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Ozmerdiven G, Güler Y, Cicek C, Gunseren KO, Kilicarslan H. The role of retrograde intrarenal surgery in kidney stones of upper urinary system anomalies. Folia Med (Plovdiv) 2023; 65:226-234. [PMID: 37144307 DOI: 10.3897/folmed.65.e77728] [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: 11/07/2021] [Accepted: 03/30/2022] [Indexed: 05/06/2023] Open
Abstract
INTRODUCTION Fusion, pelvic, and duplicated urinary tract anomalies of the kidney are rarely seen. There might be some difficulties in the stone treatment, in the administration of extracorporeal shockwave lithotripsy (ESWL), retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PCNL), and laparoscopic pyelolithotomy procedures in these patients due to the anatomical variations in kidneys with anomalies. AIM To evaluate RIRS results on patients with upper urinary tract anomalies. MATERIALS AND METHODS Data of 35 patients with horseshoe kidney, pelvic ectopic kidney, and double urinary system in two referral centers were reviewed retrospectively. Demographic data, stone characteristics, and postoperative characteristics of the patients were evaluated. RESULTS The mean age of patients (n=35, 6 women and 29 men) was 50 years. Thirty-nine stones were detected. The total mean stone surface area in all anomaly groups was found to be 140 mm2, and the mean operative time was 54.7±24.7 minutes. The rate of using ureteral access sheath (UAS) was very low (5/35). Eight patients needed auxiliary treatment after the operation. The residual rate, which was 33.3% in the first 15 days, decreased to 22.6% in the third month follow-ups. Four patients had minor complications. In patients with horseshoe kidney and duplicated ureteral systems, it was observed that the risk factor increasing the presence of residual stones was the total stone volume. CONCLUSIONS RIRS for kidneys with low and medium stone volume anomalies is an effective treatment method with high stone-free and low complication rates.
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Affiliation(s)
- Gokhun Ozmerdiven
- Department of Urology, School of Medicine, Istanbul Aydin University, Istanbul, Turkiye
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Gunseren KO, Cicek MC, Bolat D, Yeni S, Vuruskan H, Oz Gul O, Yavascaoglu I. Is laparoscopic adrenalectomy for pheochromocytoma safe and effective in geriatric patients? Int J Clin Pract 2021; 75:e14427. [PMID: 34081829 DOI: 10.1111/ijcp.14427] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Revised: 05/24/2021] [Accepted: 05/27/2021] [Indexed: 01/18/2023] Open
Abstract
OBJECTIVES The study aimed to assess the haemodynamic changes of laparoscopic adrenalectomy (LA) in geriatric patients with pheochromocytoma (PHEO). To the best of our knowledge, this is the first study to evaluate the haemodynamic outcomes of LA in this patient population. METHODS Data of 350 patients who underwent single-side transperitoneal LA between 2000 and 2020 were reviewed retrospectively. Patients with a histopathological diagnosis of PHEO were included in the study and classified into two groups according to their ages at the date of surgery. Patients older than 65 years were accepted as elderly according to the World Health Organisation (WHO) recommendations. RESULTS A total of 54 patients underwent LA for PHEO. Fifteen patients were enrolled in the elderly and 39 in the young groups. There were no significant differences in terms of the operation site (0.564), tumour size (0.878), perioperative results such as mean anaesthesia; operation times, blood loss and haemodynamic changes. There were no significant differences in mean hospitalisation and intensive care unit times. One patient in both groups had grade 1 complication according to Clavien Dindo classification (prolonged ileus, managed with medical treatment and transfusion during surgery, respectively). CONCLUSION Young and elderly patients had similar outcomes in terms of haemodynamic changes that occurred with LA. LA in elderly patients with PHEO is as safe and effective as in younger patients.
