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Introduction: We aimed to investigate the diagnostic value of International Prostate Symptom Score voiding symptom score (IPSS-VS) and Bristol Female Lower Urinary Tract Symptoms-short form voiding score (BFLUTS-VS) in female patients with urodynamically diagnosed voiding dysfunction. Methods: The medical records of female patients who underwent urodynamic examination between May 2007 and November 2021 for lower urinary tract complaints were retrospectively evaluated. A total of 1858 female patients were included in the study. Patients investigated between 2007 and 2014 were asked to fill the IPSS, and patients investigated after 2015 were asked to fill the BFLUTS-SF. Results: The mean age of the patients was 49.06 ± 0.33 in the IPSS group and 50.02 ± 0.47 in the BFLUTS group. On the pressure flow study, voiding dysfunction was found in 14.8 (n = 95) in the IPSS group and 15.1 (n = 183) in the BFLUTS group. The area under curve value was found to be 0.58 for IPSS and 0.64 for BFLUTS. Threshold values were found as >9 for IPSS-VS and >4 for BFLUTS-VS. The sensitivity, specificity, false negative, and false positive rates for IPSS-VS were 33.3, 78.8, 66.7, and 21.2, respectively. The same parameters were 45.5, 78.9, 54.5, and 21.1 for BFLUTS-VS, respectively. Conclusion: The diagnostic performance of both the questionnaires was found to be low for diagnosing voiding dysfunction in female patients according to our data. Therefore, the assessment of the voiding phase in women should not solely rely on the current questionnaires. However, further studies using questionnaires including all voiding symptoms are required., Author(s): Mehmet Erkan Erbay (corresponding author) [1]; Burcu Hanci Sevinç [2]; Fatih Tarhan [3] INTRODUCTION Female voiding dysfunction is defined as 'symptoms and urodynamic investigations as abnormally slow and/or incomplete [...]

Introduction: The primary objective of this investigation is to explore the impact of ejaculation on urinary flow rates in men experiencing lower urinary tract symptoms. Materials and Methods: This study involved the enrollment of 55 male patients who presented with lower urinary tract symptoms. An assessment encompassed components, including medical history, questionnaires related to sexual activity and lower urinary tract symptoms, bladder diary, physical examination, urinalysis, urine culture, ultrasound examination and measurements of serum prostate‐specific antigen, free flow uroflowmetry, and post‐void residual urine volume. All participants were instructed to abstain from ejaculation for 3 days before undergoing uroflowmetry (UF1). Subsequently, they were required to ejaculate. Subsequent uroflowmetry assessments were conducted at 2 to 4 h (UF2) and 48 to 50 h (UF3) after ejaculation. No further ejaculations were permitted during this timeframe. Results: The patients had a mean age of 50.97 ± 1.47 years. Statistically significant differences were observed in the mean values of Qmax and corrected Qmax (cQmax) between UF1 and UF2 measurements (p < 0.05). These differences were only in patients with benign prostatic enlargement (BPE) (p < 0.05). Furthermore, the number of patients with Qmax <15 mL/s showed a statistically significant difference between UF1 and UF2 measurements, specifically in the BPE group (p = 0.016). Conclusions: In this study, we have observed a significant and temporary increase in the Qmax following ejaculation, particularly among patients with BPE. This indicates that ejaculation can potentially complicate the interpretation of uroflowmetry results. Therefore, further research is necessary to gain a more comprehensive understanding of this phenomenon. [ABSTRACT FROM AUTHOR]

Background/Aims: Chronic pelvic pain is defined as pain located to the pelvis or lower abdominal region, lasting for at least 6 months, and not associated with menstruation, coitus or pregnancy. The aim of this study was to investigate the feasibility and effectiveness of transverse friction massage on pain and quality of life in women with chronic pelvic pain. Methods: A total of 20 women participated in this study. Eight sessions of transverse friction massage were performed twice a week for 4 weeks, with each session lasting 30 minutes. Pelvic floor muscles (in terms of tenderness, trigger point, spasm and scar presence) were evaluated by digital palpation by an expert physiotherapist. The outcome measures used were the visual analogue scale, the 36-item Short Form-36 Survey and the Beck Depression Inventory. Participants were evaluated before treatment, at the end of the treatment, and 4 weeks after the end of the treatment. Results: Participants' mean age was 49.7 ± 0.31 years. There was a decrease in pain intensity and an increase in quality of life scores (P<0.001), but no statistically significant improvement in depression status at the end of the treatment (P>0.001). Four weeks after the end of the treatment, significant decreases in pain severity, quality of life and depression were observed (P<0.001). Conclusions: Transverse friction massage is a feasible treatment option that can safely be used by physiotherapists to treat patients with chronic pelvic pain. It is inexpensive and can help to reduce pain and increase patients' quality of life. Randomised controlled trials are recommended to further confirm the findings from this study. [ABSTRACT FROM AUTHOR]

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Background and Objectives: The aim of this study was to investigate the contractile effects of oxytocin (OT) in human detrusor muscle in in vitro conditions.Material and Methods: Human detrusor muscle samples were obtained from seven patients that undergone radical cystectomy. Four female Wistar rats' uterine samples were used as control. Contractile responses were tested of carbachol in organ bath. Cumulative concentration response curves were constructed to OT and then the strips were incubated with atosiban (OT antagonist) and a second concentration response curve to OT were constructed.Results: Carbachol, contracted all human strips for the functionality test whereas OT in any concentrations did not produce significant contraction on all human strips. In only one bladder strip and in a very high concentration slight contraction was recorded. Moreover no contractile response was recorded in any OT concentrations in the presence of atosiban. The rat uterine strips responded to OT in a dose dependent manner. Atosiban, the OT receptor antagonist diminished totally those contractile responses.Conclusion: It is been demonstrated here that there is no contractile response to OT in human detrusor muscle. These findings should be supported by further investigations determining the presence of the OT receptor in human detrusor. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Urological Surgery is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To determine the causes of anxiety about surgery and to assess the impacts of informing about the surgical procedures on anxiety. Methods: Between 18 and 65 years old, 497 patients who were scheduled for elective surgery in the Urology Clinic were included in this study. At the preoperative period, patients were asked to complete the following forms twice, before and after informing about surgery: State-Trait Anxiety Inventory (STAI), Visual Analogue Scale (VAS), European Quality of Life-5 Dimensions (EQ-5D) and the form containing causes of anxiety. Mean scores of STAI and VAS were classified as low, moderate, and high. Results: The mean age of the patients was 56.54±0.58 and the mean STAI value was 39.16±0.42. Factors increasing the level of anxiety were female gender, unemployment and lack of surgical history (p<0.05). No statistically significant difference was found among STAI and VAS scores of the age, educational level, disease (benign - malign) and operation groups. The most frequent causes of anxiety were post-operative pain (38.3%), fear of organ loss (21.3%) and quality of life impairment (18.9%). However, the first reason for anxiety in the group with a high anxiety score was fear of death. After the patients had been informed, the STAI and VAS scores increased. The anxiety levels increased after informing especially the patients who were unemployed women, low educated and undergoing group A (major) operation (p<0.05). STAI was positively correlated with VAS but negatively correlated with EQ-5D (p<0.01). Conclusion: It is observed that the patients who will undergo urological surgery have a moderate anxiety level and the most common cause is postoperative pain. Informing patients in the preoperative period increases the anxiety level. Hence, their quality of life is adversely affected. To understand the effects of informing on anxiety more clearly, new studies, including an uninformed control group, should be conducted. [ABSTRACT FROM AUTHOR]