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Uzel T, Öztürk E, Özden E, Dağli İ, Hamidi N, Duvarci M, Mumcuoğlu İ, Dal T, Başar H. Does formalin disinfection reduce bacterial colonization of biopsy needle? A prospective study. Urology 2024:S0090-4295(24)00293-0. [PMID: 38692495 DOI: 10.1016/j.urology.2024.04.017] [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: 02/28/2024] [Revised: 04/04/2024] [Accepted: 04/16/2024] [Indexed: 05/03/2024]
Abstract
OBJECTIVE To investigates the efficacy of formalin disinfection of the needle tip in transrectal prostate biopsy (TRB) procedure to reduce infectious complications. The primary aim is to assess the impact of formalin on bacterial contamination of biopsy needle tip and its association with post-biopsy infective events. MATERIALS AND METHODS We have employed a bacterial culture-based observational cohort design in this study. Two groups, formalin disinfection and non-formalin group, both undergone systematic 12-core TRB. In the formalin group, the biopsy needle tip was immersed in 10% formalin solution after each core, while in the non formalin group no formalin solution immersion was used. The primary outcomes include bacterial growth on biopsy needle tips and post-biopsy infective events. RESULTS Formalin disinfection significantly reduced bacterial growth on needle tips (p<0.001). The formalin group had no post-biopsy infections or sepsis, while the non-formalin group experienced a 7.5% infective event rate after TRB. CONCLUSION Formalin disinfection of biopsy needle tip significantly reduces bacterial growth on biopsy needle and urinary tract infectious complications developed secondary to TRB. Further multicenter randomized controlled studies with larger cohorts are warranted to validate and establish formalin disinfection as a routine practice in TRB procedures.
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Affiliation(s)
- Tuncel Uzel
- Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Urology.
| | - Erdem Öztürk
- Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Urology.
| | - Eriz Özden
- Ankara University Department of Radiology.
| | - İsa Dağli
- Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Urology.
| | - Nurullah Hamidi
- Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Urology.
| | - Mehmet Duvarci
- Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Urology.
| | - İpek Mumcuoğlu
- Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Microbiology.
| | - Tuba Dal
- Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Microbiology.
| | - Halil Başar
- Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Department of Urology.
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Demirci A, Hamidi N, Uzel T, Başar H. The 5-Factor Modified Frailty Index is effective in treatment decision and the determination of perioperative complications in patients with localized prostate cancer. Support Care Cancer 2023; 31:603. [PMID: 37779118 DOI: 10.1007/s00520-023-08078-7] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 09/25/2023] [Indexed: 10/03/2023]
Abstract
PURPOSE To determine the active treatment option and perioperative complications using the 5-Factor Modified Frailty Index (mFI-5) in localized prostate cancer patients. MATERIAL AND METHODS Patients diagnosed with localized prostate cancer in our clinic between January 2018 and October 2022 were evaluated. The patients were separated according to the mFI-5 scores as Group 1 (score = 0, n = 74), Group 2 (score = 1, n = 41), and Group 3 (score ≥ 2, n = 69). Factors affecting the determination of treatment selection, oncological results, and surgical complications were identified with regression analysis. RESULTS The mean age of the patients in Group 1 was lower than in Group 2 and Group 3 (63.09 ± 7.25 years vs. 67.56 ± 7.98 years and 69.2 ± 6.77 years, p < 0.001, respectively). In Group 1, more patients were treated with retropubic radical prostatectomy (RRP), and in Group 3 with radiotherapy (RT) and active surveillance (AS) (62.2%, 53.6%, and 17.4%, p = 0.001, respectively). The rate of Clavien-Dindo grade 3 and 4 complication rates were higher in Group 3 than in Group 1 (50% vs. 8.7%, p < 0.001, respectively). Frailty was found to be an independent risk factor for overall survival (HR: 10.68, p = 0.02), the presence of Clavien-Dindo ≥ 3 complication (HR: 4.9, p = 0.02) and determination of RT/AS as the active treatment option (HR: 2.45, p = 0.04). CONCLUSION In patients with frailty according to the mFI-5, the complication rate after RRP in localized prostate cancer increased. When selecting the treatment to be applied in these patients, it will be useful to also evaluate the frailty status.
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Affiliation(s)
- Aykut Demirci
- Department of Urology, University of Health Sciences Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Mehmet Akif Ersoy Mah. Vatan Cad. No: 91, 06200, Ankara, Turkey.
| | - Nurullah Hamidi
- Department of Urology, University of Health Sciences Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Mehmet Akif Ersoy Mah. Vatan Cad. No: 91, 06200, Ankara, Turkey
| | - Tuncel Uzel
- Department of Urology, University of Health Sciences Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Mehmet Akif Ersoy Mah. Vatan Cad. No: 91, 06200, Ankara, Turkey
| | - Halil Başar
- Department of Urology, University of Health Sciences Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Mehmet Akif Ersoy Mah. Vatan Cad. No: 91, 06200, Ankara, Turkey
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Keske M, Canda AE, Karadag MA, Çiftçi H, Erturhan S, Kactan C, Soytas M, Özkaya F, Ozbey I, Ordek E, Atmaca AF, Yildirim A, Sahin S, Colakoglu Y, Boylu U, Erol B, Caskurlu T, Kiremit MC, Cakici OU, Sonmez G, Kılıçarslan H, Akbulut Z, Kaygısız O, Bedir S, Vuruskan H, Bozkurt YE, Aydin HR, Oguz U, Basok EK, Gumus BH, Tuncel A, Aslan Y, Hamidi N, Müslümanoğlu AY, Dinçer M, Balbay D, Albayrak S, Laguna MP. A Retrospective Analysis of 83 Patients with Testicular Mass Who Underwent Testis-Sparing Surgery: The Eurasian Uro-oncology Association Multicenter Study. Urol Int 2023; 107:857-865. [PMID: 37591208 DOI: 10.1159/000531645] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Accepted: 06/06/2023] [Indexed: 08/19/2023]
Abstract
INTRODUCTION Herein, we analyzed the histopathological, oncological and functional outcomes of testis-sparing surgery (TSS) in patients with distinct risk for testicular cancer. METHODS This is a multicenter retrospective study on consecutive patients who underwent TSS. Patients were categorized in high- or low-risk testicular germ cell tumor (TGCT) according to the presence/absence of features compatible with testicular dysgenesis syndrome. Histology was categorized per size and risk groups. RESULTS TSS was performed in 83 patients (86 tumors) of them, 27 in the high-risk group. Fifty-nine patients had a non-tumoral contralateral testis present. Sixty masses and 26 masses were benign and TGCTs, respectively. No statistical differences were observed in mean age (30.9 ± 10.32 years), pathological tumor size (14.67 ± 6.7 mm) between risk groups or between benign and malignant tumors (p = 0.608). When categorized per risk groups, 22 (73.3%) and 4 (7.1%) of the TSS specimens were malignant in the high- and low-risk patient groups, respectively. Univariate analysis showed that the only independent variable significantly related to malignant outcome was previous history of TGCT. During a mean follow-up of 25.5 ± 22.7 months, no patient developed systemic disease. Local recurrence was detected in 5 patients and received radical orchiectomy. Postoperative testosterone levels remained normal in 88% of those patients with normal preoperative level. No erectile dysfunction was reported in patients with benign lesions. CONCLUSION TSS is a safe and feasible approach with adequate cancer control, and preservation of sexual function is possible in 2/3 of patients harboring malignancy. Incidence of TGCT varies extremely between patients at high and low risk for TGCT requiring a careful consideration and counseling.
