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Ogreden E, Oguz U, Demirelli E, Tok DS, Aslan S, Tok B, Çiftçi OÇ, Akyol S, Altun E, Ahmadlı C, Semiz U, Batur H. The role of multiparametric magnetic resonance ımaging in the diagnosis of granulomatous prostatitis mimicking prostate cancer. Abdom Radiol (NY) 2024:10.1007/s00261-024-04288-7. [PMID: 38652127 DOI: 10.1007/s00261-024-04288-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 02/09/2024] [Revised: 03/08/2024] [Accepted: 03/09/2024] [Indexed: 04/25/2024]
Abstract
PURPOSE Aimed to investigate the role of multiparametric magnetic resonance imaging (mp-MRI) in the diagnosis of granulomatous prostatitis caused by intravesical Bacillus Calmette-Guérin (BCG). METHODS In this prospective, single-center study, 10 male patients who were given intravesical BCG due to intermediate- and high-risk bladder cancer were included. Before transurethral resection of bladder tumors (TURB), all patients were evaluated by mp-MRI, serum prostate-specific antigen (PSA), and digital rectal examination (DRE). Serum PSA levels and DRE findings were evaluated before and after intravesical BCG treatment. Prostate mp-MRI was performed for patients with elevated levels of serum PSA and/or with abnormal DRE findings. Then, MRI fusion + systematic prostate biopsy was performed. Demographic data of the patients before and after intravesical BCG were compared. RESULTS The average age of the patients was 66.9 years (55-87 years). While PSA was 1.7 ng/ml before intravesical BCG treatment, it was 4.3 ng/ml after intravesical BCG treatment (p = 0.005). PSA density (PSAD) was 0.04 and 0.10 before and after the treatment, respectively (p = 0.012). DRE findings of all patients were normal before the treatment. However, abnormal findings were detected in 80% of them after the treatment (p = 0.008). PI-RADS ≥ 3 lesions were found to be significantly higher in all patients after intravesical BCG (p = 0.004). CONCLUSION Granulomatous prostatitis is a rare complication of intravesical BCG. High PSA, abnormal DRE, and PI-RADS ≥ 3 lesions detected after intravesical BCG should suggest granulomatous prostatitis and unnecessary biopsies may be avoided.
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Affiliation(s)
- Ercan Ogreden
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey.
| | - Ural Oguz
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Erhan Demirelli
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Doğan Sabri Tok
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Serdar Aslan
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Birgül Tok
- Department of Patology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | | | - Safa Akyol
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Ertürk Altun
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Chingiz Ahmadlı
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Uğur Semiz
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Hüseyin Batur
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
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Onder RO, Aslan S, Demirelli E. Prostatic embryonal rhabdomyosarcoma in an adult. Br J Hosp Med (Lond) 2024; 85:1. [PMID: 38416525 DOI: 10.12968/hmed.2023.0340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Affiliation(s)
- Ramazan O Onder
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Serdar Aslan
- Department of Radiology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Erhan Demirelli
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
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Oğuz ID, Oğuz U, Usta M, Kulaklı S, Tosun A, Demirelli E, Akşan B, Emecen Ö, Yüzüak E. Relationship between psoriasis and urolithiasis. J Dermatol 2024; 51:280-286. [PMID: 38087833 DOI: 10.1111/1346-8138.17058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 10/25/2023] [Accepted: 11/12/2023] [Indexed: 02/04/2024]
Abstract
The aim of the present study was to investigate whether patients with psoriasis are prone to urolithiasis. Prospective analysis of 67 patients diagnosed as psoriasis (PS group) and 65 volunteers who had never been diagnosed as psoriasis (NPS group) was performed. The levels of oxalate, citrate, calcium, uric acid, magnesium, creatinine, and sodium were evaluated by analyzing the 24-h urine samples. Stone events were detected in 13 patients (19.4%) in the PS group and in five participants (7.7%) in the NPS group, respectively (P < 0.05). The median value of 24-h citrate was significantly lower in the PS group than in the NPS group (P = 0.029). The median value of 24-h urine uric acid was significantly higher in the PS group than the NPS group (P = 0.005). Hypernatriuria was significantly higher in the PS group (P = 0.027). Hyperuricosuria was detected in the 10.4% and 1.5% of patients who had severe and mild disease, respectively (P = 0.027). Patients with psoriasis are more prone to urolithiasis. Hypocitraturia, hyperuricosuria, and hypernatriuria were the main metabolic abnormalities detected in psoriasis. Hyperuricosuria has been associated with the severity of the disease.
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Affiliation(s)
- Işıl Deniz Oğuz
- Department of Dermatology, Giresun University School of Medicine, Giresun, Turkey
| | - Ural Oğuz
- Department of Urology, Giresun University School of Medicine, Giresun, Turkey
| | - Murat Usta
- Department of Medical Biochemistry, Giresun University School of Medicine, Giresun, Turkey
| | - Sevgi Kulaklı
- Department of Dermatology, Giresun University School of Medicine, Giresun, Turkey
| | - Alptekin Tosun
- Department of Radiology, Giresun University School of Medicine, Giresun, Turkey
| | - Erhan Demirelli
- Department of Urology, Giresun University School of Medicine, Giresun, Turkey
| | - Burak Akşan
- Department of Dermatology, Giresun University School of Medicine, Giresun, Turkey
| | - Ömer Emecen
- Department of Medical Biochemistry, Giresun University School of Medicine, Giresun, Turkey
| | - Erdem Yüzüak
- Department of Radiology, Giresun University School of Medicine, Giresun, Turkey
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Öğreden E, Oguz U, Demirelli E, Sabri Tok D, Akyol S, Öksüz H, Aslan S. Transperitoneal Laparoscopic Adrenalectomy for Metachronous Contralateral Adrenal Metastasis from Oligometastatic Renal Cell Cancer: Case Report and Review of the Literature. Curr Med Imaging 2023; 20:CMIR-EPUB-135491. [PMID: 37904565 DOI: 10.2174/0115734056244676231016094516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 02/07/2023] [Revised: 08/31/2023] [Accepted: 09/01/2023] [Indexed: 11/01/2023]
Abstract
BACKGROUND The definition of oligometastasis is still controversial. Cytoreductive nephrectomy and metastasectomy are important approaches in selected patients with oligometastasis for improving survival. We aimed to present our laparoscopic metastasectomy experience in a rare case of contralateral adrenal metastasis in an oligometastatic kidney tumor. CASE REPORT A 52-year-old male patient was admitted to our clinic with the diagnosis of an incidental right renal mass. On contrast-enhanced abdominal CT revealed a mass reaching approximately 8 cm in diameter in the right kidney located in the middle pole. On contrast-enhanced thorax, CT showed a metastatic lesion in the left main bronchus bifurcation. The patient underwent an open radical nephrectomy with the diagnosis of an oligometastatic right renal mass. His pathology was reported as clear cell renal cell carcinoma (ccRCC). The patient was referred to the medical oncology clinic for immunotherapy. The metastatic lesion in the lung completely regressed in the follow-up of the patient who was started on Chek point inhibitors. However, he was referred to our clinic after an incidental metachronous mass was detected in the contralateral left adrenal in FDG PET/CT (SUVmax: 6.7) in 1st year. Dynamic contrast-enhanced MRI was performed to reevaluate and for mass characterization, and a 4 cm mass was observed in the left contralateral adrenal. Laparoscopic metastasectomy was performed for the left adrenal mass. No recurrence or adrenal insufficiency developed in the 6-month follow-up after discharge. CONCLUSION Transperitoneal adrenalectomy is a minimally invasive method that can be safely performed in metastatic adrenal masses. Although contralateral adrenal metastasis is rare in ccRCC, it should be kept in mind that adrenal metastasis may develop in the late period in patients with a history of renal cancer.