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Affiliation(s)
- Kadir Omur Gunseren
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
| | - Mehmet Cagatay Cicek
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
| | - Deniz Bolat
- Department of Urology, Bozyaka Training and Research Hospital, Izmir, Turkey
| | - Sezgin Yeni
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
| | - Hakan Vuruskan
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
| | - Ozen Oz Gul
- Department of Endocrinology and Metabolism, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
| | - Ismet Yavascaoglu
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
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Cicek MC, Asi T, Gunseren KO, Kilicarslan H. Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stones. Int J Clin Pract 2021; 75:e14093. [PMID: 33619800 DOI: 10.1111/ijcp.14093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 02/18/2021] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND To compare the clinical outcomes of laparoscopic pyelolithotomy (LP) and retrograde intrarenal surgery (RIRS) in the management of large renal pelvic stones. PATIENTS AND METHODS This study included patients who presented with a single renal pelvic stone sized ≥20 mm and who were treated primarily by LP or RIRS. The patients were grouped based on the surgical procedure they underwent. We retrospectively examined and compared the age, the longest axis, and the surface area of the stone, operation time, hospitalization time, complications, and stone-free rates of the two groups. RESULTS Of the 156 patients included in the study, 44 had LP, and 112 had RIRS. Patients who received LP (13 males, 31 females) had a median age of 54 (18-79) years, while those who underwent RIRS (46 males, 66 females) had a median age of 54.5 (18-79). Patients who received LP were found to have larger median stone size (30 mm vs 24 mm, P = .003), longer operation time (100 minutes vs 70 minutes, P = .007), lower complication rate (2% vs 8.9%, P = .063), longer median hospital stay (3 days vs 1 day, P < .001) and better stone-free rate at the third month (90.9% vs 67.9%, P < .001). CONCLUSION LP is a safe and efficient procedure that could be used as an alternative to RIRS in managing large renal pelvic stones.
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Affiliation(s)
| | - Tariq Asi
- Palestine Medical Complex, Ramallah, West Bank, Palestine
| | - Kadir Omur Gunseren
- Faculty of Medicine, Department of Urology, Uludag University, Bursa, Turkey
| | - Hakan Kilicarslan
- Faculty of Medicine, Department of Urology, Uludag University, Bursa, Turkey
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Cicek MC, Gunseren KO, Aydin YM, Yildiz A, Elgin E, Ersoy A. Monocyte-to-High-Density Lipoprotein Cholesterol Ratio Is Independently Associated With All-Cause Mortality in Deceased Donor Kidney Transplant Recipients. EXP CLIN TRANSPLANT 2021; 19:1041-1047. [PMID: 33877042 DOI: 10.6002/ect.2021.0024] [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] [Indexed: 11/05/2022]
Abstract
OBJECTIVES The primary objective of this study was to evaluate the impact of monocyte-to-high-density lipoprotein cholesterol ratio on all-cause mortality in deceased donor kidney transplant recipients. MATERIALS AND METHODS This was a retrospective observational study in which all deceased donor kidney transplant recipients were included. Relevant data for analyses included clinical and demographic features, laboratory values, number of HLA matches, occurrence of delayed graft function, cold ischemia time, and survival status. Kaplan-Meier survival analysis and Cox proportional hazards analysis were performed to determine the effects of monocyte-to-high-density lipoprotein cholesterol ratio on all-cause mortality. RESULTS Our study included 325 deceased donor kidney transplant recipients (43.1% females, mean age of 44.5 ± 11.2 years). Median value of monocyte-to-high-density lipoprotein cholesterol ratio was 14.0 (interquartile range, 9.94-21.03). The total median observation time was 227 weeks (range, 115-345 weeks). Twenty deaths (12.3%) occurred during the follow-up period in recipients with monocyte-to-highdensity lipoprotein cholesterol ratio below median value, whereas 47 deaths (29%) occurred in recipients with ratio above the median (P < .001). Log-rank test showed significantly higher mortality in the group with monocyte-to high density lipoprotein cholesterol ratio higher than median (P = .001). In the multivariate Cox model, delayed graft function, duration of dialysis, cold ischemia time, and monocyte-to-high-density lipoprotein cholesterol ratio group appeared as independent predictors of all-cause mortality. CONCLUSIONS Monocyte-to-high-density lipoprotein cholesterol ratio before kidney transplant seems to affect survival independently in deceased donor kidney transplant recipients.