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Affiliation(s)
- Murat Keske
- University of Health Sciences Medical Faculty of Kayseri, Kayseri City Hospital, Kayseri, Turkey
| | | | - Mert Ali Karadag
- University of Health Sciences Medical Faculty of Kayseri, Kayseri City Hospital, Kayseri, Turkey
| | - Halil Çiftçi
- Department of Urology, School of Medicine, Harran University, Sanliurfa, Turkey
| | - Sakip Erturhan
- Department of Urology, School of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Cagri Kactan
- Department of Urology, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Mustafa Soytas
- Department of Urology, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Fatih Özkaya
- Department of Urology, School of Medicine, Atatürk University, Erzurum, Turkey
| | - Isa Ozbey
- Department of Urology, School of Medicine, Atatürk University, Erzurum, Turkey
| | - Eser Ordek
- Department of Urology, School of Medicine, Harran University, Sanliurfa, Turkey
| | - Ali Fuat Atmaca
- Department of Urology, Memorial Ankara Hospital, Ankara, Turkey
| | - Asif Yildirim
- Department of Urology, School of Medicine, Medeniyet University, Istanbul, Turkey
| | - Selcuk Sahin
- Department of Urology, University of Health Sciences Affiliated with Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Yunus Colakoglu
- Department of Urology, University of Health Sciences Affiliated with Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
| | - Ugur Boylu
- Department of Urology, İstinye University Faculty of Medicine, Istanbul, Turkey
| | - Bulent Erol
- Department of Urology, School of Medicine, Medeniyet University, Istanbul, Turkey
| | - Turhan Caskurlu
- Department of Urology, School of Medicine, Medeniyet University, Istanbul, Turkey
| | - Murat Can Kiremit
- Department of Urology, School of Medicine, Koç University, Istanbul, Turkey
| | - Ozer Ural Cakici
- Department of Urology, Medical Park Ankara Hospital, Ankara, Turkey
| | - Gokhan Sonmez
- Department of Urology, Erciyes University Faculty of Medicine, Kayseri, Turkey
| | - Hakan Kılıçarslan
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey
| | - Ziya Akbulut
- Department of Urology, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Onur Kaygısız
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey
| | - Selahattin Bedir
- Department of Urology, University of Health Sciences Affiliated with Gulhane Training and Research Hospital, Ankara, Turkey
| | - Hakan Vuruskan
- Department of Urology, Uludag University, School of Medicine, Bursa, Turkey
| | - Yunus Erol Bozkurt
- Department of Urology, Celal Bayar University, School of Medicine, Manisa, Turkey
| | - Hasan Riza Aydin
- Department of Urology, University of Health Sciences Affiliated with Kanuni Training and Research Hospital, Trabzon, Turkey
| | - Ural Oguz
- Department of Urology, Giresun University, School of Medicine, Giresun, Turkey
| | - Erem Kaan Basok
- Department of Urology, Medical Park Izmir Hospital, Izmir, Turkey
| | - Bilal Habes Gumus
- Department of Urology, Celal Bayar University, School of Medicine, Manisa, Turkey
| | - Altug Tuncel
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Yilmaz Aslan
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara Abdurrahman Yurtaslan Oncology Hospital, Ankara, Turkey
| | | | - Murat Dinçer
- Department of Urology, Bagcilar Training and Research Hospital, Istanbul, Turkey
| | - Derya Balbay
- Department of Urology, School of Medicine, Koç University, Istanbul, Turkey
| | - Selami Albayrak
- Department of Urology, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
| | - Maria Pilar Laguna
- Department of Urology, School of Medicine, Istanbul Medipol University, Istanbul, Turkey
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Shear SL, Shams K, Weisberg J, Hamidi N, Scott SC. COVID-19 Vaccination Safety Profiles in Patients With Solid Tumour Cancers: A Systematic Review. Clin Oncol (R Coll Radiol) 2023; 35:e421-e433. [PMID: 37019693 PMCID: PMC10014476 DOI: 10.1016/j.clon.2023.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Revised: 02/09/2023] [Accepted: 03/09/2023] [Indexed: 03/17/2023]
Abstract
Vaccination has become an essential means of protection for solid tumour patients against coronavirus disease 2019 (COVID-19). In this systematic review, we sought to identify common safety profiles of the COVID-19 vaccine in patients with solid tumours. A search of Web of Science, PubMed, EMBASE and Cochrane was conducted for studies in English full-text that reported side-effect data experienced by patients with cancer who were at least 12 years old with solid tumours or a recent history of solid tumours after receiving either one or multiple doses of the COVID-19 vaccination. Study quality was assessed with the Newcastle Ottawa Scale criteria. Acceptable study types were retrospective and prospective cohorts, retrospective and prospective observational studies, observational analyses and case series; systematic reviews, meta-analyses and case reports were excluded. Among local/injection site symptoms, the most commonly reported were injection site pain and ipsilateral axillary/clavicular lymphadenopathy, whereas the most commonly reported systemic effects were fatigue/malaise, musculoskeletal symptoms and headache. Most side-effects reported were characterised as mild to moderate. A thorough evaluation of the randomised controlled trials for each featured vaccine led to the conclusion that in the USA and abroad, the safety profile seen in patients with solid tumours is comparable with that seen in the general public.
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Affiliation(s)
- S L Shear
- Midwestern University Arizona College of Osteopathic Medicine, Glendale, Arizona, USA
| | - K Shams
- Midwestern University Arizona College of Osteopathic Medicine, Glendale, Arizona, USA
| | - J Weisberg
- Midwestern University Arizona College of Osteopathic Medicine, Glendale, Arizona, USA
| | - N Hamidi
- Midwestern University Arizona College of Osteopathic Medicine, Glendale, Arizona, USA
| | - S C Scott
- Midwestern University Arizona College of Osteopathic Medicine, Glendale, Arizona, USA.
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Öztürk E, Yikilmaz TN, Hamidi N, Selvi İ, Başar H. Scheduled or immediate cystoscopy: Which option reduces pain and anxiety? Int Urol Nephrol 2023; 55:37-41. [PMID: 36125620 DOI: 10.1007/s11255-022-03364-5] [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: 05/17/2022] [Accepted: 09/10/2022] [Indexed: 01/05/2023]
Abstract
INTRODUCTION Office-based flexible cystoscopy is a common outpatient procedure in daily urology practice. Sometimes, cystoscopy procedures are performed on the initial day or scheduled on the following days. We designed this study to compare immediate versus scheduled cystoscopy in terms of anxiety and pain. METHODS In this study, 160 patients were prospectively randomized to undergo office-based flexible cystoscopy by the same urologist between November 2017 and January 2018. Participants were grouped as scheduled for a cystoscopy on the third day of their application (group 1) and immediate cystoscopy on the same day of the application (group 2). A visual analog scale (VAS), State-Trait Anxiety Inventory (STAI) and Beck Anxiety Inventory (BAI) were completed by the patients. RESULTS Among men, immediate cystoscopy group experienced an increased state anxiety score compared to scheduled group (51.21 ± 8.108 vs 35.29 ± 10.553; p < 0.001). BAI scores were 16.51 ± 8.078 for group1 vs 31.92 ± 8.403 for group2 (p < 0.001). The mean VAS score was 3 ± 1.183 and 4.55 ± 1.155 in group1 and group2, respectively (p < 0.001). Among women, both the trait anxiety score and state anxiety score were found significantly low in scheduled group (mean trait anxiety scores 44.71 ± 6.051 and 49.3 ± 6.670, mean state anxiety scores were 33.71 ± 8.776 and 44.15 ± 7 in group1 and 2, respectively; p < 0.0001). BAI scores were also low in scheduled group (19.02 ± 7.786 vs 34.13 ± 8.367). Additionally, the mean VAS score was significantly high in immediate cystoscopy group compared to scheduled cystoscopy group (3.50 ± 0.784 vs 2.61 ± 0.919; p < 0.001). CONCLUSION To reduce anxiety and pain, informing patients properly about the cystoscopy and scheduling the procedure would be helpful for a better cooperation of the patient.
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Affiliation(s)
- Erdem Öztürk
- Urology Department, Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Training and Research Hospital, Vatan Street No:91, Yenimahalle, 06200, Ankara, Turkey.
| | - Taha Numan Yikilmaz
- Urology Department, Department of Urology, Denizli Egekent Hospital, Denizli, Turkey
| | - Nurullah Hamidi
- Urology Department, Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Training and Research Hospital, Vatan Street No:91, Yenimahalle, 06200, Ankara, Turkey
| | - İsmail Selvi
- Urology Department, Department of Urology, Başakşehir Çam and Sakura Hospital, Istanbul, Turkey
| | - Halil Başar
- Urology Department, Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Training and Research Hospital, Vatan Street No:91, Yenimahalle, 06200, Ankara, Turkey
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Öztürk E, Yıkılmaz TN, Hamidi N, Öztürk FU, Selvi İ, Başar H, Reşorlu B. Stones hounsfield unit value and predictors of urinary leakage after PCNL. Afr J Urol 2022. [DOI: 10.1186/s12301-022-00281-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
To evaluate the predictive factors of urinary leakage (UL) following percutaneous nephrolithotomy (PNL) and to investigate the relationship between Hounsfield unit (HU) of stone and UL.
Methods
We retrospectively reviewed the data of 728 patients who underwent PNL between January 2012 and January 2017. In total, 396 patients were eligible for the study. Patient demographics, renal factors, stone properties and operative details were collected. The association between UL and these variables were assessed by univariate and multivariate analysis.
Results
There was no statistically significant correlation considering age, body mass index and the presence of hypertension. The presence of diabetes mellitus (DM) was significantly correlated with UL (p < 0.001). Kidney related factors such as parenchymal thickness, hydronephrosis grade (HN), previous stone treatment, and stone related factors, such as stone surface area, stone burden, stone localization and HU value of stone, were found to affect UL status significantly (p < 0.001). Operation time, fluoroscopy time, treatment outcome, j stent use, percutenous nephrostomy (PCN) catheter stay time and the hospitalization time also had significant effect on UL (p < 0.001). Multivariable logistic analysis showed that presence of DM, parenchymal thickness, HU values, HN, operation time, j stent use, and PCN catheter stay time are independently related with UL following PCNL. Moreover, we determined a HU cut-off value of 933 with ROC analysis, which demostrated 84.9% sensitivity and 67.1% specificity for predicting UL.
Conclusion
This study has shown that we are more likely to encounter postoperative UL in stones with higher HU values. Therefore, we suggest clinicians to inform patients with this type of kidney stones about the probable complication of UL.
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Bedir F, Altay MS, Kocatürk H, Bedir B, Hamidi N, Canda AE. Concurrent Inguinal Hernia Repair During Robot-Assisted Transperitoneal Radical Prostatectomy: Single Center Experience. Robot Surg 2021; 8:39-44. [PMID: 34917689 PMCID: PMC8666846 DOI: 10.2147/rsrr.s339892] [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] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 11/27/2021] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To evaluate outcomes of concurrent inguinal hernia (IH) repair with mesh during transperitoneal robot-assisted radical prostatectomy (RARP). MATERIAL AND METHODS Data of 26 patients (31 procedures) undergoing IH repair concurrently with RARP between January 2017 and January 2020 were evaluated retrospectively. Patients' demographics, intraoperative and postoperative variables were recorded. Patients were assessed based on prostate-specific antigen recurrence, IH recurrence, mesh infection, seroma formation and groin pain quarterly in the first year, and every six month thereafter. RESULTS The median age was 64.5 years in our population. IH was detected preoperatively in 46.2% of patients (n = 12) and intraoperatively in 53.8% (n = 14). Twenty-one (80.8%) patients (11 of them had right IH and 10 of them had left IH) had unilateral hernias and 5 patients (19.2%) had bilateral hernias. Twenty-three (88.4%) IHs were direct, three (11.6%) were indirect. The median operative time and estimated blood loss were 192.5 (range: 140-250) min and 100 (range: 10-170) mL, respectively. The median duration of IH repair, time of drainage, length of hospitalization, and catheterization were 32.5 (range: 14-40) min. 2 (range: 2-6) days, 6 (range: 5-8) days and 7 (range: 5-7) days, respectively. No perioperative complication due to RARP or IH repair was observed. During a median follow-up time was 18 months, no scrotal hematoma, seroma formation or mesh infection was identified. CONCLUSION IH repair performed during the same session at RARP is a safe and applicable procedure.
