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Objective:Overactive bladder (OAB) may be interrelated with chronic inflammation. The aim of this study was to assess the role of neutrophillymphocyte ratio (NLR) levels in men and women with OAB symptoms.Methods:Between January 2017 and February 2018, a total of 157 subjects (77 OAB patients and 80 controls) were included in the study. The subjects divided into two groups. Group 1=OAB patients and group 2=normal controls. Patients with active urinary tract infections, previous pelvic surgery or neurogenic patients were excluded. The enrolled both patients and control group were questioned using the 8-item OAB questionnaire (OAB-v8) complete blood count and serum C-reactive protein (CRP) levels were measured in the first visit.Results:The mean NLR was 1.73±0.67 in patients and 1.48±0.75 in control groups (p

Introduction: We investigated the clinical characteristics of patients who underwent penile fracture surgery.Methods:Between December 2005 and February 2015, a total of 45 patients underwent surgery for repair of penile fracture at our institution. The age and body mass index (BMI) of these patients were recorded along with their medical history and physical examination findings. Moreover, the duration of the operation was noted, and the preoperative International Index of Erectile Function-Erectile Function (IIEF-EF) scores were compared with postoperative scores.Results:Average age of patients was 41.25±11.78 (20-65) years, and average BMI was 26.36±3.17 (23.67-29.72) kg/m2. Of the patients, 18 (40%), 16 (35.5%), 5 (11.1%), 3 (6.7%), and 3 (6.7%) cases had the fracture during sexual intercourse, during sleep, with sudden penile maneuvers, during masturbation, and with trauma, respectively. Mean operation time was 38.32±19.74 (20-90) min, and mean hospital stay was 1.28±0.61 (1-3) days. Most of the cases (26/45) were performed under spinal anesthesia. There was only one patient with urethral injury. Mean preoperative IIEFEF score was 26.12±3.21 (19-30), and mean IIEF-EF score at postoperative 3rd month was 23.37±3.87 (10-27). We found significant differences between preoperative and postoperative scores (p=0.011). Postoperative penile curvature was observed in 2 (4.4%) cases, and painful erection was seen in 2 (4.4%) cases.Conclusion:Penile fracture requires urgent intervention in the urological practice. The majority of the cases occur during sexual intercourse. Although the management of penile fracture is not complicated, postoperative erectile problems are not rare.

Infection is one of the most devastating complications of penile prosthesis implantation. Although the infection prevalence have decreased owing to new technologies and growing surgical experience, it is still a troublesome situation. We present a 50-year-old male patient who had necrotizing fungal infection after penile prosthesis implantation caused by Trichosporon asahii.

Intrauterine contraceptive devices (IUDs) are frequently used for birth control. Side-effects such as vaginal bleeding and localized pelvic pain are most common, and uterine perforation and migration of the adjacent organs are rare, but serious, complications. Herein we present the case of a 46-year-old woman who had a bladder stone because of an IUD that had migrated to the bladder and encrusted.

Introduction: This study aimed to evaluate the clinical results of penile prosthesis implantation for treating patients with organic erectile dysfunction (ED).Methods: Between January 2006 and December 2015, medical records of penile prosthesis implantation for treating 47 patients with organic ED were retrospectively reviewed. The demographic data of patients, causes and duration of ED, operation time, hospitalization time, types of prosthesis, and intra- and postoperative complications were evaluated.Results: The mean age of patients was 54.63±9.69 years, and the mean body mass index of the patients was 26.71±6.57 kg/m2. The mean duration of ED was 45.36±24.82 months. Etiological factors were diabetes mellitus in 30 patients (%64), cardiovascular diseases in eight (%17), radical pelvic surgery in four (9%), radiotherapy in two (4%), spinal surgery in two (4%), and genital trauma in one (2%). Thirty-three patients (70.2%) were smokers. The mean operation time was 109.6±28.41 min, and the mean hospitalization time was 2.64±1.57 days. In 42 patients (88.8%) who were implanted with malleable penile prosthesis, malleable penile prostheses of two different trademarks were used. Five (11.2%) inflatable penile prostheses were implanted in the remaining patients. The penile prosthesis implantation was performed under general anesthesia with antibiotic prophylaxis using vancomycin and gentamicin. No preoperative complications were observed. Postoperative complications were acute urinary retention in one patient, penile pain in one, and re-implantation because of mechanical failure in one. Two prostheses were completely removed because of an infection. The patients were followed up for 21.04±28.72 months. The satisfaction rate of the patients was 67%.Conclusion: Although penile prosthesis implantation is an invasive treatment option for patients with organic ED, it can be safely and effectively performed in these patients. Despite appropriate surgical techniques, infection is the most common complication of this operation, although it provides patient and their partner’s satisfaction.