1
|
Gökalp F, Koraş Ö, Polat S, Şahan M, Eker A, Baba D, Bozkurt İH. Comparison of Preoperative Urine Culture and Intraoperative Renal Pelvis Culture in Patients Who Underwent Flexible Ureterorenoscopy. jus 2022. [DOI: 10.4274/jus.galenos.2022.2021.0129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
2
|
Çelik S, Acar T, Şimşek C, Yeşilova A, Bozkurt İH, Topçu YK, Şefik E, Basmacı İ, Tercan İC, Yarımoğlu S, Değirmenci T, Uslu A. Predictive Value of Ureteral Jet Dynamics to Differentiate Postrenal Obstruction After Renal Transplantation: A Prospective Cohort Study. jus 2020. [DOI: 10.4274/jus.galenos.2020.3564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
3
|
Celik S, Eker A, Bozkurt İH, Bolat D, Basmacı İ, Şefik E, Değirmenci T, Günlüsoy B. Factors affecting biochemical recurrence of prostate cancer after radical prostatectomy in patients with positive and negative surgical margin. Prostate Int 2020; 8:178-184. [PMID: 33425796 PMCID: PMC7767941 DOI: 10.1016/j.prnil.2020.08.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 08/12/2020] [Accepted: 08/30/2020] [Indexed: 11/25/2022] Open
Abstract
Purpose To investigate the clinical and pathological predictive factors affecting biochemical recurrence (BCR) after radical prostatectomy (RP) in patients with positive and negative surgical margin (SM). Methods Patients who underwent RP were retrospectively reviewed for the study. Demographic, clinical, pathological and oncological data were evaluated. All data were compared between patients with positive SM and negative SM to detect factors associated with SM status. Later, patients were divided into two groups as BCR-negative and BCR-positive groups. Data were separately compared between BCR groups for all patients, SM-negative and SM-positive patients, respectively. Results A total of 254 patients with a mean age of 63.5 years and the mean prostate-specific antigen of 10.9 ng/ml were evaluated in the study. SM positivity was found to be an independent prognostic factor for BCR (p = 0.013, Odds Ratio (OR): 0.267, 95% Confidence Interval (CI): 0.094-0.755). In SM-positive patients, biopsy Gleason Score and International Society of Urological Pathology grade were found to be independent predictive factors for BCR (p < 0.05). However, only tumor to SM distance (TSMD) was found to be an independent risk factor for BCR (p = 0.024) in SM-negative patients. The predictive cutoff value of the TSMD was found to be 75 μm for BCR (100% sensitivity and 63.9% specificity) (AUC = 0.803, p = 0.024). Although all of 46 patients with >75 μm TSMD were recurrence free, 5 of 31 patients with <75 μm TSMD had BCR (p = 0.009; OR: 0.839 CI: 0.719-0.979). Conclusion High Gleason Score and International Society of Urological Pathology grade of biopsy were found to be associated with BCR in SM-positive patients. For SM-negative patients, only TSMD was found to be associated with BCR after RP.