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Affiliation(s)
- Fevzi Bedir
- Department of Urology, Health Sciences University, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | | | - Hüseyin Kocatürk
- Department of Urology, Health Sciences University, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
| | - Banu Bedir
- Department of Public Health, Aziziye District Health Directorate, Erzurum, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara Oncology Training and Research Hospital, Ankara, Turkey
| | - Abdullah Erdem Canda
- Department of Urology, School of Medicine, Koç University Hospital, Istanbul, Turkey
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Ozcan C, Hamidi N. Does anticoagulant drug use affect the diagnosis and staging of bladder cancer? Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01095-2] [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: 11/29/2022]
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Bihari A, Hamidi N, Seow C, Goodman K, Wine E, Kroeker K. A98 DEFINING TRANSITION SUCCESS ACCORDING TO YOUNG ADULTS WITH INFLAMMATORY BOWEL DISEASE. J Can Assoc Gastroenterol 2021. [DOI: 10.1093/jcag/gwab002.096] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
The incidence of childhood-onset inflammatory bowel disease (IBD) diagnoses is increasing in Canada; therefore, more patients will need to transition from pediatric into adult care. The literature on transition in IBD patients has focused mainly on preparation and while transition success is often referenced, it is not clearly defined. Prior research on IBD transition success has only focused on the perspectives of the health care providers. Taking into consideration that transition is a process that greatly relies on patient involvement, patient perspectives should be represented in defining its success.
Aims
The primary aim is to understand patients’ perspectives on the outcomes that characterize a successful transition from pediatric to adult care.
Methods
This study paired a theoretical position of naturalistic inquiry with the method of qualitative description. Purposive sampling was used to recruit patients from IBD clinics at the University of Alberta and the University of Calgary. Inclusion criteria included transition within the last two years, diagnoses with IBD for at least a year prior to transitioning, and absence of comorbidities. Virtual semi-structured interviews were conducted using an established interview guide. Interviews were transcribed verbatim and then analyzed concurrently with data collection by latent content analysis using NVivo computer software. Participant recruitment and data analysis continued until no further themes emerged from the data, which signaled that thematic saturation was achieved.
Results
Thematic saturation was achieved after 17 interviews. Among participants, 58.8% were female; 47% had a diagnosis of Crohn’s, 47% of ulcerative colitis, and one individual was diagnosed with both. The median age at diagnosis was 15 years (IQR, 3.5). The majority (94%) of participants viewed their transition as being successful. Overall, the major themes that emerged from the data were: 1. relationship with one’s adult care team, characterized predominantly as the patient being comfortable with their new team; 2. health outcomes, characterized by disease remaining stable, and medication adherence; 3. independence in one’s care, characterized by making and attending appointments on their own, asking questions and in general having an awareness about your health and disease; 4. care stability, characterized by no drop off in care, and regular contact and follow up by their provider.
Conclusions
Young adults with IBD define pediatric transition success in four themes: relationship with care team, health outcomes, independence in one’s care, and care stability. Through understanding what transition success looks like from the patients’ perspectives, health care providers can help patients achieve success as they define it.
Funding Agencies
None
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Affiliation(s)
- A Bihari
- University of Alberta, Edmonton, AB, Canada
| | - N Hamidi
- University of Calgary, Calgary, AB, Canada
| | - C Seow
- University of Calgary, Calgary, AB, Canada
| | - K Goodman
- University of Alberta, Edmonton, AB, Canada
| | - E Wine
- University of Alberta, Edmonton, AB, Canada
| | - K Kroeker
- University of Alberta, Edmonton, AB, Canada
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Hamidi N. Editorial Comment from Dr Hamidi to Cranial nerve palsy caused by metastasis to the skull base in patients with castration-resistant prostate cancer: Three case reports. IJU Case Rep 2021; 4:112. [PMID: 33718820 PMCID: PMC7924077 DOI: 10.1002/iju5.12260] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Affiliation(s)
- Nurullah Hamidi
- Department of UrologyDr. Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalAnkaraTurkey
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Gok B, Hajiyev E, Hamidi N, Koc E, Asil E, Canda AE, Ardicoglu A, Atmaca AF, Keseroglu BB. Which is the best radiological imaging method for predicting actual prostate weight? Andrologia 2020; 52:e13770. [PMID: 32721048 DOI: 10.1111/and.13770] [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] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 06/24/2020] [Accepted: 06/28/2020] [Indexed: 11/26/2022] Open
Abstract
In this study, we compared the weight of the prostate specimen removed after robotic radical prostatectomy with the prostate weight measured pre-operatively by four different imaging modalities. Pre-operative prostate weight before robotic radical prostatectomy was measured by Transabdominal Ultrasonography (TAUS), Transrectal Ultrasonography (TRUS), Abdominal Tomography (CT) and MultiparametricProstate Magnetic Resonance imaging (mpMRI). Of the 170 patients enrolled in the study, the mean age was 65.2 ± 7.08 (46-84) years and mean prostate-specific antigen (PSA) 9.6 ± 7.7 (1.8-50). The mean post-operative actual prostate weight was 63.1 ± 30 gr. The mean pre-operative prostate volumes measured by TAUS, TRUS, CT and MPMRI were 64.5 ± 28.5, 49.1 ± 30.6, 54.5 ± 30.5 and 68.7 ± 31.7 ml, respectively (p < .001). Post-operative actual prostate weight correlated with prostate weight measured by TAUS, TRUS, CT and mpMRI (r coefficient 0.776, 0.802, 0.768 and 0.825 respectively). The best of these was mpMRI. Although prostate weight measured by different imaging methods has a high correlation to predict actual prostate weight, actual prostate weight is best predicted by measurements with mpMRI. However, errors and deviations that may occur with these imaging methods should be taken into consideration.
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Affiliation(s)
- Bahri Gok
- Department of Urology, School of Medicine affiliated with Ankara City Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Elchin Hajiyev
- Department of Urology, School of Medicine affiliated with Ankara City Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara Abdurrahman Yurtaslan Oncology Hospital, Ankara, Turkey
| | - Erdem Koc
- Department of Urology, School of Medicine affiliated with Ankara City Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Erem Asil
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | | | - Arslan Ardicoglu
- Department of Urology, School of Medicine affiliated with Ankara City Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Ali Fuat Atmaca
- Deparment of Urology, Ankara Memorial Private Hospital, Ankara, Turkey
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Özkidik M, Telli O, Hamidi N, Bagci U, Hüseyinov A, Kayis A, Ibrahimov A, Soygür T, Burgu B. Concealed Penis after Circumcision: Is It Beneficial in Lowering Uropathogenic Colonization in Penile Skin and Preventing Recurrence of Febrile Urinary Tract Infections? Urol J 2020; 17:164-168. [PMID: 31630386 DOI: 10.22037/uj.v0i0.5192] [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] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
PURPOSE To discuss whether concealed penis after circumcision lowers perimeatal urethral and glanular sulcus uropathogenic bacterial colonization in healthy boys with no urinary tract problems and prevents attacks of febrile urinary tract infections in non-healthy boys with defined urinary tract abnormalities. Materials and Methods: This case-control study was conducted in Ibn-i Sina Hospital and retrospectively collected data of 471 boys were analyzed. All patients were scanned for any urinary tract abnormality and those with any defined abnormalities were classified as non-healthy group. (123 patients) Non-healthy patients were divided into two subgroups as concealed (n:31) and non-concealed (n:92) penis after circumcision. Healthy patients with no urinary problems were divided into three groups as circumcised without concealed penis (n:144), with concealed penis after circumcision (n:104) and uncircumcised control group (n:100). Bacterial cultures were obtained from both periurethral meatal and glanular sulcus areas by adhering strictly to the rules of obtaining bacterial culture to avoid false-positive or negative culture results. Also only uropathogenic bacterias were evaluated, irrelevant results were excluded. Results: Mean age was similar in healthy population. Comparison of three groups showed that there was a significant difference in both cultures.(P = .026 for periurethral meatal region, P = .039 for glanular sulcus region) In post hoc analysis, non-concealed group had a lower rate of culture positivity in both areas compared to other groups. Mean age was also similar in non-healthy population. Mean follow-up period was 18.2 months. Patients with concealed penis after circumcision had a significantly higher number of febrile UTI attacks (20 attacks in 8 patients vs 7 attacks in 5 patients) compared to non-concealed group. (P = .019) All febrile UTI attacks except one in this group occurred below the age of 12 months. A total of 10 patients in both healthy and non-healthy groups had postoperative hemorrhage after circumcision and only 1 patient had a wound infection. Conclusion: Concealed penis after circumcision does not lower perimeatal urethral and glanular sulcus uropathogenic bacterial colonization in healthy patients and does not protect unhealthy patients from febrile urinary tract infection attacks. If circumcision is planned, concealed penis should be avoided and also parents should be informed about the possible risks due to concealed penis before the procedure, particularly in patients with urinary tract abnormalities.