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Affiliation(s)
- Ercan Öğreden
- Department of Urology, Giresun University, Faculty of Medicine, Giresun, Turkey
| | - Ural Oguz
- Department of Urology, Giresun University, Faculty of Medicine, Giresun, Turkey
| | - Erhan Demirelli
- Department of Urology, Giresun University, Faculty of Medicine, Giresun, Turkey
| | - Doğan Sabri Tok
- Department of Urology, Giresun University, Faculty of Medicine, Giresun, Turkey
| | - Safa Akyol
- Department of Urology, Giresun University, Faculty of Medicine, Giresun, Turkey
| | - Hülya Öksüz
- Department of Pathology, Giresun University, Faculty of Medicine, Giresun, Turkey
| | - Serdar Aslan
- Department of Radiology, Giresun University, Faculty of Medicine, Giresun, Turkey
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Baran C, Culha MG, Bayraktarli RY, Ozgur BC, Bayraktar AB, Oktem C, Cek HM, Akgul B, Alkan A, Aglamis E, Ogras MS, Kacan T, Kaya C, Aydin ME, Ergun KE, Yoldas M, Cakan M, Durak HM, Gonultas S, Bulut B, Dogan K, Efiloglu O, Akalin MK, Yildirim A, Danacioglu YO, Demirelli E, Balci MBC, Gezmis CT, Tuncer M, Can M, Kirdag MK, Aydin M, Yazar S, Calik G, Guzelburc V, Guzel A, Otunctemur A, Kadioglu A. The prevalence and topographic distribution of penile calcification in a large cohort: a retrospective cross-sectional study. Int J Impot Res 2023:10.1038/s41443-023-00758-6. [PMID: 37660216 DOI: 10.1038/s41443-023-00758-6] [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: 03/04/2023] [Accepted: 08/18/2023] [Indexed: 09/04/2023]
Abstract
The prevalence of penile calcification in the population remains uncertain. This retrospective multicenter study aimed to determine the prevalence and characteristics of penile calcification in a large cohort of male patients undergoing non-contrast pelvic tomography. A total of 14 545 scans obtained from 19 participating centers between 2016 and 2022 were retrospectively analyzed within a 3-months period. Eligible scans (n = 12 709) were included in the analysis. Patient age, penile imaging status, presence of calcified plaque, and plaque measurements were recorded. Statistical analysis was performed to assess the relationships between calcified plaque, patient age, plaque characteristics, and plaque location. Among the analyzed scans, 767 (6.04%) patients were found to have at least one calcified plaque. Patients with calcified plaque had a significantly higher median age (64 years (IQR 56-72)) compared to those with normal penile evaluation (49 years (IQR 36-60) (p < 0.001). Of the patients with calcified plaque, 46.4% had only one plaque, while 53.6% had multiple plaques. There was a positive correlation between age and the number of plaques (r = 0.31, p < 0.001). The average dimensions of the calcified plaques were as follows: width: 3.9 ± 5 mm, length: 5.3 ± 5.2 mm, height: 3.5 ± 3.2 mm, with an average plaque area of 29 ± 165 mm² and mean plaque volume of 269 ± 3187 mm³. Plaques were predominantly located in the proximal and mid-penile regions (44.1% and 40.5%, respectively), with 77.7% located on the dorsal side of the penis. The hardness level of plaques, assessed by Hounsfield units, median of 362 (IQR 250-487) (range: 100-1400). Patients with multiple plaques had significantly higher Hounsfield unit values compared to those with a single plaque (p = 0.003). Our study revealed that patients with calcified plaques are older and have multiple plaques predominantly located on the dorsal and proximal side of the penis.
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Affiliation(s)
- Caner Baran
- Department of Urology, University of Health Science, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey.
| | - Mehmet Gokhan Culha
- Department of Urology, University of Health Science, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey
| | - Recep Yilmaz Bayraktarli
- Department of Radiology, University of Health Science, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey
| | - Berat Cem Ozgur
- Department of Urology, University of Health Science, Ankara Education and Research Hospital, Ankara, Turkey
| | - Arif Bedirhan Bayraktar
- Department of Urology, University of Health Science, Ankara Education and Research Hospital, Ankara, Turkey
| | - Cagri Oktem
- Department of Urology, University of Health Science, Ankara Education and Research Hospital, Ankara, Turkey
| | - Hakki Mete Cek
- Department of Urology, Trakya University Faculty of Medicine, Edirne, Turkey
| | - Burak Akgul
- Department of Urology, Trakya University Faculty of Medicine, Edirne, Turkey
| | - Aykut Alkan
- Department of Radiology, Trakya University Faculty of Medicine, Edirne, Turkey
| | - Erdogan Aglamis
- Department of Urology, University of Health Science, Elazig Fethi Sekin City Hospital, Elazig, Turkey
| | - Mehmet Sezai Ogras
- Department of Urology, University of Health Science, Elazig Fethi Sekin City Hospital, Elazig, Turkey
| | - Turgay Kacan
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Coskun Kaya
- Department of Urology, Eskisehir City Hospital, Ankara, Turkey
| | | | - Kasim Emre Ergun
- Department of Urology, Ege University Faculty of Medicine, İzmir, Turkey
| | - Mehmet Yoldas
- Department of Urology, Tepecik Education and Research Hospital, İzmir, Turkey
| | - Murat Cakan
- Department of Urology, University of Health Science, Diskapi Education and Research Hospital, Ankara, Turkey
| | - Huseyin Mert Durak
- Department of Urology, University of Health Science, Diskapi Education and Research Hospital, Ankara, Turkey
| | - Serkan Gonultas
- Department of Urology, Gaziosmanpasa Education and Research Hospital, İstanbul, Turkey
| | - Berk Bulut
- Department of Urology, Gaziosmanpasa Education and Research Hospital, İstanbul, Turkey
| | - Kazim Dogan
- Department of Urology, Gaziantep Private Liv Hospital, Gaziantep, Turkey
| | - Ozgur Efiloglu
- Department of Urology, Istanbul Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey
| | - Mustafa Kaan Akalin
- Department of Urology, Istanbul Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey
| | - Asif Yildirim
- Department of Urology, Istanbul Goztepe Prof. Dr. Suleyman Yalcin City Hospital, Istanbul, Turkey
| | - Yavuz Onur Danacioglu
- Department of Urology, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey
| | - Erhan Demirelli
- Department of Urology, Giresun University Faculty of Medicine, Giresun, Turkey
| | - Mustafa Bahadir Can Balci
- Department of Urology, University of Health Science, Istanbul Taksim Health Application and Research Center, Istanbul, Turkey
| | - Cem Tugrul Gezmis
- Department of Urology, University of Health Science, Istanbul Taksim Health Application and Research Center, Istanbul, Turkey
| | - Murat Tuncer
- Department of Urology, University of Health Science, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
| | - Murat Can
- Department of Urology, University of Health Science, Kartal Dr. Lutfi Kirdar City Hospital, Istanbul, Turkey
| | | | - Mustafa Aydin
- Department of Urology, Samsun Education and Research Hospital, Samsun, Turkey
| | - Selim Yazar
- Department of Urology, Recep Tayyip Erdogan University Education and Research Hospital, Rize, Turkey
| | - Gokhan Calik
- Istanbul Medipol University, Faculty of Medicine, Istanbul, Turkey
| | - Vahit Guzelburc
- Istanbul Medipol University, Faculty of Medicine, Istanbul, Turkey