Collapse
Affiliation(s)
- Serdar Celik
- Health Science University, Izmir Bozyaka Training and Research Hospital, Urology Clinic, Izmir, Turkey.,Dokuz Eylul University, Institute of Oncology, Department of Basic Oncology, Izmir, Turkey
| | - Anıl Eker
- Health Science University, Izmir Bozyaka Training and Research Hospital, Urology Clinic, Izmir, Turkey
| | - İbrahim Halil Bozkurt
- Health Science University, Izmir Bozyaka Training and Research Hospital, Urology Clinic, Izmir, Turkey
| | - Deniz Bolat
- Health Science University, Izmir Bozyaka Training and Research Hospital, Urology Clinic, Izmir, Turkey
| | - İsmail Basmacı
- Health Science University, Izmir Bozyaka Training and Research Hospital, Urology Clinic, Izmir, Turkey
| | - Ertuğrul Şefik
- Health Science University, Izmir Bozyaka Training and Research Hospital, Urology Clinic, Izmir, Turkey
| | - Tansu Değirmenci
- Health Science University, Izmir Bozyaka Training and Research Hospital, Urology Clinic, Izmir, Turkey
| | - Bülent Günlüsoy
- Health Science University, Izmir Bozyaka Training and Research Hospital, Urology Clinic, Izmir, Turkey
| |
Collapse
|
4
|
Basmacı İ, Çelik S, Şefik E, Aydın E, Yarımoğlu S, Bozkurt İH, Değirmenci T. Evaluation of the Prognostic Value of Preoperative Neutrophil-tolymphocyte Ratio in Renal Cell Carcinoma. jus 2019. [DOI: 10.4274/jus.galenos.2018.2204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
5
|
Şefik E, Çelik S, Günlüsoy B, Basmacı İ, Yarımoğlu S, Bozkurt İH, Değirmenci T, Dinçel Ç. Influence of preoperative hydronephrosis and ureteral orifice involvement in the survival of patients undergoing radical cystectomy: A retrospective comparative study. Turk J Urol 2019; 45:S49-S55. [PMID: 30978166 DOI: 10.5152/tud.2019.09515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Accepted: 11/26/2018] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The aim of the present study was to evaluate the influence of preoperative hydronephrosis and ureteral orifice involvement (UOI) on survival of patients undergoing radical cystectomy (RC) for bladder cancer (BC). MATERIAL AND METHODS A total of 162 patients with BC underwent RC between January 2006 and March 2017. Patients were divided into two groups for both presences of preoperative hydronephrosis and orifice involvement at final pathology. Additionally, tumors with orifice involvement were subgrouped histopathologically after RC as those with only UOI and those with invasive to the ureter with an additional concurrent site at final pathology. RESULTS Preoperative hydronephrosis was detected in 57 patients. Preoperative and postoperative creatinine on month 3 were higher in the preoperative hydronephrosis (+) group (p<0.001). In addition, postoperative T stage, surgical margin positivity, invasion of urethra, and pathological upstaging were higher in this group. Cancer-specific survival (CSS) and overall survival (OS) were better in the hydronephrosis (-) group than in the hydronephrosis (+) group (p=0.001 and p=0.001, respectively). Preoperative hydronephrosis was found to be an independent factor in pathological upstaging. Patients were divided into two groups according to the presence of UOI. Group 1 consisted of patients without UOI, and group 2 with UOI. Preoperative hydronephrosis, hydronephrosis grade, and T stage were statistically higher in tumors with UOI. Moreover, CSS and OS were lower in group 2 than in group 1. CONCLUSION Preoperative hydronephrosis and UOI are predicting factors on survival of patients undergoing RC for BC. Preoperative hydronephrosis was found to be an independent factor in pathological upstaging.
Collapse
Affiliation(s)
- Ertuğrul Şefik
- Department of Urology, Health Sciences University, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Serdar Çelik
- Department of Urology, Health Sciences University, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Bülent Günlüsoy
- Department of Urology, Health Sciences University, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - İsmail Basmacı
- Department of Urology, Health Sciences University, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Serkan Yarımoğlu
- Department of Urology, Health Sciences University, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - İbrahim Halil Bozkurt
- Department of Urology, Health Sciences University, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Tansu Değirmenci
- Department of Urology, Health Sciences University, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Çetin Dinçel
- Department of Urology, Health Sciences University, Bozyaka Training and Research Hospital, İzmir, Turkey
| |
Collapse
|
6
|
Koraş Ö, Bozkurt İH, Yarımoğlu S, Aydın ME, Avcı S, Usturalı Keskin E. Primer retroperitoneal hidatik kist. Cukurova Medical Journal 2019. [DOI: 10.17826/cumj.430988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
7
|
Koraş Ö, Aydın ME, Bozkurt İH, Aydoğdu Ö, Yonguç T, Yarımoğlu S. Poliorşidizm olgusu: aksesuar testiste mikrokalsifikasyon. Cukurova Medical Journal 2018. [DOI: 10.17826/cumj.350202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