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Affiliation(s)
- Mete Özkidik
- Yozgat State Hospital, Clinic of Urology, Yozgat, Turkey.
| | - Onur Telli
- Kartal Lütfi Kırdar Training and Research Hospital, Clinic of Pediatric Urology, İstanbul, Turkey
| | - Nurullah Hamidi
- Yurtaslan Research and Training Hospital, Clinic of Urology, Ankara, Turkey
| | - Uygar Bagci
- Ankara University Faculty of Medicine, Department of Urology, Ankara, Turkey
| | - Adil Hüseyinov
- Ankara University Faculty of Medicine, Department of Urology, Ankara, Turkey
| | - Aytaç Kayis
- Ankara University Faculty of Medicine, Department of Urology, Ankara, Turkey
| | - Anar Ibrahimov
- Ankara University Faculty of Medicine, Department of Urology, Ankara, Turkey
| | - Tarkan Soygür
- Ankara University Faculty of Medicine, Department of Pediatric Urology, Ankara, Turkey
| | - Berk Burgu
- Ankara University Faculty of Medicine, Department of Pediatric Urology, Ankara, Turkey
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Gok B, Gok G, Koc E, Hamidi N, Alijla A, Asil E, Gok A, Kamaci D, Neselioglu S, Ener K. The change in Thiol-Disulphide Homeostasis levels as an oxidative stress marker after varicocelectomy: Is there a relationship with sperm parameters? Andrologia 2020; 52:e13515. [PMID: 31957921 DOI: 10.1111/and.13515] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [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: 11/07/2019] [Revised: 12/14/2019] [Accepted: 12/23/2019] [Indexed: 12/11/2022] Open
Abstract
One of the most important causes of varicocele-related infertility is oxidative stress (OS). One of the markers considered as an indicator of OS is thiol-disulphide homeostasis (TDH). Based on the hypothesis that OS should decrease after varicocelectomy in the light of this information, in our current study, we investigated the relationship between TDH levels and sperm parameters. The data of 56 infertile varicocele men were prospectively analysed. The post-operative total and native thiol levels were significantly higher than those pre-operative total and native thiol levels (477.7 & 436.7 nmol/L, 417.6 & 372.1 nmol/L). Positive correlation was found between total thiol change and change in semen volume (ρ: .277, p: .039), ratio of spermatozoa with normal morphology (ρ: .342, p: .01), progressive (ρ: .334, p: .012) and nonprogressive motility (ρ: .385, p: .003). Positive correlation was also found between native thiol change and semen volume (ρ: .349, p: .008), ratio of spermatozoa with normal morphology (ρ: .362, p: .006), progressive (ρ: .297, p: .026) and nonprogressive motility (ρ: .368, p: .005). Change in the level of TDH was found as positively correlated with progressive and nonprogressive motility change. According to these results, OS decreases with varicocelectomy in infertile patients and TDH can be used as a useful method for measuring OS.
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Affiliation(s)
- Bahri Gok
- Department of Urology, School of Medicine affiliated with of Ankara City Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Gamze Gok
- Department of Biochemistry, School of Medicine affiliated with of Ankara City Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Erdem Koc
- Department of Urology, School of Medicine affiliated with of Ankara City Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara Abdurrahman Yurtaslan Oncology Hospital, Ankara, Turkey
| | - Amjad Alijla
- Department of Urology, Ankara Medisun Hospital, Ankara, Turkey
| | - Erem Asil
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Alper Gok
- Department of Urology, Ankara Diskapi Training and Research Hospital, Ankara, Turkey
| | - Davut Kamaci
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Salim Neselioglu
- Department of Biochemistry, School of Medicine affiliated with of Ankara City Hospital, Ankara Yildirim Beyazit University, Ankara, Turkey
| | - Kemal Ener
- Department of Urology, İstanbul Umraniye Training and Research Hospital, İstanbul, Turkey
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Yıkılmaz TN, Öztürk E, Hamidi N, Selvi İ, Başar H, Peşkircioğlu L. Evaluation of sexual dysfunction prevalence in infertile men with non-obstructive azoospermia. ACTA ACUST UNITED AC 2020; 91:241-244. [PMID: 31937090 DOI: 10.4081/aiua.2019.4.241] [Citation(s) in RCA: 3] [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: 05/12/2019] [Accepted: 08/02/2019] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To determine the prevalence of sexual dysfunction in male partners of infertile couples and evaluate the effect of childlessness on erectile dysfunction (ED) and sexual relationship stress. MATERIALS AND METHODS We collected datas of couples who attended our clinics for infertility between 2009 and 2016. Erectile dysfunction was investigated with the Questionnaires of International Index of Erectile Function-15 (IIEF-15) whereas premature ejaculation (PE) status with the Premature Ejaculation Diagnostic Tool (PEDT). The stress status of the childlessness in terms of sexual intercourse was scored by the Visual analogue scale (VAS) questionnaire. These scores were measured before and after a successful assisted reproductive treatment with the birth of the child. RESULTS The median age of the 193 male patients was 31 years (range 23-48). Erectile dysfunction was found in 68 (35.2%) and PE in 42 (21.7%) subjects. One hundred and forty-one couples were treated with assisted reproductive treatments. Forty eight couples had successful pregnancy. The IIEF-15 test was repeated after the birth of the child to the male partners of these couples. We observed that the IIEF-15 scores increased from 16 to 21 (p = 0.014). However there were no significant improvement on their ejaculation status (p > 0.05). The mean VAS scores of male partners was 5.2 (3-10) in the treatment period while it decreased to 4.1 (0-8) after the birth of the chils (p = 0.02). Statistically analysis showed a correlation between VAS and infertility as did IIEF-15. CONCLUSIONS We observed that having children has a reducing effect on sexual relationship stress. Infertility is absolutely blamed on the women and men. This condition may have negative effects on male sexual performance and it is closely related with some emerging female sexual disorders. It should be taken into consideration that infertile couples may have sexual dysfunction.
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Affiliation(s)
- Taha Numan Yıkılmaz
- Department of Urology, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara.
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Suer E, Hamidi N, Akpinar C, Gokce MI, Gulpinar O, Turkolmez K, Beduk Y, Baltaci S. The Effect of Time to Castration Resistance on Overall Survival and Success of Docetaxel Treatment in Castration Resistant Prostate Cancer Patients. Urol J 2019; 16:453-457. [PMID: 30636274 DOI: 10.22037/uj.v0i0.4497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
PURPOSE To investigate the prognostic role of time to castration resistance(TTCR) in patients who have received solely Docetaxel chemotherapy regimen(DCR) for castration resistant prostate cancer(CRPC). METHODS Between Jan 2004 and Dec 2015, data of 162 patients who have received DCR for CRPC were gath-ered. Patients were divided into three groups according to TTCR: Group 1(? 12 months), group 2(13-24 months), and group 3(>24 months). Data of age, clinical stage, Gleason grade(GG), previous treatments, site of metastases, Prostate-specific antigen (PSA) values, TTCR, overall survival, biochemical progression free survival(PFS) and PSA response to docetaxel were recorded. RESULT The mean age of the 162 patients was 74.4 ± 8.5 years. Data on mean age, type of castration, adding estra-mustine to docetaxel, secondary hormonal manipulation, Gleason grade, clinical T stage at initial diagnosis and site of metastases were comparable between three groups. PSA values were higher in group 1 than other groups. PSA response to docetaxel was 59.2% in all patient and it was worse in group 1 than other groups (P = .009). Two years overall survival rates were 7.6%, 25% and 32.3% in group 1, 2 and 3, respectively. Median survival rates were 7, 14 and 23 months in group 1, 2 and 3, respectively, and this difference was statistically significant (P=.016). On multivariate analysis, TTCR was found to be independent prognostic factor for overall survival and response to docetaxel treatment. CONCLUSION TTCR appears to be an independent prognostic factor for patients who are candidates for DCR.
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Affiliation(s)
- Evren Suer
- Ankara University School of Medicine, Department of Urology, Ankara, TURKEY.
| | - Nurullah Hamidi
- Ankara Atatürk Research and Training Hospital, Department of Urology, Ankara, TURKEY
| | - Cagri Akpinar
- Ankara University School of Medicine, Department of Urology, Ankara, TURKEY
| | - Mehmet Ilker Gokce
- Ankara University School of Medicine, Department of Urology, Ankara, TURKEY
| | - Omer Gulpinar
- Ankara University School of Medicine, Department of Urology, Ankara, TURKEY
| | - Kadir Turkolmez
- Ankara University School of Medicine, Department of Urology, Ankara, TURKEY
| | - Yasar Beduk
- Ankara University School of Medicine, Department of Urology, Ankara, TURKEY
| | - Sumer Baltaci
- Ankara University School of Medicine, Department of Urology, Ankara, TURKEY
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Gok B, Hamidi N, Koc E, Cakici OU, Asil E, Atmaca AF. Complete blood count and penile colour doppler ultrasonography findings in erectile dysfunction: Is there a relationship? Andrologia 2019; 51:e13365. [PMID: 31273827 DOI: 10.1111/and.13365] [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: 04/21/2019] [Revised: 05/21/2019] [Accepted: 06/06/2019] [Indexed: 11/29/2022] Open
Abstract
The aim of this study was to evaluate the relationship between penile colour doppler ultrasonography (PCDUS) and complete blood count parameters in patients with erectile dysfunction (ED). The data of the patients who applied to our outpatient clinic with ED (IIEF-5 score <22 or IIEF-EF score <26) between January 2007 and May 2017 were retrospectively analysed. The patients who had available PCDUS results and complete blood count (CBC) values were included in the study. Patients were divided into two groups having normal (n = 530 [68.9%]) or abnormal (n = 240 [31.1%]) PCDUS findings (group 1 versus group 2 respectively). Subsequently, group 2 was divided into three subgroups according to presence of arterial insufficiency (group 2a; n = 85 [11%]), venous insufficiency (group 2b; n = 140 [18.2%]) and both of arterial and venous insufficiency (group 2c; n = 15 [1.9%]), and the four groups were compared in terms of CBC parameters. There was no statistically significant difference between the 4 groups, and between the patients with normal and abnormal PCDUS findings in terms of CBC values. CBC values were not associated with PCDUS findings in patients with ED.