| | - Ahmet Guzel
- Department of Urology, Aydin State Hospital, Aydin, Turkey
| | - Alper Otunctemur
- Department of Urology, University of Health Science, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey
| | - Ates Kadioglu
- Department of Urology, Section of Andrology, Istanbul Faculty of Medicine, Istanbul, Turkey
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Kalkanli A, Sönmez SZ, Guvel M, Aglamis E, Araz S, Asfuroglu A, Avci HK, Aydin M, Aydos M, Balci U, Baran C, Bastug Y, Baydilli N, Bayrak O, Benlioglu C, Halil Bozkurt I, Bursali K, Can U, Coser S, Caglar Cakici M, Calik G, Cift A, Cilesiz NC, Demir DO, Demir M, Cihan Demirel H, Dursun M, Demirelli E, Ekenci BY, Eksi M, Ergin G, Ergin IE, Erkan A, Fikri O, Tugrul Gezmis C, Gül A, Guzelsoy M, Ibis MA, Inkaya A, Ipekci T, Karakeci A, Karkin K, Kaya C, Kazan O, Koray Kirdag M, Cagri Kizilcay Y, Koseoglu B, Kucuk E, Gonultas S, Ogras MS, Olgun A, Ordek E, Ozbey I, Sarier M, Senel S, Tahra A, Toprak T, Yigit Yalcin M, Hizir Yavuzsan A, Yazar S, Hacıbey İ, Yildirim K, Yilmaz K, Yilmaz S, Yoldas M, Yuce A, Ozgur Yucel M, Nedim Yuceturk C, de la Rosette J, Kadioglu A. Management of Priapism: Results of a Nationwide Survey and Comparison with International Guidelines. Urol Res Pract 2023; 49:225-232. [PMID: 37877823 PMCID: PMC10544432 DOI: 10.5152/tud.2023.22209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Accepted: 04/06/2023] [Indexed: 10/26/2023]
Abstract
OBJECTIVE The aim of this study is to evaluate current urologic practice regarding the management of priapism in Turkey and compare with international guidelines. METHODS Urologists and urology residents were invited to an online survey consisting of 30 multiple-choice questions on priapism-related clinical practices that were consid- ered most important and relevant to practices by using Google Forms. RESULTS Total number of responses was 340. Respondents reported that they recorded a detailed patient's medical history and physical examination findings (n = 340, 100%) and laboratory testing, which includes corporal blood gas analysis (n=323, 95%). Participants announced that they performed Doppler ultrasound for 1/4 cases (n = 106, 31%), but 22% of the participants (n=75) replied that they performed in >75% of cases. Participants (n=311, 91%) responded that the first-line treatment of ischemic priapism is decompression of the corpus cavernosum. Moreover, most respondents (n = 320, 94%) stated that sympathomimetic injection drugs should be applied as the second step. About three-quarters of respondents (n = 247, 73%) indicated adrenaline as their drug of choice. Phosphodiesterase type 5 inhibitors seems to be the most pre- ferred drug for stuttering priapism (n=141, 41%). Participants (n=284, 84%) replied that corpora-glanular shunts should be preferred as the first. A large number of par- ticipants (n = 239, 70%) declared that magnetic resonance imaging can be performed in cases with delayed (>24 hours) priapism to diagnose corporal necrosis. Most of the participants (84%) responded that penile prosthesis should be preferred to shunts in cases with delayed (>48 hours) priapism. CONCLUSION It would be appropriate to improve the training offered by professional associations and to give more training time to the management of priapism during residency.
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Affiliation(s)
- Arif Kalkanli
- Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey
| | - Salih Zeki Sönmez
- Department of Urology, Bağcılar Education and Research Hospital, Istanbul, Turkey
| | - Mine Guvel
- Istanbul Provincial Health Directorate, Istanbul, Turkey
| | | | - Seyhmuz Araz
- Department of Urology, Esenyurt Necmi Kadıoğlu State Hospital, Istanbul, Turkey
| | | | - Huseyin Kursad Avci
- Department of Urology, Ankara Gülhane Training and Research Hospital, Ankara, Turkey
| | - Memduh Aydin
- Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey
| | - Murat Aydos
- Department of Urology, Bursa Yüksek Ihtisas Training and Research Hospital, Bursa, Turkey
| | - Ugur Balci
- Department of Urology, Katip Çelebi University, School of Medicine, Izmir, Turkey
| | - Caner Baran
- Department of Urology, Okmeydanı Education and Research Hospital, Istanbul, Turkey
| | - Yavuz Bastug
- Department of Urology, Haydarpaşa Education and Research Hospital, Istanbul, Turkey
| | - Numan Baydilli
- Department of Urology, Erciyes University, School of Medicine, Kayseri, Turkey
| | - Omer Bayrak
- Department of Urology, Gaziantep University, School of Medicine, Gaziantep, Turkey
| | - Can Benlioglu
- Department of Urology, Adıyaman University, School of Medicine, Adiyaman, Turkey
| | | | - Kerem Bursali
- Department of Urology, Şişli Etfal Training and Research Hospital, Istanbul, Turkey
| | - Utku Can
- Department of Urology, Kartal Dr Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey
| | - Seref Coser
- Department of Urology, Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
| | - Mehmet Caglar Cakici
- Department of Urology, Göztepe Medeniyet University, School of Medicine, Istanbul, Turkey
| | - Gokhan Calik
- Department of Urology, Medipol University, School of Medicine, Istanbul, Turkey
| | - Ali Cift
- Department of Urology, Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Nusret Can Cilesiz
- Department of Urology, Biruni University, School of Medicine, Istanbul, Turkey
| | | | - Murat Demir
- Department of Urology, Van YY University, School of Medicine, Van, Turkey
| | | | - Murat Dursun
- Department of Urology, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey
| | - Erhan Demirelli
- Department of Urology, Giresun University, School of Medicine, Giresun, Turkey
| | - Berk Yasin Ekenci
- Department of Urology, Dışkapı Training and Research Hospital, Ankara, Turkey
| | - Mithat Eksi
- Department of Urology, Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Giray Ergin
- Department of Urology, Koru Hospital, Ankara, Turkey
| | - Ismail Emre Ergin
- Department of Urology, Cumhuriyet University, School of Medicine, Sivas, Turkey
| | - Anil Erkan
- Department of Urology, Katip Çelebi University, School of Medicine, Izmir, Turkey
| | - Onur Fikri
- Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey
| | - Cem Tugrul Gezmis
- Department of Urology, Taksim Education and Research Hospital, Istanbul, Turkey
| | - Abdullah Gül
- Department of Urology, Bursa Education and Research hospital, Bursa, Turkey
| | - Muhammet Guzelsoy
- Department of Urology, Katip Çelebi University, School of Medicine, Izmir, Turkey
| | - Muhammed Arif Ibis
- Department of Urology, Keçiören Training and Research Hospital, Ankara, Turkey
| | - Abdurrahman Inkaya
- Department of Urology, Ümraniye Training and Research Hospital, Istanbul, Turkey
| | - Tumay Ipekci
- Department of Urology, Bahceşehir University, School of Medicine, Istanbul, Turkey
| | - Ahmet Karakeci
- Department of Urology, Fırat University, School of Medicine, Elazığ, Turkey
| | - Kadir Karkin
- Department of Urology, Adana City Hospital, Adana, Turkey
| | - Coskun Kaya
- Department of Urology, Eskişehir City Hospital, Eskişehir, Turkey
| | - Ozgur Kazan
- Department of Urology, Göztepe Medeniyet University, School of Medicine, Istanbul, Turkey
| | | | - Yigit Cagri Kizilcay
- Department of Urology, Balıkesir University, School of Medicine, Balıkesir, Turkey
