) provides a quantitative assessment of stone density in the urogenital tract on non-contrast computed tomography (NCCT) and has the ability to predict treatment success. The difference in HU (HUdiff) value was measured on NCCT in two patients. Our opinion is that HUdiff can predict stone composition before treatment.

Objective In this study, we aimed to present clinical characteristics and repair outcomes in patients who had sexual intercourse-induced penile trauma and underwent early surgical repair in our clinic. Materials and Methods We retrospectively evaluated records of patients who underwent early surgical repair due to penile trauma between 2004 and 2014 in our clinic. Preoperative, peroperative and postoperative data were analyzed. Patient characteristics, penile trauma characteristics, pre-trauma and postoperative International Index of Erectile Function-Erectile Function Domain Scores (IIEF-ED), and operation features were evaluated. Results Twenty-six male patients who were admitted to the emergency room with penile trauma and underwent early surgical repair were investigated. Four patients had only dorsal vein laceration and twenty-two had corpus cavernosum rupture. Postoperative erectile dysfunction was observed in three patients (the patients were older than 45 years of age, a patients had bilateral corpus cavernosum rupture and two patients had concomitant urethral trauma). Early repair was successful (86.4%) in the remaining 19 patients. The average erection hardness grade and IIEF-ED value were 4.75 and 28.6 before penile fracture; postoperative mean erection hardness grade and IIEF-ED value were found to be 4.2 and 24.9, respectively (p>0.05). Conclusion As a result, in sexual intercourse-induced penile fracture, early repair with degloving approach is effective method in postoperative erectile success in young patients and patients with isolated unilateral fractures.

Ureteral jet dynamics, which have been shown in recent studies to indicate stone formation mechanism in adults and children, provide information about ureteral peristaltism. The dynamics were measured with Doppler ultrasonography and included ureteral jet flows and ureteral jet patterns. In this paper, we present radiographic images of a non-obstructive lower pole stone in the right kidney and a non-obstructive upper pole stone in the left kidney measuring

Objective In this study, the effect of cystocele repair performed simultaneously with transobturator tape (TOT) on the results of operation was evaluated in patients with stress urinary incontinance (SUI) and pelvis organ prolapsus (POP). Materials and Methods The data of 103 patients who had SUI and cystocele between 2006 and 2012 were evaluated retrospectively. The patients who underwent only TOT was classified as group 1 and the patients who underwent cystocele repair simulatenously with TOT were classified as group 2. The patients in group 2 were divided as group 2a (low grade cystocele (grade 1 and 2)) and group 2b (high grade (grade 3) cystocele ). The age, number of normal deliveries, pad test, cystocele grade, post-operative complications and preop International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) forms were evaluated from the patient files. All patients were questioned by ICIQ-SF in terms of the final continence status. The groups were compared in terms of the above-mentioned parameters. Results It was observed that there was no significant difference between group 1 and group 2 in terms of preoperative ICIQ-SF scores (16.06±0.34 and 16.82±0.42, respectively) and demographic data at the baseline. It was observed that the postoperative ICIQ-SF scores decreased markedly in both groups (3.28±0.78 and 5.41±1.21, respectively, p

Demonstration of the intra-vaginal ejaculation latency time (IELT) distribution in male subjects and its clinical expressions among couples in the Aegean region of the Turkey. Materials and Methods Subjects were recruited to the study from six different urologic centers in the Aegean region. During the enrollment period subjects were recruited in to two group according to presence of premature ejaculation (PE). PE diagnosis was made according to DSM-4 definition. Subjects and their partners were evaluated with patient reported outcome measures (PRO) related to the ejaculation-based questionnaire (Premature ejaculation patient profile questionnaire -PEPQ). Stopwatch measurements were also asked from each couple to record intravaginal ejaculation latency time (IELT). Couples who completed two clinical visits with 4 wk interval were recruited to the data analysis. Results Among 141 eligible subjects, mean age was 36.5±9.7 years and mean partner age was 32.9±9.8 years. Following the initial evaluation 80 subjects recruited to group 1(PE) and 41 subjects recruited to the group 2 (non-PE). Geometric mean IELT of the subjects was significantly differed between PE and non- PE group (64.7±66.8 vs. 521.5±414.7 seconds, p

Female genital mutilation (FGM) is a horrible procedure which may have detrimental physical and pyschological effects on women and mostly performed in the Middle East and African regions. FGM has four different types described in various regions. Total urinary incontinence due to type 3 FGM is described in a 21-year-old female in the present article.

Prostatic urethral lift (PUL) has been recently introduced as a minimally invasive procedure for relieving benign prostatic hyperplasia (BPH) associated lower urinary tract symptoms (LUTS) while preserving sexual functions. BPH6 study is the first prospective, randomized study comparing PUL with transurethral resection of the prostate (TURP) which still represents the standard surgical procedure for BPH. The authors proposed a novel evaluation method for comparing treatment outcomes which they named BPH6 composed of 6 items including symptom relief, high-quality recovery, erectile functions, ejaculatory functions, continence and high-grade complications. The study included 80 patients (45 PUL, 35 TURP) with a follow-up period of 12 months. With similar baseline characteristics, the authors reported significantly higher rate of achieving the BPH6 recovery endpoint by 1 month in the PUL group compared to TURP group. Discharge from hospital and returning to preoperative activity level were in favor of PUL group. Despite significant improvement concerning the International Prostate Symptom Score (IPSS), IPSS-Quality of Life (IPSS-QoL), BPH-II and the peak urinary flow rate (Qmax) in both treatment arms compared to baseline; TURP was much better than PUL. Erectile functions evaluated by the Sexual Health Inventory for Men (SHIM) were preserved in both treatment arms. The authors reported improved ejaculatory functions (MSHQ-EjD) for the PUL group, whereas there was a significant decline in TURP group. Continence preservation was comparable between the groups. None of the patients in the PUL group required surgical intervention for any adverse event, however, 2 patients in the TURP group required endoscopic intervention. PUL seems to have no significant effect on sexual functions while improving LUTS in short-term follow-up, however, further trials with long-term follow-up are required.