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Affiliation(s)
- Mehmet Cagatay Cicek
- From the Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey
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Gunseren KO, Akdemir S, Çiçek MC, Yıldız A, Arslan M, Yavaşcaoğlu İ, Vuruskan H. Holmium Laser Enucleation, Laparoscopic Simple Prostatectomy, or Open Prostatectomy: The Role of the Prostate Volume in terms of Operation Time. Urol Int 2020; 105:285-290. [PMID: 33227804 DOI: 10.1159/000511637] [Citation(s) in RCA: 5] [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: 06/25/2020] [Accepted: 09/11/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION To compare the prostate removal speeds of 3 enucleation techniques and to evaluate how the operating times change depending on the prostate volume. METHODS Medical records of patients with 80-g or larger prostates who underwent holmium laser enucleation of the prostate (HoLEP), laparoscopic simple prostatectomy (LSP), or open prostatectomy (OP) due to medical treatment-resistant benign prostatic hyperplasia (BPH) were reviewed retrospectively. Patients were classified into 3 groups according to the surgical procedure. Age, BMI, prostate weights, total operation times, prostate removal speeds, hospitalization and catheterization days, complications, and improvements on functional outcomes in the 3rd month of follow-up were compared between groups. In addition, the association between prostate weight and total operation time was analyzed for each group. RESULTS HoLEP, LSP, and OP groups consisted of 60, 61, and 37 patients, respectively. While HoLEP was similar to OP in terms of prostate removal speed and total operation time, LSP was statistically slower and required more operation time than HoLEP and OP. There was a relationship between prostate weight and total operation time only in HoLEP. CONCLUSION LSP, one of the enucleation techniques in the treatment of large prostates, was slower and required more operation time than HoLEP and OP in terms of total operation time and prostate removal speed. HoLEP seems going to be the fastest candidate for the rapid removal of large prostates in the future.
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Affiliation(s)
- Kadir Omur Gunseren
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey,
| | | | - Mehmet Cagatay Çiçek
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
| | - Ali Yıldız
- Department of Urology, Faculty of Medicine, Istanbul Okan University, Istanbul, Turkey
| | - Murat Arslan
- Department of Urology, Faculty of Medicine, Istanbul Okan University, Istanbul, Turkey
| | - İsmet Yavaşcaoğlu
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
| | - Hakan Vuruskan
- Department of Urology, Faculty of Medicine, Bursa Uludag University, Bursa, Turkey
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Cicek MC, Gunseren KO, Senol K, Vuruskan H, Yavascaoglu I. Is 6 cm Diameter an Upper Limit for Adrenal Tumors to Perform Laparoscopic Adrenalectomy? J Laparoendosc Adv Surg Tech A 2020; 31:301-305. [PMID: 32716248 DOI: 10.1089/lap.2020.0505] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Background: We aimed to compare the results of patients who underwent laparoscopic adrenalectomy (LA) for masses ≥6 cm versus <6 cm in diameter in our tertiary referral university hospital. Materials and Methods: Three hundred thirty consecutive patients were divided into two groups according to tumor size (≥6 and <6 cm in diameter). Demographic variables, body mass index (BMI), lesion localization (right/left), tumor diameter, pathological diagnosis and surgical outcomes, including operation time, estimated blood loss (EBL), conversion to open surgery, complications, and length of hospital stay were compared between groups. Results: Between February 2008 and March 2020, 53 patients (29 male-24 female) with ≥6 cm (L group) adrenal tumor and 277 patients (105 male-172 female) with <6 cm tumor (S group) underwent transperitoneal LA. One hundred sixty-eight (50.9%) tumors localized on the left side. In L group mean tumor size in female and male patients was 87.5 ± 40.8 mm (range 50-225 mm) and 67.3 ± 18.4 mm (range 10-100 mm), respectively (P < .05). Age, American Society of Anesthesiology scores, BMI, and mean operation time were similar between groups (P > .05). Postoperative complications were more often in L group (P = .005). EBL in group L and group S was 86 ± 70.4 mL (range 10-500 mL) and 55 ± 44.2 mL (range 10-300 mL), respectively (P = .003). Length of hospital stay in group L and group S was 3.7 ± 3.5 days (range 1-26) and 3 ± 1.6 days (range 1-9), respectively (P = .086). Significant variables in multivariate analysis, including gender (male), EBL, and postoperative complication rate, were entered into multivariate regression analysis, which presented that EBL and postoperative complication rates were independent significants for the L group. Conclusion: Six centimeters should not be considered as an upper limit of transperitoneal lateral LA and may be safely performed in centers with experience. Further studies are needed to confirm our data.