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Affiliation(s)
- Bahri Gok
- Department of Urology, Ankara Yildirim Beyazit University, School of Medicine affiliated with Ankara City Hospital, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara Abdurrahman Yurtaslan Oncology Hospital, Ankara, Turkey
| | - Erdem Koc
- Department of Urology, Ankara Yildirim Beyazit University, School of Medicine affiliated with Ankara City Hospital, Ankara, Turkey
| | - Ozer Ural Cakici
- Department of Urology, Ankara Medical Park Hospital, Ankara, Turkey
| | - Erem Asil
- Department of Urology, Ankara City Hospital, Ankara, Turkey
| | - Ali Fuat Atmaca
- Department of Urology, Ankara Yildirim Beyazit University, School of Medicine affiliated with Ankara City Hospital, Ankara, Turkey
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Hamidi N, Suer E, Ozkidik M, Gokce MI, Ozturk E, Ozcan C, Turkolmez K, Beduk Y, Baltaci S. Effect of Treatment Modality on Long Term Renal Functions in Patients With Muscle Invasive Bladder Cancer. Urol J 2019; 16:274-278. [PMID: 30345496 DOI: 10.22037/uj.v0i0.4251] [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] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
PURPOSE To compare of changes in glomerular filtration rate (GFR) in patients who underwent radical cystectomy (RC) and multimodal treatment (MMT). MATERIALS AND METHODS We identified 472 consecutive patients who underwent RC or treated with MMT for muscle invasive bladder cancer (MIBC) at our institution, between January 1995 and December 2010. After ex-cluding the patients who died within 5 years or without 5 years of follow-up, 175 and 59 patients who were treated with RC and MMT, respectively were included to the study. GFR was measured before treatment and every 6 months after treatment till the end of 60th month. RESULTS The mean age and mean baseline GFR were 66.5±5.7 years and 85.1±18.2 mL/min/1.73m2, respectively for all patients. We detected statistically significant higher decrease rates for GFRs in MMT group compared to RC group at every follow up period till 42nd month. Renal function decreasing was found to be more prominent during first year of follow-up (79.1 to 65.9 mL/min/1.73m2) in MMT group. However, GFR decreased more reg-ularly in RC group (~4 mL/min/1.73m2 per year). MMT, lower baseline GFR, Diabetes Mellitus, hypertension, and ureteroenteric anastomotic stricture development were associated with low GFR under 60 and 45 mL/min at the end of five years. CONCLUSION Decreased renal function is noted in many MIBC patients after RC or MMT in the long-term fol-low-up. Renal function deterioration is more prominent within the first year after MMT.
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Affiliation(s)
- Nurullah Hamidi
- Ankara Atatürk Training and Research Hospital, Department of Urology, Ankara, Turkey.
| | - Evren Suer
- Ankara University School of Medicine, Department of Urology, Ankara, Turkey
| | - Mete Ozkidik
- Ankara University School of Medicine, Department of Urology, Ankara, Turkey
| | - Mehmet Ilker Gokce
- Ankara University School of Medicine, Department of Urology, Ankara, Turkey
| | - Erdem Ozturk
- Ankara University School of Medicine, Department of Urology, Ankara, Turkey
| | - Cihat Ozcan
- Ankara University School of Medicine, Department of Urology, Ankara, Turkey
| | - Kadir Turkolmez
- Ankara University School of Medicine, Department of Urology, Ankara, Turkey
| | - Yasar Beduk
- Ankara University School of Medicine, Department of Urology, Ankara, Turkey
| | - Sumer Baltaci
- Ankara University School of Medicine, Department of Urology, Ankara, Turkey
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Özkidik M, Coşkun A, Asutay MK, Bahçeci T, Hamidi N. Efficacy and tolerability of mirabegron in female patients with overactive bladder symptoms after surgical treatment for stress urinary incontinence. Int Braz J Urol 2019; 45:782-789. [PMID: 31136113 PMCID: PMC6837616 DOI: 10.1590/s1677-5538.ibju.2018.0518] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 02/24/2019] [Indexed: 11/22/2022] Open
Abstract
PURPOSE To evaluate the efficacy and tolerability of mirabegron in females with overactive bladder (OAB) symptoms after surgical treatment for stress urinary incontinence (SUI). MATERIALS AND METHODS The study was conducted with a prospective, randomized and double-blinded design. 62 patients over the age of 40 who met the inclusion-exclusion criterias of the study were enrolled and randomly divided into two groups as Group A (mirabegron 50mg) and B (solifenacin 5mg). Patients were compared based on efficacy of treatment [Patient Perception of Bladder Condition (PPBC) scale and micturition diaries], safety of treatment (heart rate, systolic and diastolic blood pressure, adverse events), number of micturitions per day, patient's satisfaction status after treatment [Visual Analog Scale(VAS)] and quality of life. RESULTS The mean age of the population was 48.2±3.8 years and the duration of OAB symptoms was 5.9±2.9 months. Baseline values for the mean number of micturitions, volume voided in each micturition, nocturia episodes, urgency and urgency incontinence episodes were 15.3±0.34, 128±3.88mL, 3.96±1.67, 5.72±1.35 and 4.22±0.69, respectively. After treatment, values for these parameters were 11.7±0.29, 164.7±2.9mL, 2.25±0.6, 3.38±0.71, 2.31±0.49 respectively. Quality of life score, symptom bother score, VAS for treatment satisfaction score, PPBC score after treatment were 66.1±0.85, 43.7±0.77, 4.78±0.14, 4.78±0.14, respectively. There were no significant differences between two groups on any parameter. However, mirabegron showed better tolerability than solifenacin, particularly after 6 months. CONCLUSION Mirabegron is safe, effective and tolerable in the long-term treatment of females with OAB symptoms after surgery for stress urinary incontinence.
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Affiliation(s)
- Mete Özkidik
- Clinic of Urology, Şanliurfa Research and Training Hospital, Şanliurfa, Turkey
| | - Alper Coşkun
- Clinic of Urology, Şanliurfa Research and Training Hospital, Şanliurfa, Turkey
| | - Mehmet Kazim Asutay
- Clinic of Urology, Şanliurfa Research and Training Hospital, Şanliurfa, Turkey
| | - Tuncer Bahçeci
- Clinic of Urology, Şanliurfa Research and Training Hospital, Şanliurfa, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
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Yikilmaz TN, Ozturk E, Hizli F, Hamidi N, Basar H. Effect of hormonal therapy for volume reduction, lower urinary tract symptom relief and voiding symptoms in prostate cancer: leuprolide vs goserelin. Urol J 2019; 16:157-161. [PMID: 30345497 DOI: 10.22037/uj.v0i0.4245] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
AIM The complaints of lower urinary tract symptoms (LUTS) in cases with Prostate carcinoma (Pca) depend on coexisting benign prostate hyperplasia (BPH) or aging bladder. We aimed to investigate and compare the effect of goserelin acetate with leuprolide acetate on total prostate volume (TPV), post voiding residue (PVR), International Prostate Symptom Score (IPSS) and maximum flow rate (Qmax) reduction on cases of advanced Pca. METHODS Patients with advanced Pca were treated with goserelin acetate (10.8 mg/3 months) or leuprolide acetate (22.5 mg/3 months) for 6 months. Changes in Prostate specific antigen (PSA), testesterone level, TPV, IPSS, PVR, and Qmax were assessed every 3 months. RESULTS Fifty-one patients analyzed in this study. Mean percent decrease in PSA and testesterone from baseline to 6th month was not significantly difference between two groups (respectively; p = 0.9, p = 0.15) but TPV was reduced by -20.2 % ± 4.8 and -15.6 % ± 1.04, the median total IPSS score was decreased by -34.77 % ± 8.8 and -19.77 % ± 6.1, median Qmax increased by 45.34 % ± 10.16 and 23.21 % ± 6.93, median PVR decreased by -31.54 % ± 8.4 and -19.23 % ± 5.5, respectively for two groups (all parameters (p < 0.05))Conclusion. In this study, we observed that the improvement of voiding parameters goserelin acetate was beter than leuprolide acetate. Especially it was detected the superiority of goserelin acetate group on the reduction of TPV, PVR and IPSS. Oncological outcomes were not different in both groups.