| | - Burak Koseoglu
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Emrah Kucuk
- Department of Urology, Akçakale State Hospital, Şanlıurfa, Turkey
| | - Serkan Gonultas
- Department of Urology, aziosmanpaşa Training and Research Hospital, Istanbul, Turkey
| | | | - Ahmet Olgun
- Department of Urology, Elazığ City Hospital, Elazığ, Turkey
| | - Eser Ordek
- Department of Urology, Gazi University, School of Medicine, Ankara, Turkey
| | - Isa Ozbey
- Department of Urology, Kahta State Hospital, Adıyaman, Turkey
| | - Mehmet Sarier
- Department of Urology, Atatürk University, School of Medicine, Erzurum, Turkey
| | - Samet Senel
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Ahmet Tahra
- Department of Urology, Medipol University, School of Medicine, Istanbul, Turkey
| | - Tuncay Toprak
- Department of Urology, Istinye University, School of Medicine, Istanbul, Turkey
| | | | - Abdullah Hizir Yavuzsan
- Department of Urology, Kartal Dr Lütfi Kırdar Training and Research Hospital, Istanbul, Turkey
| | - Selim Yazar
- Department of Urology, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey
| | - İbrahim Hacıbey
- Department of Urology, Rize Training and Research Hospital, Rize, Turkey
| | - Kadir Yildirim
- Department of Urology, Medical Park Hospital, Elazığ, Turkey
| | - Kemal Yilmaz
- Department of Urology, Malatya Training and Research Hospital, Malatya, Turkey
| | - Sercan Yilmaz
- Department of Urology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Mehmet Yoldas
- Department of Urology, Tepecik Training and Research Hospital, Izmir, Turkey
| | - Ahmet Yuce
- Department of Urology, Darende State Hospital, Malatya, Turkey
| | - Mehmet Ozgur Yucel
- Department of Urology, Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Cem Nedim Yuceturk
- Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Jean de la Rosette
- Department of Urology, Medipol University, School of Medicine, Istanbul, Turkey
| | - Ates Kadioglu
- Department of Urology, Section of Andrology, Istanbul University, Istanbul School of Medicine, Istanbul, Turkey On Behalf of Turkish Urology Academy
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Oğuz U, Bekçi T, Öğreden E, Aslan S, Duman A, Demirelli E, Şengül D, Tok DS, Çiftçi OÇ, Tosun A. Prospective assessment of VI-RADS score in multiparametric MRI in bladder cancer: Accuracy and the factors affecting the results. Diagn Interv Radiol 2022; 28:396-402. [PMID: 35997477 DOI: 10.5152/dir.2022.201108] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
PURPOSE We aimed to investigate the accuracy of Vesical Imaging - Reporting and Data System (VI-RADS) in the detection of muscle-invasive bladder cancer (MIBC) and to determine which factors affect the results of this scoring system. METHODS A prospective data analysis of 80 patients who were detected bladder tumor was performed between March 2019 and October 2020. Performed VI-RADS scoring suggest the probability of muscle invasion. Comparison has been made with pathological results to evaluate the accuracy VI-RADS scoring system. Twenty patients were chosen randomly and they were categorized according to VI-RADS for inter-observer agreement statistical assessment by a second experienced radiologist. RESULTS According to VI-RADS scoring system, the sensitivity, specificity, positive predictive value and negative predictive value of mpMRI were 87.5%, 87.5%, 63.6% and 96.6%, respectively. The interobserver agreement expressed as the ICC was 0.72 (95% CI: 0.44-0.84, P < 0.001). In addition, flat appearance of the tumor was an important factor affecting the accuracy of the VI-RADS score. (Odds ratio: 5.3 [95% CI: 1.1-27.0] and relative risk: 1.87 [95% CI: 1.24-2.82]) CONCLUSION: The mpMRI, used in conjunction with VI-RADS, has proven to be an effective imaging method for detecting the muscle invasion in cases of bladder cancer. VI-RADS scoring system can distinguish whether there is a muscle invasive and non-muscle invasive bladder cancer with acceptable accuracy. In addition, flat appearance of the tumor is an important entity that can affect the accuracy of the VIRADS scoring system.
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Affiliation(s)
- Ural Oğuz
- Department of Urology, Giresun University School of Medicine, Giresun, Turkey
| | - Tümay Bekçi
- Department of Radiology, Giresun University School of Medicine, Giresun, Turkey
| | - Ercan Öğreden
- Department of Urology, Giresun University School of Medicine, Giresun, Turkey
| | - Serdar Aslan
- Department of Radiology, Giresun University School of Medicine, Giresun, Turkey
| | - Aslıhan Duman
- Department of Pathology, Giresun University School of Medicine, Giresun, Turkey
| | - Erhan Demirelli
- Department of Urology, Giresun University School of Medicine, Giresun, Turkey
| | - Demet Şengül
- Department of Pathology, Giresun University School of Medicine, Giresun, Turkey
| | - Doğan Sabri Tok
- Department of Urology, Giresun University School of Medicine, Giresun, Turkey
| | | | - Alptekin Tosun
- Department of Radiology, Giresun University School of Medicine, Giresun, Turkey
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Demirelli E, Öğreden E, Tok DS, Demiray Ö, Karadayi M, Oğuz U. Complementary Ureterorenoscopy after extracorporeal Shock Wave Lithotripsy in proximal ureteral stones: success and complications. Rev Assoc Med Bras (1992) 2022; 68:1068-1072. [PMID: 36134836 PMCID: PMC9574975 DOI: 10.1590/1806-9282.20220237] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 05/06/2022] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE The aim of this study was to demonstrate the effect of extracorporeal shock wave lithotripsy application on the success and complications of ureteroscopic lithotripsy in proximal ureter stones. METHODS The data of 87 patients who did not respond to shock wave lithotripsy and underwent ureteroscopic lithotripsy were retrospectively analyzed and classified as group I, and 99 patients who received ureteroscopic lithotripsy as primary treatment were classified as group II. Demographic features, response to treatment, and preoperative and postoperative complications were compared between the two groups. RESULTS There was no difference between the two groups in terms of gender, operation times, stone sizes, and ureteroscope diameters. (p>0.05). Infective complications such as postoperative fever, pyelonephritis, and urosepsis were similar in both groups (p=0.142, p=0.291, and p=0.948). Stone migration was observed in 10 (11.5%) and 6 (6.1%) patients in groups I and II, respectively (p=0.291). Impacted stone was seen in 47 (54%) patients in group I and in 15 (15.2%) patients in group II (p<0.0001). Mucosal laceration occurred in 11 (12.6%) and 3 (3%) patients in groups I and II, respectively (p=0.028). Ureteral perforation was detected in 3 (3.4%) patients in group I and 1 (1%) patient in group II, whereas ureteral avulsion was not observed in either group (p=0.524). CONCLUSIONS It was concluded that the application of shock wave lithotripsy before ureteroscopic lithotripsy in proximal ureter stones did not affect the success. Although the results are similar in terms of postoperative infection, shock wave lithotripsy application has been found to increase the risk of stone impaction into the mucosa and ureteral laceration.
