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Objective:To validate the use of a single-question visual analog scale assessing sexual dysfunction as a screening tool before implementing the female sexual function index (FSFI).Materials and Methods:The study included 141 sexually active women over 18 years of age who were diagnosed with OAB or UI. A female sexual function-visual analog scale (FSF-VAS) was defined and developed as a one-question form in which participants were asked to mark their sexual function on a 10 cm visual analog scale. The cut-off values for the FSF-VAS in predicting FSD were determined by receiver operating characteristic curve analysis and Youden’s index.Results:A positive, moderately strong correlation was found between the FSFI score and FSF-VAS (rs=0.741). We found a cut-off value for FSF-VAS as 5.95 for in predicting both FSFI score of

Objective:In this study, we aimed to evaluate the association of lower urinary tract symptoms (LUTS), overactive bladder (OAB) and urinary incontinence (UI) with age, diabetic complications and glycaemic control in diabetic women.Materials and Methods:A total of 81 women diagnosed with Diabetes Mellitus were included in the study. Demographic characteristics including age, height and weight of patients, full medical history, urine culture, serum creatinine levels and glycaemic control parameters including serum fasting blood glucose levels, serum satiety blood glucose levels and serum HbA1c levels. Turkish version of the OAB-V8, urinary distress inventory-6 (UDI-6), incontinence impact questionnaire (IIQ-7) and the International Prostate Symptom Score (IPSS) were applied.Results:The mean age was 58.6±11.8 years. Thirty-five (43.2%) of the patients had diabetes-related complications. There was no statistically significant relationship between OAB-V8, UDI-6, IPSS, IIQ-7 questionnaire scores and glycaemic control parameters, age, and presence of diabetic complications.Conclusion:To better understand the etiopathogenesis of diabetic bladder dysfunction and related complications including LUTS, OAB and UI, we need randomized controlled studies with a greater number of patients.

Spontaneous bilateral quadriceps rupture is rarely seen in systemic diseases. Although the underlying mechanism in tendon rupture is not clearly understood, β2-amyloidosis, chronic acidosis, impaired collagen metabolism, accumulation of uremic toxins and secondary hyperparathyroidism are held to be responsible. The patients with bilateral spontaneous quadriceps rupture can be able to achieve significant functional improvement with the postoperative rehabilitation program. In this article, we aimed to present a patient with hemodialysis who developed spontaneous bilateral quadriceps and unilateral triceps rupture and discuss in company with the literature.

Objective: Predictive factors that could affect the cure and complication rates of midurethral slings (MUS) in the treatment of stress urinary incontinence (SUI) were investigated. Materials and Methods: A total of 594 women (outside-in transobturator in 285, inside-out transobturator in 91, and retropubic in 218) with SUI and who had undergone MUS were evaluated. The median age was 53.9 (27-82) years. Univariate analyses were done using chi-square test, Student’s t-test and the Mann-Whitney U test. Multivariate analyses were done using logistic regression analysis to determine predictive factors affecting cure and complication rates. Results: The mean follow-up time was 48 months. The subjective cure rate was 84% and complication rate was 11.2%. On univariate and multivariate analyses, the cure rate was found to be increased in younger patients [odds ratio (OR): 0.97, 95% confidence interval (CI): 0.95-0.99, p=0.038] and in patients with pure SUI (OR: 2.17, 95% CI: 1.31-3.60, p=0.002). The type of surgery was the only statistically significant parameter affecting the complication rate, which was significantly higher in retropubic MUS procedure (OR: 6.28, 95% CI: 3.51-11.22, p

Objective: It is known that Pseudomonas has been isolated more frequently in health care-related urinary tract infections (UTIs). It was aimed to determine the risk factors and empiric therapies due to antibiotic resistance in Pseudomonas-related male UTIs, and assess the effect of Pseudomonas isolation on treatment and length of hospital stay. Materials and Methods: The study was conducted between January 2011 and January 2013 with 228 male health care-related complicated UTI patients hospitalized in the Urology and Infectious Diseases Inpatient Clinics at Gazi University Faculty of Medicine. Three hundred UTI attacks in 228 patients were evaluated retrospectively with regard to agents. Results: Pseudomonas was isolated in 37 of 300 complicated UTI attacks in 228 male patients. Nephrolithiasis, recurrent UTI and internal urinary catheterization were determined as the risk factors for Pseudomonas related with health care-related UTI. It was understood that nephrolithiasis increased Pseudomonas isolated UTI risk 3.5 fold and recurrent UTI increased the risk 8.9 fold. The antibiotic resistance of Pseudomonas was higher than other agents. Pseudomonas related UTIs prolonged the duration of hospital stay and antibiotic treatment. Conclusion: In the presence of nephrolithiasis, recurrent UTI and internal urinary catheterization, drugs against Pseudomonas would be appropriate empiric treatment for health care-related complicated UTI. Ciprofloxacin use should be restricted when local antibiotic resistance, which leads empiric treatment, is taken into consideration. Increases in hospital stay and antibiotic treatment duration were thought to be associated with recurrent infection frequency and high antibiotics resistance in Pseudomonas related UTIs.