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Affiliation(s)
- Taha Numan Yikilmaz
- Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara 06200, Turkey.
| | - Erdem Ozturk
- Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara 06200, Turkey
| | - Fatih Hizli
- Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara 06200, Turkey
| | - Nurullah Hamidi
- Atatürk Training and Research Hospital, Ankara 06200, Department of Urology
| | - Halil Basar
- Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara 06200, Turkey
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Hamidi N. Editorial Comment to Renal primitive neuroectodermal tumor with elevated plasma adrenocorticotropic hormone levels: A case report. IJU Case Rep 2019; 2:131-132. [PMID: 32743392 PMCID: PMC7292098 DOI: 10.1002/iju5.12063] [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] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Affiliation(s)
- Nurullah Hamidi
- Department of UrologyDr. Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalAnkaraTurkey
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Atmaca AF, Hamidi N, Canda AE, Keske M, Ardicoglu A. Concurrent Repair of Inguinal Hernias with Mesh Application During Transperitoneal Robotic-assisted Radical Prostatectomy: Is it Safe. Urol J 2018; 15:381-386. [PMID: 30033512 DOI: 10.22037/uj.v0i0.4158] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
PURPOSE To assessment the safety of concurrent repair of inguinal hernia (IH) with mesh application during transperitoneal robotic-assisted radical prostatectomy(RARP). MATERIALS AND METHODS Data of 20 patients (totally 25 procedures) who performed concurrent IH repair with mesh application during RARP were retrospectively enrolled in this study. Preoperative patient characteristics, intra and postoperative parameters (pathological Gleason grade, prostate volume at surgical specimen, operative time, herniorrhaphy time, estimated blood loss, complications, time of hospitalization, catheterization, and drainage) were evaluated. Standard PSA control and postoperative complications of mesh application such as herniarecurrence, mesh infection, seroma formation and groin pain were evaluated at every follow-up visits (every three in the first year, then every 6 months in years 2 to 5 and annually thereafter. RESULT The mean age was 66 ± 8 years in our population. Fifteen (60 %) patients had a unilateral hernia and 5 (40%) patients had bilateral hernias. The mean operative time was 139 ± 21minutes and estimated mean blood loss was 108 ± 76 mL. The mean duration of IH repair in patients which was 27 ± 5 (range: 17- 40) minutes. The mean time of drainage, hospitalization, and catheterization were 2.5 ± 0.8 days (range: 2-6), 4 ± 0.9 days (range: 2-7) and 8.2 ± 1.9 days (range: 7-14), respectively. We did not observe any intra-operative complication due to RARP orIH repair. Wound evisceration at camera port site developed in only a patient on postoperative day 20. Our median follow-up time was 13 months and we did not observe mesh infection or hernia recurrence during follow-up. CONCLUSION Concurrent IH repair with RARP procedure seem to be easy to perform, effective and safe procedure.
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Affiliation(s)
- Ali Fuat Atmaca
- 1Department of Urology, Ankara Yildirim Beyazit University Faculty of Medicine, Ankara Atatürk Training and Research Hospital, Cankaya, Ankara 06430, Turkey
| | - Nurullah Hamidi
- Department of Urology, Koc University School of Medicine, Maltepe, Istanbul 34010, Turkey.
| | - Abdullah Erdem Canda
- Department of Urology, Ankara Yildirim Beyazit University Faculty of Medicine, Ankara Atatürk Training and Research Hospital, Cankaya, Ankara 06430, Turkey
| | - Murat Keske
- Department of Urology, Ankara Atatürk Training and Research Hospital, Cankaya, Ankara 06430, Turkey
| | - Arslan Ardicoglu
- Department of Urology, Ankara Yildirim Beyazit University Faculty of Medicine, Ankara Atatürk Training and Research Hospital, Cankaya, Ankara 06430, Turkey
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Hamidi N, Atmaca AF, Canda AE, Keske M, Gok B, Koc E, Asil E, Ardicoglu A. Does Presence of a Median Lobe Affect Perioperative Complications, Oncological Outcomes and Urinary Continence Following Robotic-assisted Radical Prostatectomy? Urol J 2018; 15:248-255. [PMID: 30178450 DOI: 10.22037/uj.v0i0.4276] [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 To evaluate of the presence of a median lobe(ML) affect perioperative complications, positive surgical margins(PSM), biochemical recurrence(BCR) and urinary continence(UC) following robotic-assisted radical prostatectomy(RARP). MATERIALS AND METHODS Data of 924 consecutive patients who underwent RARP for prostate cancer (PCa) and who have at least 1-year follow-up were evaluated retrospectively. All patients were divided into two groups: Group 1(n=252) included patients with ML and Group 2 (n=672) included patients without ML. The primary endpoint of this study was to compare complication rates between two groups. The secondary endpoints were to compare PSM, BCR and UC rates. RESULTS Both groups were statistically similar in terms of demographics and variables about PCa. Mean prostate volume was higher in Group 1 vs. Group 2 (69± 31 vs. 56±23 mL, p<.001). Total operative time was longer in Group 1 vs. Group 2 (144±38 vs. 136±44 min, p=.01). Biochemical recurrence, PSM, perioperative and postoperative complication rates of our population were 13.6%, 14.9%, 1.7% and 8.7%, respectively. There were no statistical differences in terms of perioperative complication, PSM and BCR rates between the groups(p>0.05). At the first month after RARP, total continence rate was statistically significant lower in Group 1 vs. Group 2 (49.2% and 56.5%, p=.03), respectively. However, there were no significant differences in terms of continence rates at 3rd month, 6th month and 1st-year follow-up. CONCLUSIONS Due to our experience, the presence of ML does not seem to affect perioperative complication, intraoperative blood loss, PSM and BCR following RARP. However, the presence of ML seems to be a disadvantage in gaining early UC following RARP.
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Affiliation(s)
- Nurullah Hamidi
- Department of Urology, Ankara Atatürk Training and Research Hospital, Cankaya, Ankara 06430, Turkey.
| | - Ali Fuat Atmaca
- Department of Urology, Ankara Yildirim Beyazit University Faculty of Medicine, Cankaya, Ankara 06430, Turkey
| | - Abdullah Erdem Canda
- Department of Urology, Koc University School of Medicine, Maltepe, Istanbul 34010, Turkey
| | - Murat Keske
- Department of Urology, Ankara Atatürk Training and Research Hospital, Cankaya, Ankara 06430, Turkey
| | - Bahri Gok
- Department of Urology, Ankara Yildirim Beyazit University Faculty of Medicine, Cankaya, Ankara 06430, Turkey
| | - Erdem Koc
- Department of Urology, Ankara Atatürk Training and Research Hospital, Cankaya, Ankara 06430, Turkey
| | - Erem Asil
- Department of Urology, Ankara Atatürk Training and Research Hospital, Cankaya, Ankara 06430, Turkey
| | - Arslan Ardicoglu
- Department of Urology, Ankara Yildirim Beyazit University Faculty of Medicine, Cankaya, Ankara 06430, Turkey
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Hamidi N, Atmaca AF, Canda AE, Keske M, Ardıçoğlu A. Does extent of prostate-specific antigen fluctuation can predict Gleason score upgrading in low-risk prostate cancer patients? Turk J Urol 2018; 45:S42-S48. [PMID: 30183609 DOI: 10.5152/tud.2018.41017] [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: 03/20/2018] [Accepted: 05/21/2018] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To evaluate the effect of prostate-specific antigen (PSA) fluctuation on Gleason score (GS) upgrading, disease upstaging, oncological outcomes in low-risk prostate cancer (PCa) patients who underwent robot-assisted laparoscopic radical prostatectomy (RARP) and met the inclusion criteria for active surveillance (AS). MATERIAL AND METHODS Data of 354 low-risk PCa patients who underwent RARP were retrospectively evaluated. Patients were divided into two groups: PSA fluctuation rate<9.5%/month (Group 1, n=192) and >9.5%/month (Group 2, n=162). Mainly compared parameters were GS upgrading, disease upstaging, biochemical recurrence (BCR) and surgical margin positivity (SMP) rates. RESULTS GS upgrading, disease upstaging and SMP were detected in 128 (36.2%), 56 (15.8%) and 42 (11.9%) patients, respectively. After a median follow-up of 46 months, BCR was observed in 40 (11.3%) patients. GS upgrading (41.1% vs. 30.2%, p=0.033), disease upstaging (19.8% vs. 11.1%, p=0.028), SMP (15.1% vs. 8%, p=0.035) and BCR development (15.6% vs. 6.2%, p=0.005) rates were statistically significantly higher in Group 1 than Group 2. In multivariate analysis, digital rectal examination positivity, the presence of two positive cores and low PSA fluctuation rate were found to be significant predictors of GS upgrading. CONCLUSION Low PSA fluctuation rate is associated with higher GS upgrading.
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Affiliation(s)
- Nurullah Hamidi
- Department of Urology, Atatürk Training and Research Hospital, Ankara, Turkey
| | - Ali Fuat Atmaca
- Department of Urology, Ankara Yıldırım Beyazıt University School of Medicine, Ankara, Turkey
| | - Abdullah Erdem Canda
- Department of Urology, Ankara Yıldırım Beyazıt University School of Medicine, Ankara, Turkey
| | - Murat Keske
- Department of Urology, Atatürk Training and Research Hospital, Ankara, Turkey
| | - Arslan Ardıçoğlu
- Department of Urology, Ankara Yıldırım Beyazıt University School of Medicine, Ankara, Turkey
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Yıkılmaz TN, Öztürk E, Hamidi N, Başar H, Yaman Ö. Management of obturator nevre injury during pelvic lymph node dissection. Turk J Urol 2018; 45:S26-S29. [PMID: 29975634 DOI: 10.5152/tud.2018.26235] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2017] [Accepted: 02/07/2018] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Obturator nerve injuries may be seen during pelvic lymph node dissection in oncological surgery and although not common it is an important complication. According to the shape and location of the injury, tingling and loss of sensation may develop on the inner surface of the leg, together with loss of motor function of the adductor muscles. In this study an evaluation was made of these complications encountered in our clinic and the management strategies applied to these patients. MATERIAL AND METHODS The data were retrospectively reviewed of 843 patients who underwent open radical retropubic prostatectomy between January 2002 and May 2016. To confirm obturator nerve palsy, electrophysiological investigation (ENG-EMG) was performed immediately postoperatively and 3 weeks later. RESULTS A total of 6 obturator nerve injuries occurred during pelvic lymphadenectomy (0.7%). Reapproximation end to end with sutures was applied in 3 case and sural nerve graft in 1. In the other 2 patients, just clips were placed and these were removed early during the operation. After the treatment period, neurotropic medications or physiotherapy were given in some cases according to the neurological examinations. CONCLUSION Obturator nerve injury can be prevented by having a comprehensive knowledge of pelvic anatomy, and avoiding the use of electrocautery during lymph node dissection. The repair should be performed as soon as possible, with a tension-free reapproximation of the ends, using electrophysiological tests with a multidisciplinary approach and benefit should be taken from physiotherapy and medical treatment when needed.