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Affiliation(s)
- Erhan Demirelli
- Giresun University, Faculty of Medicine, Department of Urology - Giresun, Turkey
| | - Ercan Öğreden
- Giresun University, Faculty of Medicine, Department of Urology - Giresun, Turkey
| | - Doğan Sabri Tok
- Giresun University, Faculty of Medicine, Department of Urology - Giresun, Turkey
| | - Özay Demiray
- Prof. Dr. A. İlhan Özdemir Training and Research Hospital, Department of Urology - Giresun, Turkey
| | - Mehmet Karadayi
- Giresun University, Faculty of Medicine, Department of Urology - Giresun, Turkey
| | - Ural Oğuz
- Giresun University, Faculty of Medicine, Department of Urology - Giresun, Turkey
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Aslan S, Cakir IM, Oguz U, Bekci T, Demirelli E. Comparison of the diagnostic accuracy and validity of biparametric MRI and multiparametric MRI-based VI-RADS scoring in bladder cancer; is contrast material really necessary in detecting muscle invasion? Abdom Radiol (NY) 2022; 47:771-780. [PMID: 34919161 DOI: 10.1007/s00261-021-03383-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2021] [Revised: 12/07/2021] [Accepted: 12/08/2021] [Indexed: 12/13/2022]
Abstract
PURPOSE (1) To evaluate the accuracy and validity of the biparametric MRI (bp-MRI), including T2-weigthed image (WI) and DWI sequences, and the availability of an alternative to the multiparametric MRI (mp-MRI), for the muscle-invasiveness assessment of bladder cancer (BC). (2) To evaluate the diagnostic performance and agreement of readers with different experiences in the abdominal imaging of using both protocols. METHODS Preoperative bladder mp-MRI was performed on 128 patients with a initial diagnosis of BC. Two sets of images, set 1 (bp-MRI) and set 2 (mp-MRI), were independently evaluated by both readers. Descriptive statistics, including sensitivity, specificity, accuracy, and area under the curve (AUC), for VI-RADS scores were calculated using ≥ 4 as the cutoff for muscle invasion for each reader and image sets. Inter-reader agreement was evaluated using the Cohen's kappa coefficient. RESULTS The sensitivity ranged between 90.3-93.5% and 87.1-90.3%, specificity ranged between 96.6-99.1% and 91.6-96.6%, accuracy ranged between 96-97.3% and 91.3-94.6%, and AUC ranged between 0.947-0.951 and 0.919-0.921, for bp-MRI and mp-MRI, and reader 1 and reader 2, respectively. No significant differences were shown in diagnostic performance for either reader between both the protocols (p = 0.238 and 0.318). There was excellent agreement among the readers in the VI-RADS scores, using both protocols. CONCLUSION A bp-MRI protocol has a diagnostic accuracy comparable to an mp-MRI protocol for the detection of muscle-invasive BC using the VI-RADS criteria. Also, in both MRI protocols, the reader's experience does not appear to significantly affect diagnostic performance when using the VI-RADS criteria.
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Demirelli E, Öğreden E, Bayraktar C, Tosun A, Oğuz U. The effect of perirenal fat stranding on infectious complications after ureterorenoscopy in patients with ureteral calculi. Asian J Urol 2021; 9:307-312. [PMID: 36035336 PMCID: PMC9399543 DOI: 10.1016/j.ajur.2021.11.006] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 04/27/2021] [Accepted: 07/13/2021] [Indexed: 12/05/2022] Open
Abstract
Objective Perirenal fat stranding (PFS) is linear areas of soft-tissue attenuation in the perirenal space on non-contrast computed tomography. The present study aimed to investigate whether PFS is associated with infectious complications after ureterorenoscopy (URS) in patients with ureteral calculi in any location. Methods The data of 602 patients with ureteral stones who underwent URS were analyzed retrospectively. The patients were divided into two groups as Group 1 (PFS not detected) and Group 2 (PFS detected). Gender, and age of patients, size, side, and location of the stone, operation time, double-J stent insertion status, perioperative ureter injury, postoperative infection after URS and related complications, and duration of hospital stay were compared. Results While PFS was not detected in 530 patients, PFS was detected in 72 patients. The mean age, male/female ratio, side and localization of the stones, operation time, and perioperative insertion of the double-J after lithotripsy were statistically similar (p>0.05). The median stone diameter was smaller in Group 2 (9 mm vs. 8 mm) (p=0.033). Fever was observed in 30 and 38 patients in Group 1 and Group 2, respectively (p=0.0001). Urinary tract infection was detected in 24 and 27 patients in Group 1 and Group 2, respectively (p=0.0001). The urosepsis did not occur in any patients in Group 1, whereas 8 (11.1%) patients in Group 2 experienced urosepsis (p=0.0001). Conclusion According to the results of the present study, patients with ureteral stones accompanied by PFS are much more prone to ureteral injuries and infectious complications such as urinary tract infection, fever, and sepsis after URS.
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Affiliation(s)
- Erhan Demirelli
- Giresun University, Faculty of Medicine, Department of Urology, Giresun, Turkey
- Corresponding author.
| | - Ercan Öğreden
- Giresun University, Faculty of Medicine, Department of Urology, Giresun, Turkey
| | - Cemil Bayraktar
- Ministry of Health, Kayseri City Hospital, Department of Urology, Kayseri, Turkey
| | - Alptekin Tosun
- Giresun University, Faculty of Medicine, Department of Radiology, Giresun, Turkey
| | - Ural Oğuz
- Giresun University, Faculty of Medicine, Department of Urology, Giresun, Turkey
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Demirelli E, Sönmez MG, Tok DS, Çetin S, Öğreden E, Usta M, Akyol S, Çiftçi OÇ, Demiray Ö, Yavuz İ, Oğuz U. The impact of Coronavirus Disease 2019 (COVID-19) on urinalysis parameters. Minerva Urol Nephrol 2021:S2724-6051.21.04418-9. [PMID: 34156201 DOI: 10.23736/s2724-6051.21.04418-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Creatinine elevation and changes in urinalyse parameters may be seen due to acute kidney injury during COVID-19. In the present study, we aimed to investigate the changes in urinalysis of COVID-19 patients with normal kidney function. METHODS The data of COVID-19 patients with normal renal functions were retrospectively analyzed. Urinalysis parameters of these patients were recorded. The patients were divided into three groups as mild, moderate and severe with respect to the clinical course of the disease. It was examined whether the urine analysis values in the groups were different from normal reference values and whether these values were different between the groups. In addition, possible relationship between the urinalysis parameters and the clinical severity of the disease was investigated. RESULTS There are three groups; mild (n:40), moderate (n:38) and severe (n:42). Mean age were significantly higher in the severe group, while gender distribution of the groups was similar. (p=0.033) (p=0.091) Creatinine values of all patients were normal. There were 6.7% glucose positivity, 13.4% protein positivity, 5.8% urobilinogen positivity and 7.5% ketone positivity in urine dipstick analysis and these changes were all significantly higher than the reference values. (p=0.008, p<0.0001, p=0.016, p=0.016) Pyuria and hematuria were detected in 8.3% and 9.2%, respectively. The urinalysis parameters and urine microscopy findings were not affected by the severity of the disease. CONCLUSIONS Glycosuria, proteinuria, pyuria and hematuria may occur during COVID-19 disease, regardless of comorbidity and renal dysfunction. However, these urine parameters were not correlated with the severity of the disease.