8
|
Tavukçu HH, Bozkurt İH, Tinay İ, Akbal C. A Rare Urologic Emergency of Penile Strangulation with a Metallic Ring. jus 2017. [DOI: 10.4274/jus.627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
9
|
Bolat D, Aydoğdu Ö, Polat S, Yarımoğlu S, Bozkurt İH, Yonguç T, Şen V. Predictive value of preoperative neutrophil-to-lymphocyte ratio on the prognosis of germ cell testicular tumors. Turk J Urol 2016; 43:55-61. [PMID: 28270952 DOI: 10.5152/tud.2016.38924] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Accepted: 08/01/2016] [Indexed: 12/23/2022]
Abstract
OBJECTIVE We investigated the prognostic value of preoperative neutrophil-to-lymphocyte ratio (NLR) on germ cell testicular tumors (GCT). MATERIAL AND METHODS The data of 53 patients who underwent inguinal orchiectomy were analyzed retrospectively. NLR was calculated from the preoperative complete blood cell counts. Receiver operating characteristic (ROC) analysis was performed to find the threshold values for NLR. Correlations between cancer-specific survival (CSS) and progression-free survival (PFS) and NLR were evaluated. RESULTS The mean follow-up time was 23.55±18.06 months. The mean level of NLR was 3.08±1.81. Optimal threshold values of NLR was calculated as 3.55 for PFS (area under curve, AUC: 0.55) and 3.0 for CSS (AUC: 0.66). For patients with a NLR of <3.55 and NLR of ≥3.55, mean times-to-progression were 55.71 months (95% CI, 51.27-60.14) and 51.95 months (95% CI, 38.02-65.87, p=0.152), respectively. As well as, for patients with a NLR of <3.0 and NLR of ≥3.0, mean times-to-cancer specific death were 54.72 months (95% CI, 49.05-60.38) and 49.43 months (95% CI, 37.64-61.22, p=0.119), respectively. CONCLUSION Preoperative NLR is not a useful tool to predict the prognosis of patients with GCT.
Collapse
Affiliation(s)
- Deniz Bolat
- Clinic of Urology, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Özgü Aydoğdu
- Clinic of Urology, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Salih Polat
- Clinic of Urology, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Serkan Yarımoğlu
- Clinic of Urology, Bozyaka Training and Research Hospital, İzmir, Turkey
| | | | - Tarık Yonguç
- Clinic of Urology, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Volkan Şen
- Clinic of Urology, Bozyaka Training and Research Hospital, İzmir, Turkey
| |
Collapse
|
10
|
Küçüktürkmen İ, Şen V, Bozkurt İH, Yonguç T, Aydoğdu Ö, Değirmenci T. Co-insidental, Ipsilateral Renal Cell Carcinoma and Urothelial Carcinoma of Ureter: A Rare Case. Haseki 2016. [DOI: 10.4274/haseki.2723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
11
|
Yonguç T, Şen V, Değirmenci T, Bozkurt İH, Yarımoğlu S, Kozacıoğlu Z, Aydoğdu Ö, Günlüsoy B. Percutaneous Sclerotherapy with Aethoxysklerol in the Treatment of Simple Renal Cyst: A Five-Year Experience of a Single Institution. jus 2015. [DOI: 10.4274/jus.394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
12
|
Bozkurt İH, Yonguç T, Aydoğdu Ö, Değirmenci T, Arslan M, Minareci S. Use of a microdebrider for corporeal excavation and penile prosthesis implantation in men with severely fibrosed corpora cavernosa: a new minimal invasive surgical technique. Turk J Urol 2015; 41:119-24. [PMID: 26516594 DOI: 10.5152/tud.2015.36539] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To propose a new minimal invasive surgical technique using a microdebrider (shaver) to excavate the fibrosed corpora cavernosa for penile prosthesis implantation in patients with severe fibrosis. MATERIAL AND METHODS Two patients with severe corporeal fibrosis were implanted with a penile prosthesis using this technique. In the first patient, fibrosis was due to neglected idiopathic ischemic priapism and the second patient had his prosthesis extruded because of erosion in another center. Both patients were counseled about the procedure and the possible complications related to the experimental nature of the technique. A written informed consent was obtained from both patients. Excavation of the corpora was performed using microdebrider in both patients. RESULTS Both operations were performed successfully without any intraoperative complications, including urethral injury or perforation of the tunica. The mean operation time was 57 min. The postoperative period was uneventful without any infection, migration, erosion, or mechanical failure. The penile length was increased nearly 2 cm in both patients, and the penile girth was increased around 30% in the patient who underwent inflatable penile prosthesis implantation. CONCLUSION The microdebrider potentially provides an important advance in patients with severe corporeal fibrosis to excavate the fibrosed corpora cavernosa for penile prosthesis implantation. The main advantages include fast, safe, and effective excavation of fibrous corpora cavernosa adequate for a satisfactory penile prosthesis implantation.