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Affiliation(s)
| | - Kadir Omur Gunseren
- Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Kazım Senol
- Department of General Surgery, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Hakan Vuruskan
- Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Ismet Yavascaoglu
- Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey
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Gunseren KO, Cicek MC, Vuruskan H, Kordan Y, Yavascaoglu I. Challenging risk factors for right and left laparoscopic adrenalectomy: A single centre experience with 272 cases. Int Braz J Urol 2019; 45:747-753. [PMID: 31136115 PMCID: PMC6837586 DOI: 10.1590/s1677-5538.ibju.2019.0131] [Citation(s) in RCA: 8] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Accepted: 04/04/2019] [Indexed: 03/20/2023] Open
Abstract
Purpose This study aimed to compare perioperative and postoperative results of right and left laparoscopic adrenalectomy (LA), and to evaluate the impact of challenging factors on these outcomes. Materials and Methods A total of 272 patient’s medical records that underwent single side LA between October 2006 and September 2017 were retrospectively reviewed. The patients were divided into 2 groups according to operation side. Moreover, pheochromocytoma, metastatic masses and adrenal lesions >5cm in size were considered to be difficult adrenalectomy cases and the outcomes of these cases were compared between two groups. Results 135 patients (49.6%) underwent right LA and 137 patients (50.4%) underwent left LA. Operation time, estimated blood loss (EBL) and hospitalization time were similar between the groups (p=0.415, p=0.242, p=0.741, respectively). Although EBL was higher on the right side than the left (p=0.038) in the first 20 cases, after this learning period has been completed, there was no significant difference between the groups. In patients with pheochromocytoma, metastatic mass and a mass >5cm in size, despite bleeding complications were clinically higher on the right side, this difference was not statistically significant. Conclusions During the learning period of LA, EBL is higher on the right side. Due to the greater risk of bleeding complications on the right side even on the hands of experienced surgeons, extra care and preoperative planning are required in patients with pheochromocytoma, metastatic masses and masses >5cm in size.
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Affiliation(s)
- Kadir Omur Gunseren
- Department of Urology, Uludag University, School of Medicine, Nilufer, Bursa, Turkey
| | - Mehmet Cagatay Cicek
- Department of Urology, Uludag University, School of Medicine, Nilufer, Bursa, Turkey
| | - Hakan Vuruskan
- Department of Urology, Uludag University, School of Medicine, Nilufer, Bursa, Turkey
| | - Yakup Kordan
- Departmet of Urology, Koc University, School of Medicine, Nilufer, Bursa, Turkey
| | - Ismet Yavascaoglu
- Department of Urology, Uludag University, School of Medicine, Nilufer, Bursa, Turkey
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Demirbas A, Gunseren KO, Bagcioglu M, Yucel MO. A Prediction Model of Operation Efficacy Using Protruding Prostate Lobe Volume in Patients Who Are Candidates for Transurethral Resection of Prostate. Urol Int 2019; 103:172-179. [PMID: 31242478 DOI: 10.1159/000501175] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Accepted: 05/24/2019] [Indexed: 11/19/2022]
Abstract
PURPOSE To create a prediction model that could preoperatively measure the success of the transurethral prostate resection (TURP) because of bladder outlet obstruction. METHODS Patients aged 50-80 years applied with TURP were examined prospectively and evaluated in respect of the preoperative and postoperative values of maximum flow rate (Qmax), international prostate symptom score (IPSS), quality of life (QoL) score and post-voiding residual (PVR) urine amount. On the preoperative transabdominal ultrasonography, total prostate volume (TPV), and protruding prostate lobe volume (PPLV) were measured and the protruding ratio (PR), as the ratio of PPLV to TPV, was calculated. Based on the mean of the preoperative and postoperative Qmax difference (Qmax-D) value, Group 1 (n = 33) was defined as "low efficacy" and Group 2 (n = 30) as "high efficacy". RESULTS A correlation was determined between the QMax-D, IPSS difference, PVR difference, and QoL difference measured for the efficacy of the operation, and TPV, PPLV and PR. The results of multivariate analysis showed the main effect to be created by PR (p = 0.000; OR 1.596). In the evaluation with receiver operating characteristic curve analysis of high efficacy obtained in the TURP, a significantly powerful effect of the measurements of PPLV area under curve (AUC 0.922 [0.855-0.989] p= 0.000) and PR (AUC 0.954 [0.982-1.000] p = 0.000) was determined. The cutoff value of 11.5 was detected for PR. Efficacy sensitivity and the positive predictive values were recorded as 93.3%, and specificity and negative predictive value as 93.9%. CONCLUSION When determining candidate patients for TURP surgery, measurements of the PPLV and especially the PR should be taken into consideration in the preoperative prediction of efficacy.