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Affiliation(s)
- Erhan Demirelli
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey -
| | - Mehmet G Sönmez
- Department of Urology, Faculty of Medicine, Necmettin Erbakan University Meram, Konya, Turkey
| | - Doğan S Tok
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Sinan Çetin
- Republic of Turkey, Ministry of Health Giresun Provincial Health Directorate Dr. Ali Menekşe Chest Diseases Hospital, Department of Infectious Diseases and Clinical Microbiology, Giresun, Turkey
| | - Ercan Öğreden
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Murat Usta
- Department of Biochemistry, Giresun University Faculty of Medicine, Giresun, Turkey
| | - Safa Akyol
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Osman Ç Çiftçi
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Özay Demiray
- Republic of Turkey Ministry of Health Giresun Provincial Health Directorate Giresun University Prof. Dr. A. İlhan Özdemir Training and Research Hospital, Department of Urology, Giresun, Turkey
| | - İlknur Yavuz
- Department of Clinical Microbiology and Infectious Diseases, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Ural Oğuz
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
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Ortac M, Özmez A, Cilesiz NC, Demirelli E, Kadıoğlu A. The impact of extracorporeal shock wave therapy for the treatment of young patients with vasculogenic mild erectile dysfunction: A prospective randomized single-blind, sham controlled study. Andrology 2021; 9:1571-1578. [PMID: 33780173 DOI: 10.1111/andr.13007] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 03/16/2021] [Accepted: 03/19/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Low-intensity extracorporeal shock wave therapy (ESWT) for the treatment of vasculogenic erectile dysfunction (ED) has emerged as a promising method directly targeting the underlying pathophysiology of the disease. OBJECTIVES To compare outcomes in ED patients after ESWT and placebo treatment. MATERIALS AND METHODS Prospective randomized placebo-controlled single-blinded trial on 66 patients with mild ED. The study comprised a 4-week washout phase, a 4-week treatment phase, and a 48-week follow-up. Inclusion criteria included age between 18 and 75 years and diagnosis of mild ED (IIEF-EF score = 17-25) being made at least six months prior to study inclusion and being confirmed by Penile Doppler ultrasonography (US) at baseline examination. Efficacy endpoints were changes from baseline in patient-reported outcomes of erectile function (International Index of Erectile Function domain scores [IIEF-EF]), as well as erection hardness and duration (Sexual Encounter Profile diary [SEP] and Global Assessment Questions [GAQ]). Safety was assessed throughout the study. RESULTS A total of 66 enrolled patients were allocated to ESWT (n = 44) or placebo (n = 22). Mean age of ESWT and placebo group was 42.32 ± 9.88 and 39.86 ± 11.64 (p = 0.374), respectively. Mean baseline IIEF-EF scores of ESWT group and placebo were 20.32 ± 2.32 and 19.68 ± 1.55 respectively (p = 0.34). At 3-months follow-up, mean IIEF-EF scores were significantly higher in ESWT patients than in placebo patients (23.10 ± 2.82 vs. 20.95 ± 2.19, p = 0.003), and IIEF-EF scores of ESWT patients remained high during the 6 months (22.67 ± 3.35 vs. 19.82 ± 1.56) follow-up. The percentage of patients reporting both successful penetration (SEP2) and intercourse (SEP3) in more than 50% of attempts was significantly higher in ESWT-treated patients than in placebo patients (p = 0.001). A minimal clinically important difference between the IIEF = EF baseline and 3-months follow-up was found in 74% of ESWT and 36% of placebo. No serious adverse events were reported. DISCUSSION AND CONCLUSION ESWT significantly improved the erectile function of relatively young patients with vasculogenic mild ED when compared to placebo and the beneficial effect of this treatment up to 6 months. These findings suggest that ESWT could be a useful treatment option in vasculogenic ED.
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Affiliation(s)
- Mazhar Ortac
- Urology Department, Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Abdulkadir Özmez
- Urology Department, Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Nusret Can Cilesiz
- Urology Department, Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Erhan Demirelli
- Urology Department, Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - Ateş Kadıoğlu
- Urology Department, Faculty of Medicine, Istanbul University, Istanbul, Turkey
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Ortac M, Cilesiz NC, Demirelli E, Aydin R, Savun M, Ermec B, Kadioglu A. Undescended Testis Does Not Affect the Outcome of Microdissection Testicular Sperm Extraction. Urology 2020; 141:77-81. [DOI: 10.1016/j.urology.2020.03.046] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Revised: 02/05/2020] [Accepted: 03/29/2020] [Indexed: 11/28/2022]
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Demirelli E, Karagöz A, Öğreden E, Oğuz U, Vural A, Aksu M, Karadayı M, Yalçın O. The relationship between the severity of erectile dysfunction and aortic stiffness. Andrologia 2020; 52:e13544. [DOI: 10.1111/and.13544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 12/10/2019] [Accepted: 01/19/2020] [Indexed: 11/30/2022] Open
Affiliation(s)
- Erhan Demirelli
- Department of Urology Faculty of Medicine Giresun University Giresun Turkey
| | - Ahmet Karagöz
- Department of Cardiology Faculty of Medicine Giresun University Giresun Turkey
| | - Ercan Öğreden
- Department of Urology Faculty of Medicine Giresun University Giresun Turkey
| | - Ural Oğuz
- Department of Urology Faculty of Medicine Giresun University Giresun Turkey
| | - Aslı Vural
- Department of Cardiology Faculty of Medicine Giresun University Giresun Turkey
| | - Mefail Aksu
- Department of Urology Faculty of Medicine Giresun University Giresun Turkey
| | - Mehmet Karadayı
- Department of Urology Faculty of Medicine Giresun University Giresun Turkey
| | - Orhan Yalçın
- Department of Urology Faculty of Medicine Giresun University Giresun Turkey
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15
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Öğreden E, Oǧuz U, Karadayı M, Demirelli E, Tosun A, Günaydın M. Factors associated with urinoma accompanied by ureteral calculi. ACTA ACUST UNITED AC 2019; 91:11-15. [PMID: 30932423 DOI: 10.4081/aiua.2019.1.11] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2018] [Accepted: 09/03/2018] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Urinoma is a rare entity and mainly occurs due to acute obstruction such as ureteral stone. We aimed to demonstrate factors associated with urinoma accompanied by ureteral calculi. MATERIAL AND METHODS Data of 550 patients who were diagnosed with ureteral stone by computed tomography (CT) were analyzed retrospectively. In 20 patients perirenal urinoma was associated with ureteral calculi (group I), whereas in other 530 patients no urinoma was detected (group II). Gender, age, size, side and localization of the stone, hydronephrosis, fever, sepsis, urinary tract infections (UTIs), hematuria, serum creatinine, blood urea nitrogen (BUN), white blood cell (WBC), C-reactive protein (CRP), presence of diabetes mellitus (DM), hypertension (HT) and cronic kidney disease (CKD) of the two groups were compared. RESULTS The average age of the patients were 46.2 (20-71) and 44.9 (10-82) years in group I and group II, respectively (p > 0.05). According to our results leukocytosis, microscopic and macroscopic hematuria, UTIs, increase of serum creatinine, BUN and CRP, diagnosis of DM and HT were significantly associated with urinoma (p < 0.05). In addition, patients with distal ureteral stones are more prone to urinoma (p = 0.001). An interesting finding of the study was that the stone size in group I (median 5 mm [range 3-8]) was significantly smaller than in group II (9.3 mm [4-25]; p = 0.001). CONCLUSIONS Small stone size, distal localisation of the stone in ureter, leukocytosis, hematuria, UTIs, increase of serum creatinine, BUN and CRP, presence of DM and HT are associated with perirenal urinoma.
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Affiliation(s)
- Ercan Öğreden
- Giresun University, Faculty of Medicine, Department of Urology, Giresun.