Collapse
Affiliation(s)
| | - Tarık Yonguç
- Clinic of Urology, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Özgü Aydoğdu
- Clinic of Urology, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Tansu Değirmenci
- Clinic of Urology, Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Murat Arslan
- Department of Urology, İzmir University Faculty of Medicine, İzmir, Turkey
| | - Süleyman Minareci
- Clinic of Urology, Bozyaka Training and Research Hospital, İzmir, Turkey
| |
Collapse
|
13
|
Arslan B, Bozkurt İH, Yonguç T, Günlüsoy B, Değirmenci T, Aydoğdu Ö, Minareci S, Akbulut MF, Berberoğlu AY, Gürbüz ZG. Squamous Cell Carcinoma of the Bladder: 15 Years of Experience. Haseki 2015. [DOI: 10.4274/haseki.2096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
14
|
Bozkurt İH, Yonguç T, Arslan B, Postacı H, Günlüsoy B, Şahin T, Polat S. Renal Hemangiopericytoma. Haseki 2015. [DOI: 10.4274/haseki.1867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
15
|
Bozkurt İH, Yalçınkaya F, Sertçelik MN, Zengin K. Comparison of uni-and bilateral buccal mucosa harvesting in terms of oral morbidity. Turk J Urol 2013; 39:43-7. [PMID: 26328077 DOI: 10.5152/tud.2013.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2012] [Accepted: 08/14/2012] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To evaluate the intraoral morbidity associated with uni- or bilateral buccal mucosa graft harvesting in the treatment of urethral stricture. MATERIAL AND METHODS Forty-two men with anterior urethral stricture who were treated with dorsal onlay buccal mucosal graft urethroplasty were enrolled in this study. The graft was harvested from both cheeks in patients with a stricture length of ≥7 cm and from one cheek, if the stricture length was <7 cm. The postoperative pain scores, the time required both to return to a regular diet, and also to achieve full mouth opening, intrtaoral numbness and the salivary changes were compared between two groups. RESULTS The bilateral buccal mucosal graft harvest group was disadvantaged in terms of the 7(th) day pain score, the time required both to return to a regular diet also to achieve full mouth opening (p<0.05). No significant intergroup differences were found in the terms of salivary changes and intraoral numbness. CONCLUSION Although, intraoral morbidity of bilateral buccal mucosa graft harvesting is more marked than that of the unilateral harvesting, in the short term, it is well tolerated by the patients in the long term.
Collapse
Affiliation(s)
| | - Fatih Yalçınkaya
- First Urology Clinic, Yıldırım Beyazıt Ankara Dışkapı Training and Research Hospital, Ankara, Turkey
| | - Memduh Nurettin Sertçelik
- First Urology Clinic, Yıldırım Beyazıt Ankara Dışkapı Training and Research Hospital, Ankara, Turkey
| | - Kürşad Zengin
- First Urology Clinic, Yıldırım Beyazıt Ankara Dışkapı Training and Research Hospital, Ankara, Turkey
| |
Collapse
|