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Affiliation(s)
- Arif Demirbas
- Department of Urology, Inegol State Hospital, Bursa/Inegol, Turkey,
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Cinar O, Gunseren KO, Cicek C, Vuruskan BA, Vuruskan H. Laparoscopic Transperitoneal Radical Nephrectomy for Renal Masses with Level I and II Thrombus. J Laparoendosc Adv Surg Tech A 2019; 29:35-39. [DOI: 10.1089/lap.2018.0320] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Affiliation(s)
- Onder Cinar
- Department of Urology, School of Medicine, Bulent Ecevit University, Zonguldak, Turkey
| | | | - Cagatay Cicek
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey
| | | | - Hakan Vuruskan
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey
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Demirbas A, Yazar VM, Ersoy E, Demir DO, Ozcan S, Karakan T, Doluoglu OG, Resorlu B, Hascicek AM, Gunseren KO. Comparision of Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery For The Treatment of Multicalyceal and Multiple Renal Stones. Urol J 2018; 15:318-322. [PMID: 29900522 DOI: 10.22037/uj.v0i0.4213] [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] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
PURPOSE Comparison of efficiency and reliability of percutaneous nephrolithotomy (PNL) and retrograde intrarenal surgery (RIRS) in treatment of multicalyceal and multiple renal stones in the same renal unit. MATERIALS AND METHODS Between 2011 and 2015, records of patients who underwent surgery for renal stone were retrospectively reviewed. Patients who had multiple stones located in different calices in the same renal unit were included. The patients that underwent PNL and RIRS were defined as Group I and Group II, respectively. Patient criteria (age,sex); the stone characteristics; time of procedure, fluoroscopy and hospitalization; stone-free and complication rates of groups were evaluated between the treatment groups. RESULT There were no significant differences in terms of age, gender, BMI, laterality, number of stones, number of stone localization, hounsfield units and surface area characteristics of the stone between the PNL (n = 47) and RIRS (n = 35) groups (P = .558, P = .278, P = .375, P = 0.051, P = .053, P = .064, P = .642, P = .080, respectively). Stone free rate was 59.6% (n=28) in PNL, and 88.6% (n=31) in RIRS (P=.004). 1st or 2nd degree complications according to Modified Clavien Classification developed in 10 patients (21.3%) in Group I and 1 patient (2.9%) in Group II (P = .015). The 3A or 3B complications were similar in groups (P = .077). Time of procedure, fluoroscopy and hospitalization were significantly lower in Group II (P < .001, P < .001 and P < .001, respectively). CONCLUSION RIRS is more effective and more reliable procedure than PNL with higher stone-free and lower complication rates in treatment of multicalyceal and multiple stone in the same renal unit.
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Affiliation(s)
- Arif Demirbas
- Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey.