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Ogreden E, Oguz U, Demirelli E, Yalçın O. Effect of smoking on pathological grade and stage in clinically low-risk patients. African Journal of Urology 2018. [DOI: 10.1016/j.afju.2018.07.003] [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: 11/28/2022] Open
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17
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Demirelli E, Haliloğlu AH, Gülpınar Ö, Sönmez MG, Bedük Y, Küpeli S. Lokal İleri Evre Prostat Kanserinde Maksimal Androjen Blokaj Tedavisinin Hematolojik, Biyokimyasal Ve Kemik Yoğunluğu Parametreleri Üzerine Etkileri. Acta Medica Alanya 2018. [DOI: 10.30565/medalanya.407858] [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: 11/18/2022] Open
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18
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Sönmez MG, Kozanhan B, Özkent MS, Ecer G, Boğa MS, Demirelli E, Öztürk A. Evaluation of the readability of informed consent forms used in urology: Is there a difference between open, endoscopic, and laparoscopic surgery? Turk J Surg 2018; 34:295-299. [PMID: 30216178 DOI: 10.5152/turkjsurg.2017.3973] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Accepted: 11/01/2017] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The aim of this study is to evaluate the readability levels of informed consent forms used in Turkey before urological surgery and to compare the readability levels of open, endoscopic, and laparoscopic surgical informed consent forms. MATERIAL AND METHODS A total of 529 informed consent forms used for urological open, endoscopic, and laparoscopic surgical procedures were collected from different hospitals in Turkey. Evaluating informed consent forms that have exactly the same text only once, a total of 69 consent forms were evaluated. The Gunning Fog Index and Flesch-Kincaid test measuring the general readability level were used to calculate the readability level of informed consent forms in addition to the Ateşman and Bezirci-Yılmaz formulas defined to determine the readability level of Turkish texts. Informed consent forms were evaluated and divided into three groups as open, endoscopic, and laparoscopic surgery forms, depending on their content. RESULTS Among 69 informed consent forms evaluated, 35 were open, 19 were endoscopic, and 15 were laparoscopic surgery consent forms. The readability level of all informed consent forms was detected as average according to the Ateşman formula, very difficult according to the Flesch-Kincaid test, difficult according to the Gunning Fog Index, and at the high school education level according to the Bezirci-Yılmaz formula. A statistical evaluation of the three groups did not show a significant difference in the readability level. CONCLUSION In this study, it was detected that the informed consent form readability levels used for urological surgical procedures in our country were rather low. We think that the cooperation of the concerned institutions is required for the revision of the consent information texts available and the improvement of the texts according to the strategies recommended.
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Affiliation(s)
- Mehmet Giray Sönmez
- Department of Urology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey
| | - Betül Kozanhan
- Department of Anesthesiology and Reanimation, University of Health Sciences Konya Training and Research Hospital, Konya, Turkey
| | - Mehmet Serkan Özkent
- Department of Urology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey
| | - Gökhan Ecer
- Department of Urology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey
| | | | - Erhan Demirelli
- Department of Urology, Giresun University School of Medicine, Giresun, Turkey
| | - Ahmet Öztürk
- Department of Urology, Necmettin Erbakan University Meram School of Medicine, Konya, Turkey
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Ogreden E, Oguz U, Demirelli E, Benli E, Özen Ö. The impact of ureteral Double-J stent insertion following ureterorenoscopy in patients with ureteral stones accompanied by perirenal fat stranding. Arch Ital Urol Androl 2018; 90:15-19. [DOI: 10.4081/aiua.2018.1.15] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2017] [Revised: 12/09/2017] [Accepted: 12/10/2017] [Indexed: 11/23/2022] Open
Abstract
Objective: To evaluate the impact of ureteral stent insertion following semirigid ureterorenoscopy (URS) in patients with perirenal fat stranding (PFS) due to ureteral stones. Material and methods: Data of 600 patients who underwent URS were analyzed retrospectively. Seventy-two patients detected to have PFS accompanying ureteral stone were included. Patients who did not undergo double J (DJ) stent insertion following semirigid URS were classified as Group I (n: 52), while those who underwent stent insertion were classified as Group II (n: 20). Side distribution; localization of the stones, stone size, presence of fever, urinary tract infection (UTIs) and urosepsis rates were compared in the two groups. Results: The average age of the patients was 44.4 (20-71) years. Male/female ratio and side of the stone location showed similar distribution in both groups (p > 0.05). Fever occurred in 23 cases (44.2%) in Group I and in 15 cases (75%) in Group II (p = 0.038). UTIs occurred in 15 cases (28.9%) in Group I and in 12 cases (60%) in Group II (p = 0.03). Urosepsis presented in 3 (5.8%) and 5 (25%) of the patients in Group I and II, respectively (p = 0.033). Conclusions: According to our results, ureteral DJ stent insertion following URS in patients with PFS due to ureteral stone caused an increase on postoperative infection related complications.
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Öğreden E, Oğuz U, Çırakoğlu A, Benli E, Demirelli E, Yalçın O. İnfertil Erkeklerde Varikoselektominin Semen Analizi ve Gebelik Üzerine Etkileri. Acta Medica Alanya 2018. [DOI: 10.30565/medalanya.378583] [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: 11/18/2022] Open
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Sönmez MG, Kozanhan B, Demirelli E, Öztürk Sönmez L, Kara C. What should be done to minimize pain without any sexual function deterioration in transrectal prostate biopsy? Cent European J Urol 2018; 70:372-377. [PMID: 29410888 PMCID: PMC5791401 DOI: 10.5173/ceju.2017.1442] [Citation(s) in RCA: 0] [Impact Index Per Article: 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: 05/25/2017] [Revised: 10/05/2017] [Accepted: 10/07/2017] [Indexed: 11/22/2022] Open
Abstract
Introduction The aim of this study was to find an ideal method for the application of a transrectal ultrasound-guided prostate biopsy (TRUS-Bx) without deteriorating patient comfort. Material and methods TRUS-Bx was applied in a total of 93 patients. Taking the application method into consideration, these patients were divided into three groups, each consisting of 31 patients. Methods applied for pain control in the different groups were compared (groups 1, 2 and 3). Age, prostate specific antigen (PSA), prostate volume, cancer detection rate, re-biopsy consent ratio, complication rates, visual analog scale (VAS), and International Index of Erectile Function (IIEF-5) scores were compared among the groups. Results Age, PSA, prostate volume, cancer detection rate, and fever complication rate were not statistically different between the three groups. However, a statistically significant difference was detected among the groups for the VAS measured during and after TRUS-Bx, re-biopsy consent ratio, and hematuria (p <0.001, p <0.001, p <0.001, and p = 0.027, respectively). There was no detected difference in pre-operation IIEF-5 scores, but the difference in IIEF-5 scores in the first month after the operation was significant (p = 0.116, p = 0.024, respectively). Conclusions Anal dilatation after the application of intrarectal topical anesthetic to provide anesthesia during TRUS-Bx and giving lidocaine hydrochloride with epinephrine for periprostatic nerve blockage (PNB) is a successful and effective method to maintain patient comfort, especially as it relates to pain control and sexual function. Anal dilatation seems to minimize any pain that may occur due to probe transition, and adding epinephrine as a vasopressor to the anesthetic agent chosen during the operation will be rather helpful for hemostasis control and pain that results from the needle.