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Affiliation(s)
- Taha Numan Yıkılmaz
- Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey
| | - Erdem Öztürk
- Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara Atatürk Training and Research Hospital, Ankara, Turkey
| | - Halil Başar
- Department of Urology, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey
| | - Önder Yaman
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
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Hamidi N. Author reply: Letter to editor on the effect of corticosteroid on postoperative early pain, renal colic and total analgesic consumption after uncomplicated and unstented ureteroscopy: a matched-pair analysis by Mark C. Kendall. World J Urol 2018; 37:213. [PMID: 29858699 DOI: 10.1007/s00345-018-2356-x] [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: 05/21/2018] [Accepted: 05/25/2018] [Indexed: 11/27/2022] Open
Affiliation(s)
- Nurullah Hamidi
- Department of Urology, Atatürk Training and Research Hospital, Universiteler Mah, No:1, Cankaya, 06430, Ankara, Turkey.
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Reix B, Bernhard JC, Patard JJ, Bigot P, Villers A, Suer E, Vuong N, Verhoest G, Alimi Q, Beauval JB, Benoit T, Nouhaud FX, Lenormand C, Hamidi N, Cai J, Eto M, Larre S, El Bakhri A, Ploussard G, Hung A, Koutlidis N, Schneider A, Carrouget J, Droupy S, Marchal S, Doerfler A, Seddik S, Matsugasumi T, Orsoni X, Descazeaud A, Pfister C, Bensalah K, Soulie M, Gill I, Flamand V. Overall survival and oncological outcomes after partial nephrectomy and radical nephrectomy for cT2a renal tumors: A collaborative international study from the French kidney cancer research network UroCCR. Prog Urol 2018; 28:146-155. [DOI: 10.1016/j.purol.2017.12.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 11/12/2017] [Accepted: 12/07/2017] [Indexed: 01/20/2023]
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Hamidi N, Ozturk E, Yikilmaz TN, Atmaca AF, Basar H. The effect of corticosteroid on postoperative early pain, renal colic and total analgesic consumption after uncomplicated and unstented ureteroscopy: a matched-pair analysis. World J Urol 2018; 36:979-984. [PMID: 29396787 DOI: 10.1007/s00345-018-2210-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [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: 10/30/2017] [Accepted: 01/24/2018] [Indexed: 12/12/2022] Open
Abstract
PURPOSE To evaluate the effect of corticosteroid (CS) on early postoperative pain, renal colic and total analgesic consumption after uncomplicated and unstented ureteroscopy (URS). METHODS Data of 397 patients who underwent URS and stone fragmentation for symptomatic distal ureteral stone (≤ 15 mm) were retrospectively evaluated. After exclusion, 72 patients who received methylprednisolone (Group I) after non-stenting uncomplicated URS were matched with another 72 patients who did not receive CS (Group II). Cases were matched 1:1 ratio and the matched-pair criteria were age, stone diameter, and duration of surgery. RESULTS Both groups were statistically similar in terms of mean age, operative time, stone size and preoperative pain score. However, the mean postoperative pain score was statistically significantly lower in group I than group II on the day of surgery (3.3 ± 1.7 vs. 3.9 ± 1.3, p = 0.012) and postoperative day 1 (2.8 ± 1.8 vs. 3.4 ± 1.3, p = 0.02), respectively. Renal colic episode development rate (4.2 vs. 13.2%, p = 0.036), parenteral analgesic requirement rate (18.1 vs. 33.3%, p = 0.001) and total parenteral analgesic consumption per patient (18 vs. 36mg, p = 0.009) were statistically lower in group I than group II on the day of surgery; however, there were no statistically significant differences on postoperative day 1. There were no statistically significant differences between groups in terms of ureteral stenting requirement and late unplanned urgent room visit rates. CONCLUSIONS Corticosteroid after uncomplicated URS can be offered to reduce early postoperative pain, renal colic episode and total analgesic consumption.
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Affiliation(s)
- Nurullah Hamidi
- Department of Urology, Atatürk Training and Research Hospital, Ankara, Turkey.
| | - Erdem Ozturk
- Department of Urology, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey
| | - Taha Numan Yikilmaz
- Department of Urology, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey
| | - Ali Fuat Atmaca
- Department of Urology, Atatürk Training and Research Hospital, Ankara Yildirim Beyazit University School of Medicine, Ankara, Turkey
| | - Halil Basar
- Department of Urology, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey
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Altınbaş NK, Hamidi N, Yağcı C. Erektil disfonksiyonlu diabetes mellitus olgularında penil Doppler ultrasonografi bulguları. Ege Tıp Dergisi 2017. [DOI: 10.19161/etd.399242] [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: 11/23/2022] Open
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Öztürk E, Hamidi N, Yikilmaz TN, Özcan C, Başar H. Effect of Listening to Music on Patient Anxiety and Pain Perception during Urodynamic Study: Randomized Controlled Trial. Low Urin Tract Symptoms 2017; 11:39-42. [PMID: 28834330 DOI: 10.1111/luts.12191] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2017] [Revised: 05/18/2017] [Accepted: 06/08/2017] [Indexed: 11/27/2022]
Abstract
OBJECTIVE Urodynamic studies (UDS) include assessments of the physics and physiology of the lower urinary tract (LUT). It is an invasive test and patients can feel fear and anxiety, especially at the beginning of the test. The aim of this study was to determine whether listening to music during urodynamic study decreases patient anxiety and pain. METHODS Sixty-two patients who underwent urodynamic study were randomized into the following groups: no music (group 1, n = 30) or classical music (group 2, n = 32) during the procedure. Patient anxiety levels were quantified using the State-Trait Anxiety Inventory (STAI) and Beck's Anxiety Inventory (BAI). A visual analog scale (VAS) was used for self-assessment of discomfort and willingness among patients to have a repeat urodynamic study. RESULTS Demographic characteristics, mean age, duration of procedure, systolic and diastolic blood pressure (SBP and DBP) and heart rate before procedure were statistically significantly similar between the two groups. Statistically significant differences were detected between the two groups in the mean pain score on VAS (4.1 ± 1.4 vs 2.6 ± 1.8), mean post-procedural STAI score (46 ± 5.8 vs 37.3 ± 5) and mean BAI score (14.2 ± 1.7 vs 3.5 ± 0.7). SBP and DBP and heart rate were similar between the groups. CONCLUSION Music is a cheap, safe and effective intervention that has gained increasing recognition as an effective tool to reduce pain and anxiety. Listening to music during urodynamic study reduced patient pain and anxiety.
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Affiliation(s)
- Erdem Öztürk
- Department of Urology, Dr Abdurrahman Yurtaslan Training and Research Hospital, Ankara, Turkey
| | - Nurullah Hamidi
- Deparment of Urology, Atatürk Training and Research Hospital, Ankara, Turkey
| | - Taha N Yikilmaz
- Department of Urology, Dr Abdurrahman Yurtaslan Training and Research Hospital, Ankara, Turkey
| | - Cihat Özcan
- Deparment of Urology, Gülhane Training and Research Hospital, Ankara, Turkey
| | - Halil Başar
- Department of Urology, Dr Abdurrahman Yurtaslan Training and Research Hospital, Ankara, Turkey
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Hamidi N, Altinbas NK, Gokce MI, Suer E, Yagci C, Baltaci S, Turkolmez K. Preliminary results of a new tool to evaluate cavernous body fibrosis following radical prostatectomy: penile elastography. Andrology 2017; 5:999-1006. [DOI: 10.1111/andr.12408] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Revised: 06/04/2017] [Accepted: 06/29/2017] [Indexed: 12/24/2022]
Affiliation(s)
- N. Hamidi
- Department of Urology; Atatürk Training and Research Hospital; Ankara Turkey
| | - N. K. Altinbas
- Department of Radiology; Ankara University School of Medicine; Ankara Turkey
| | - M. I. Gokce
- Department of Urology; Ankara University School of Medicine; Ankara Turkey
| | - E. Suer
- Department of Urology; Ankara University School of Medicine; Ankara Turkey
| | - C. Yagci
- Department of Radiology; Ankara University School of Medicine; Ankara Turkey
| | - S. Baltaci
- Department of Urology; Ankara University School of Medicine; Ankara Turkey
| | - K. Turkolmez
- Department of Urology; Ankara University School of Medicine; Ankara Turkey
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Telli O, Hamidi N, Bagci U, Demirbas A, Hascicek AM, Soygur T, Burgu B. What happens to asymptomatic lower pole kidney stones smaller than 10 mm in children during watchful waiting? Pediatr Nephrol 2017; 32:853-857. [PMID: 28070668 DOI: 10.1007/s00467-016-3570-7] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2016] [Revised: 12/11/2016] [Accepted: 12/15/2016] [Indexed: 11/24/2022]
Abstract
BACKGROUND The optimal management of lower pole kidney (LPK) stones in children is controversial. The aim of this study was to determine the outcomes of children with asymptomatic isolated LPK stones smaller than 10 mm during follow-up. METHODS A total of 242 patients with 284 stones presenting at our institution between June 2004 and December 2014 with an asymptomatic, single LPK stone with a diameter of <10 mm were enrolled in the study. All children were assigned to receive first-line therapy and then categorized according to the need for medical intervention. Age, gender, stone laterality, stone size and type, associated urinary tract problems, and uncontrolled metabolic status were assessed as predictive factors of medical treatment for small (<10 mm) asymptomatic LPK stones. Stone-free rates were compared between interventions. RESULTS The mean age and mean stone size were 9.4 ± 1.9 years and 7.4 ± 0.6 mm at admission, respectively. Stone progression rate was 61.2%, and the mean time for intervention was 19.2 ± 4.6 months. Flexible ureterorenoscopy (n = 68) or micro-percutaneous nephrolithotomy (n = 4) were performed for 72 stones (25.4%; group 1), and extracorporeal shock wave lithotripsy was performed for 102 stones (35.9%; group 2). The stone-free rates were 81.8 and 79.3% in group 1 and 2, respectively (p > 0.05). The remaining asymptomatic stones (110, 38.8%; group 3) were managed by continued observation, and at the end of the observation time (mean 40.8 ± 20.8 months) the spontaneous passage rate was 9.1% in this group. In the multivariate analysis, stone size of >7 mm, concurrent renal anomalies, and stones composed of magnesium ammonium phosphate (struvite) and cystine were statistically significant predictors of the need for intervention. CONCLUSIONS Children with stones larger than 7 mm, renal anomalies, or stones composed of metabolically active cystine or struvite are more likely to require intervention, and those with asymptomatic LPK stones smaller than 10 mm can be managed by continued observation.