| | - Veli Mert Yazar
- Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Erim Ersoy
- Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey
| | | | - Serkan Ozcan
- Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Tolga Karakan
- Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey
| | | | - Berkan Resorlu
- Department of Urology, Ankara Training and Research Hospital, Ankara, Turkey
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Kadirov R, Coskun B, Kaygisiz O, Gunseren KO, Kordan Y, Yavascaoglu I, Kilicarslan H. Penile Plication With or Without Degloving of the Penis Results in Similar Outcomes. Sex Med 2017; 5:e142-e147. [PMID: 28711404 PMCID: PMC5562473 DOI: 10.1016/j.esxm.2017.05.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [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: 03/18/2017] [Revised: 04/22/2017] [Accepted: 05/01/2017] [Indexed: 11/15/2022] Open
Abstract
Background Penile plication techniques with or without degloving offer a minimally invasive option for the treatment of penile curvature. Aim To review the outcomes of penile plication surgery and patient satisfaction with and without degloving of the penis. Methods We conducted a retrospective analysis of 52 patients who underwent penile plication for the treatment of Peyronie disease or congenital penile curvature. Outcomes Surgical success rates, complications, and patient satisfaction determined with the Treatment Benefit Scale were compared between groups. Results The overall surgical success rate was 92.3% at a mean follow-up of 18.84 ± 23.51 months. There were no intraoperative complications. In the degloving group, 42.6% of patients were greatly satisfied and 42.6% had better outcomes; in the without degloving group, 61.5% of patients were greatly satisfied and 30.8% had better outcomes. Comparison of outcomes was not statistically significant between groups. Clinical Implications The results of the present study indicate the two techniques can be used for penile plication. Conclusion With or without degloving, penile plication is safe and effective and provides high patient satisfaction. Kadirov R, Coskun B, Kaygisiz O, et al. Penile Plication With or Without Degloving of the Penis Results in Similar Outcomes. Sex Med 2017;5:e142–e147.
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Affiliation(s)
- Rustam Kadirov
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey
| | - Burhan Coskun
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey.
| | - Onur Kaygisiz
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey
| | | | - Yakup Kordan
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey
| | - Ismet Yavascaoglu
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey
| | - Hakan Kilicarslan
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey
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Gunseren KO, Coskun B, Kaygisiz O, Vuruskan B, Kordan Y, Vuruskan H, Yavascaoglu I. PD24-07 COMPARISON OF LAPAROSCOPIC EXTRA PERITONEAL TRANSVESICAL PROSTATECTOMY AND OPEN PROSTATECTOMY. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.1772] [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] [Indexed: 10/22/2022]
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Kilicarslan H, Kaynak Y, Kordan Y, Kaygisiz O, Coskun B, Gunseren KO, Kanat FM. Unfavorable anatomical factors influencing the success of retrograde intrarenal surgery for lower pole renal calculi. Urol J 2015; 12:2065-2068. [PMID: 25923149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 09/14/2014] [Revised: 01/13/2015] [Accepted: 02/08/2015] [Indexed: 06/04/2023]
Abstract
PURPOSE To determine the unfavorable factors, related to lower pole anatomical characteristics (LPACs), influencing the success of retrograde intrarenal surgery (RIRS) for lower pole renal calculi (LPC). MATERIALS AND METHODS We reviewed the data of 36 patients who underwent RIRS for LPC between October 2012 and October 2013. The infundibulopelvic angle (IPA), infundibular length (IL) and infundibular width (IW) were measured on preoperative intravenous urographies. On follow-up stone-free status was defined as complete clearance at the first month kidney-ureter-bladder X-ray and computed tomography if necessary. RESULTS The median stone size was 10 mm (range, 5-35). The stone-free rates according to LPACs at the first month follow-up were 100% (n = 17), 57.9% (n = 11), 90% (n = 18), 62.5% (n = 10), 90.5% (n = 19) and 60% (n = 9) for patients with IPA ≥ 70°, IPA < 70º, IL < 3 cm, IL ≥ 3 cm, IW ≥ 5 mm and IW < 5 mm, respectively. While IPA and IW were associated with success of RIRS for LPC in multivariate analysis (P = .003 and P = .046, respectively), only IW was found to be a significant factor after applying multivariate analysis (P = .05). CONCLUSION The results of our study demonstrated that only IW had a significant effect on the success rate of RIRS for LPC.
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Affiliation(s)
- Hakan Kilicarslan
- Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Yurdaer Kaynak
- Department of Urology, State Hospital, Eskisehir, Turkey.
| | - Yakup Kordan
- Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Onur Kaygisiz
- Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Burhan Coskun
- Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Kadir Omur Gunseren
- Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey
| | - Feyzi Mutlu Kanat
- Department of Urology, Faculty of Medicine, Uludag University, Bursa, Turkey
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