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Affiliation(s)
- Mehmet Giray Sönmez
- Department of Urology, Meram Medical Faculty, Necmettin Erbakan University, Konya, Turkey
| | - Betül Kozanhan
- Department of Anesthesiology and Reanimation, Konya Education and Research Hospital, Konya, Turkey
| | - Erhan Demirelli
- Department of Urology, Giresun Medical Faculty, Giresun University, Giresun, Turkey
| | - Leyla Öztürk Sönmez
- Department of Physiology, Selcuklu Medical School, Selcuk University, Konya, Turkey
| | - Cengiz Kara
- Medical Park Ankara Hospital, Department of Urology, Ankara, Turkey
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Sönmez MG, Sönmez LÖ, Göğer YE, Aydın A, Demirelli E, Boğa MS, Kara C. Is there a relationship between penile vasculogenic erectile dysfunction, platelet functions and eosinophil count? Rev Int Androl 2017. [DOI: 10.1016/j.androl.2016.10.001] [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: 10/20/2022]
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Öğreden E, Oğuz U, Çirakoğlu A, Demirelli E, Benli E, Yalçin O. Comparison of response to treatment of unilateral and bilateral varicocelectomy. Turk J Med Sci 2017; 47:167-171. [PMID: 28263485 DOI: 10.3906/sag-1511-56] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2015] [Accepted: 05/23/2016] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND/AIM We aimed to compare the results of unilateral and bilateral varicocele surgery. MATERIALS AND METHODS In two referral hospitals, the data of 180 patients who were treated with unilateral and bilateral microscopic varicocelectomy were retrospectively analyzed. Sperm parameters and spontaneous pregnancy rates were compared in patients who underwent bilateral and unilateral microscopic varicocelectomy. RESULTS The mean age was 29.6 (17-46) years. While 82 patients underwent unilateral varicocelectomy (Group I), 98 patients underwent bilaterally varicocelectomy (Group II). Forty (48.8%) spontaneous pregnancies occurred in Group I and 59 (60.2%) in Group II. When we analyzed sperm parameters, the rate of increase in the number of sperm in spermiograms was 17% in Group I and 27.5% in Group II. The rate of increase in sperm mobility was 58.5% and 50% in Group I and II, respectively. The improvement rate in sperm morphology was 46.3% in Group I and 56.1% in Group II. There were no significant differences between all these parameters. CONCLUSION In light of our results, although pregnancy rates seemed to be higher in patients who underwent bilateral varicocelectomy, these results were not statistically significant. Improvement rates in sperm parameters were similar between the patients who underwent unilateral and bilateral varicocelectomy.
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Affiliation(s)
- Ercan Öğreden
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Ural Oğuz
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Abdullah Çirakoğlu
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Erhan Demirelli
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Erdal Benli
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Orhan Yalçin
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
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Sancak EB, Oguz U, Aykac A, Demirelli E, Bozkurt OF, Cimen S. The effect of breastfeeding on spontan resolution of monosymptomatic enuresis. Int Braz J Urol 2016; 42:550-7. [PMID: 27286120 PMCID: PMC4920574 DOI: 10.1590/s1677-5538.ibju.2015.0485] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2015] [Accepted: 12/22/2015] [Indexed: 11/22/2022] Open
Abstract
Purpose The aim of this study was to examine whether the duration of breastfeeding during infancy was associated with the time of spontaneous resolution of monosymptomatic enuresis (SRME). Materials and Methods A total of 1500 people were surveyed at four centers. One hundred and eighty-one people with a history of monosymptomatic enuresis (ME) who received no treatment and had no day time symptoms were included in the study. The relationship between the duration of breastfeeding and SRME was assessed by considering the duration of breastfeeding as both continuous and categorical (cut-off value 5 months) variable. The multivariate general linear model was used to identify independent predictors such as gender, family history, and educational status of parents. Results Pearson correlation analysis of the age of SRME and duration of breastfeeding found no statistically significant relationship. However, there was a significant difference in the age of SRME of those who were breastfed for 5 months or less compared to those who were breastfed for more than 5 months. According to the multivariate analysis, gender and educational status of parents were not effective on the age of SRME. Stepwise linear regression model showed that breastfeeding for five months or less and family history could affect the age of SRME. The regression formula was: age of SRME=9.599 + (3.807×five months or less of breastfeeding) + (1.258×positive family history). Conclusions It was found that when breastfeeding lasted for more than 5 months, there was a positive contribution to SRME.
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Affiliation(s)
- Eyup Burak Sancak
- Department of Urology, Canakkale Onsekiz Mart University, Faculty of Medicine, Canakkale, Turkey
| | - Ural Oguz
- Department of Urology, Giresun University, School of Medicine, Giresun, Turkey
| | - Aykut Aykac
- Department of Urology, Bursa Orhangazi State Hospital, Bursa, Turkey
| | - Erhan Demirelli
- Department of Urology, Giresun University, School of Medicine, Giresun, Turkey
| | - Omer Faruk Bozkurt
- Department of Urology, Kecioren Training and Research Hospital, Ankara, Turkey
| | - Sertac Cimen
- Diskapi Yildirim Beyazit Training and Research Hospital, Department of Urology, Ankara, Turkey
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Öğreden E, Oğuz U, Demirelli E, Benli E, Sancak EB, Gülpinar MT, Akbaş A, Reşorlu B, Ayyildiz A, Yalçin O. Categorization of ureteroscopy complications and investigation of associated factors by using the modified Clavien classification system. Turk J Med Sci 2016; 46:686-94. [PMID: 27513242 DOI: 10.3906/sag-1503-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Accepted: 07/15/2015] [Indexed: 11/03/2022] Open
Affiliation(s)
- Ercan Öğreden
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Ural Oğuz
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Erhan Demirelli
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
| | - Erdal Benli
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Eyüp Burak Sancak
- Department of Urology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey
| | - Murat Tolga Gülpinar
- Department of Urology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey
| | - Alpaslan Akbaş
- Department of Urology, Faculty of Medicine, Çanakkale 18 Mart University, Çanakkale, Turkey
| | - Berkan Reşorlu
- Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Ali Ayyildiz
- Department of Urology, Faculty of Medicine, Ordu University, Ordu, Turkey
| | - Orhan Yalçin
- Department of Urology, Faculty of Medicine, Giresun University, Giresun, Turkey
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Oguz U, Aykac A, Demirelli E, Sancak EB, Resorlu B, Sarikaya S, Damar E, Bozkurt OF, Ogreden E, Yalcin O. The Time of Spontaneous Resolution of Monosymptomatic Nocturnal Enuresis (MNE) Is Familial. Urol Int 2015; 94:459-63. [PMID: 25661820 DOI: 10.1159/000370166] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2014] [Accepted: 11/24/2014] [Indexed: 11/19/2022]
Abstract
PURPOSE To investigate whether or not the age of spontaneous resolution of monosymptomatic nocturnal enuresis (MNE) was familial. PATIENTS AND METHODS A questionnaire was administered to more than 1,500 people, and 100 appropriate participants were identified from four referral hospitals. We included the participants who had MNE and whose parents also had MNE with spontaneous resolution. Then the association between the spontaneous resolution time of MNE in parents and that in their children was investigated. RESULTS The mean ages of spontaneous resolution were 10.7 (10-30 years), 9.4 (6-17 years) and 10.9 (6-18 years) in participants, their mothers and their fathers, respectively. According to the statistical analysis, there was a positive correlation between participants and both their mothers and fathers (p < 0.05). In addition, it was revealed that familial MNE history based on first- and second-degree relatives, in addition to their parents, was also associated with the increased spontaneous resolution age of MNE (p < 0.05). According to our results, gender and parents' education status were not statistically associated with the spontaneous resolution (p > 0.05). CONCLUSION As a conclusion, the age of spontaneous resolution of MNE is familial. Although the exact reasons of spontaneous resolution still remain a mystery; further genetic investigations may be able to resolve this mystery.
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Affiliation(s)
- Ural Oguz
- Giresun University, School of Medicine, Department of Urology, Giresun, Turkey
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