Objective Prostate cancer (PCa) is observed in men aged 50 years and older. The incidence increases in parallel to aging. Survival rate for PCa increases with effective screening programs and therapies. Elongated life expectancy may lead to a decrease in quality of life, muscle strength and physical activity level; an increase in fatigue and sleep problems. To preclude the occurrence of these symptoms, the preventive physiotherapy approaches may be used in PCa patients. The aim of this study was to investigate the attitude of patients with PCa towards preventative physiotherapy approaches. Materials and Methods Patients who were diagnosed with PCa in Gazi University Faculty of Medicine, Department of Urology were invited to participate in the preventive physiotherapy services provided in Gazi University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Oncologic Rehabilitation Unit. Results Three hundred forty-four patients were invited, only 20 (5.8%) patients participated in the study. Twenty (5.8%) patients did not attend the appointment despite agreeing to participate in the study. Other 304 (88.4%) patients did not join the study for several reasons. Conclusion The reason for low participation rate may be inadequate information of PCa patients about preventive physiotherapy. The results of this study highlight the need for making preventive physiotherapy applications recognizable for PCa patients.

Objective: In this study, we investigated the relationships between 10 year fracture risk calculated with FRAX assessment tool and bone turnover markers (BTM) in women with diagnosed as postmenopausal osteoporosis for the first time. Materials and Methods: After exclusion of the causes of secondary osteoporosis 61 postmenopausal women diagnosed with osteoporosis for the first time were enrolled. Height and weight measurements, comorbid diseases, menopause age, and laboratory investigations were recorded. Lumbar and femur neck and femur total T scores were measured by dual-energy x-ray absorptiometry (DXA). As BTM, serum osteocalcin (OC) and urine deoxypridinoline levels were measured. 10-year fracture risk of hip and major osteoporotic fracture was calculated with FRAX assessment tool. Results: The mean age of patients was 61±39 years. Median value of menopause year was 15.13 years (min: 2, max: 40). The median 10-year hip fracture and major osteoporotic fracture risks were calculated as 1.10% (min: 0, max: 23), 6.9% (min: 3, max: 34) respectively. There was no significant relationship between BTM and fracture risk. Positive significant correlation was found between menopause year and hip fracture risk, and between menopause year and major osteoporotic fracture risks (p=0.031, 0.276; p=0.025, r=0.287). Negative significant correlation was detected between body mass index and hip fracture risk (p=0.002, r=-0.392). Conclusion: In our study, we couldn’t find relationship between BTM and fracture risks assessed by using FRAX tool in patients with initially diagnosed of postmenopausal osteoporosis. Further studies are needed to investigate the relationship between BTM and fracture risk in different patient groups. (Turkish Journal of Osteoporosis 2015;21: 58-62)

EDITORIAL COMMENT The prevalence of overactive bladder (OAB) in the general population is nearly 16% and it increases with age. In non-responders who are managed with oral therapies, there is a need for the intradetrusor injections of onabotulinumtoxinA (Botox). Adverse effects, including the potential risk of urinary retention requiring catheterization are among the greatest concerns for OAB patients considering Botox injections. The efficacy of Botox (100 U) in the treatment of refractory OAB has been proven in several clinical trials, however, the risk factors for the occurrence of urinary retention after Botox injections are still not well recognized. Studies do not describe the factors for the prediction of urine retention after Botox (100 U) injections in patients with refractory OAB. As the dose of Botox increases, urinary retention risk increases, but recurrent injections decreases the risk. In this study, the risk factors for urinary retention was observed in 208 women who were treated with 100 IU Botox injections for refractory OAB. The study revealed the risk factors for urinary retention as 3 or more vaginal deliveries and advanced age. No need for clean intermittent self-catheterization (CISC) was seen for more than 12 weeks. The minimum duration of CISC was 20 days and a maximum of 83 days with a mean of 45.5 days. No potential risk factors for the duration of CISC were observed. Although all patients should be warned before receiving Botox injections about the potential risk of urine retention, elderly women and multiparous women are at an increased risk.