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Affiliation(s)
- Onur Telli
- Department of Pediatric Urology, School of Medicine, Ankara University, Sihhiye, Ankara, 06100, Turkey.
| | - Nurullah Hamidi
- Department of Urology, School of Medicine, Ankara University, Ankara, Turkey
| | - Uygar Bagci
- Department of Urology, School of Medicine, Ankara University, Ankara, Turkey
| | - Arif Demirbas
- Urology Clinic, Ankara Training and Research Hospital, Ankara, Turkey
| | | | - Tarkan Soygur
- Department of Pediatric Urology, School of Medicine, Ankara University, Sihhiye, Ankara, 06100, Turkey
| | - Berk Burgu
- Department of Pediatric Urology, School of Medicine, Ankara University, Sihhiye, Ankara, 06100, Turkey
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Hamidi N, Ozturk E. The Effect of Listening to Music During Percutaneous Nephrostomy Tube Placement on Pain, Anxiety, and Success Rate of Procedure: A Randomized Prospective Study. J Endourol 2017; 31:457-460. [DOI: 10.1089/end.2016.0843] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Nurullah Hamidi
- Department of Urology, Atatürk Training and Research Hospital, Ankara, Turkey
| | - Erdem Ozturk
- Department of Urology, Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey
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Cakici ÖU, Hamidi N, Ürer E, Okulu E, Kayigil O. Efficacy of sertraline and gabapentin in the treatment of urethral pain syndrome: retrospective results of a single institutional cohort. Cent European J Urol 2017; 71:78-83. [PMID: 29732211 PMCID: PMC5926640 DOI: 10.5173/ceju.2018.1574] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 10/03/2017] [Revised: 10/14/2017] [Accepted: 01/14/2018] [Indexed: 11/22/2022] Open
Abstract
Introduction Urethral pain syndrome is a subgroup of chronic pelvic pain syndromes and comprises a relatively challenging patient group in urological practice. Several different treatments have been used for the management of the condition from a mostly empirical basis. In this article, we present the results of a small cohort of young male patients treated with sertraline and gabapentin therapy. Material and methods The data of 52 patients was retrospectively evaluated and 31 patients' data was included in this study. Clinical symptom scores, including International Prostate Symptoms Score, Hamilton Anxiety Rating Scale, Visual Analog Scale for Pain, Quality of Life due to Lower Urinary Tract Symptoms, and Urinary, Psychosocial, Organ Specific, Infection, Neurologic/Systemic, Tenderness of Skeletal Muscles (UPOINT) classifications were retrospectively analyzed from the patient records and charts. Results We observed improvement in clinical scores involving anxiety, lower urinary tract symptoms, quality of life, and pain. Statistical analysis revealed significant amelioration of the symptoms with gaba- pentin and sertraline treatment in our cohort. Conclusions Gabapentin and sertraline treatment may be considered in the second step management of urethral pain syndrome. To draw an evidence-based recommendation, prospective and comparative studies should be conducted in the future.
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Affiliation(s)
- Özer Ural Cakici
- Yenimahalle Training and Research Hospital, Department of Urology, Ankara, Turkey
| | - Nurullah Hamidi
- Attending Urologist, Atatürk Training and Research Hospital, Urology Clinic, Ankara, Turkey
| | - Emre Ürer
- Department of Child and Adolescent Psychiatry, Ankara University School of Medicine, Ankara, Turkey
| | - Emrah Okulu
- Atatürk Training and Research Hospital, Urology Clinic, Ankara, Turkey
| | - Onder Kayigil
- Yildirim Beyazit University, Atatürk Training and Research Hospital, Urology Clinic, Ankara, Turkey
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Gokce MI, Tangal S, Hamidi N, Suer E, Ibis MA, Beduk Y. Role of neutrophil-to-lymphocyte ratio in prediction of Gleason score upgrading and disease upstaging in low-risk prostate cancer patients eligible for active surveillance. Can Urol Assoc J 2016; 10:E383-E387. [PMID: 28096923 DOI: 10.5489/cuaj.3550] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
INTRODUCTION Active surveillance (AS) is an option for management of low-risk prostate cancer (PCa). However, grade and stage progression is an important consideration. Neutrophil-to-lymphocyte ratio (NLR) is a useful marker of cancer-related inflammation. In this study, we aimed to identify the roles of neutrophil count (NC), lymphocyte count (LC), and NLR to predict Gleason score (GS) upgrading, disease upstaging, and biochemical recurrence rates (BCR) in low-risk PCa patients. METHODS We retrospectively evaluated data of 210 low-risk PCa patients eligible for AS, but who underwent radical prostatectomy. The roles of NC, LC, and NLR on the GS upgrading, disease upstaging, and BCR rates were investigated. Univariate and multivariate models were used to determine the effect of these parameters. RESULTS There were 104 and 106 patients in the NLR <2.5 and NLR ≥2.5 groups, respectively. GS upgrading in the NLR ≥2.5 group was more common than in the NLR<2.5 group (p=0.04). The NLR ≥2.5 group had significantly higher GS (8-10; p=0.03). With regard to NLR, the groups were found to have similar rates of disease upstaging (9/104 in NLR <2.5 vs. 16/106 in NLR ≥2.5; p=0.200). BCR rates were also significantly different between groups (p=0.033). NC an LC were not found to be associated with GS upgrading, disease upstaging, or BCR. CONCLUSIONS NLR is a predictor of GS upgrading and BCR, but not disease upstaging in patients with low-risk PCa. Furthermore, higher NLR was found to be associated with higher GS PCa. NLR is a cost-effective and easily accessible tool that can be used in the decision-making process for treatment of low-risk PCa cases.
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Affiliation(s)
- Mehmet Ilker Gokce
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Semih Tangal
- Department of Urology, Ufuk University School of Medicine, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Evren Suer
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Muhammed Arif Ibis
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Yasar Beduk
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
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Telli O, Ozcan C, Hamidi N, Karagoz MA, Hascicek AM, Soygur T, Burgu B. Preoperative Risk Factors Predicting Complication Rates of Augmentation Cystoplasty Using the Modified Clavien Classification System in Pediatric Population. Urology 2016; 97:166-171. [PMID: 27450942 DOI: 10.1016/j.urology.2016.05.067] [Citation(s) in RCA: 6] [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: 02/02/2016] [Revised: 05/12/2016] [Accepted: 05/23/2016] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To evaluate preoperative predictive factors for postoperative complications of augmentation cystoplasty in children by using the modified Clavien classification system (MCCS). PATIENTS AND METHODS A retrospective review of medical records between 1994 and 2014 identified 117 children (64 males and 53 females) who underwent augmentation cystoplasty. Complications were evaluated according to the MCCS. Univariate and multivariate analyses were used to determine predictive factors affecting complication rates. RESULTS The mean (SD) age was 9.3 (1.9) years and the mean (SD) hospitalization time was 9.7 (3.6) days. Patients with an adverse or unexpected event within 30 days of surgery were identified. Complications occurred in 29 (24.7%) children; 13 (11.1%) were MCCS grade I, 8 (5.1%) were grade II, 5 (4.2%) were grade III, and 3 (2.5%) were grade IV. Antireflux surgery, outlet resistance increasing procedures, Society of Fetal Urology (SFU) grades 3-4 hydronephrosis, posterior urethral valves, scoliosis, and serum creatinine greater than 1.0 mg/dL were statistically significant predictors of complications on univariate analysis. In the multivariate analysis, SFU grades 3-4 hydronephrosis, bladder neck reconstruction, and serum creatinine greater than 1.0 mg/dL were statistically significant independent predictors of complications. CONCLUSION Augmentation cystoplasty remains a valid method of treating severe bladder dysfunction in children. SFU grades 3-4 hydronephrosis, outlet resistance increasing procedures, and serum creatinine greater than 1.0 mg/dL were the main predictive factors for postoperative complications. Use of a standardized complication grading system, such as the MCCS, should be encouraged to allow the valid comparison of complication rates between series.
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Affiliation(s)
- Onur Telli
- Department of Paediatric Urology, School of Medicine, Ankara University, Ankara, Turkey.
| | - Cihat Ozcan
- Department of Urology, School of Medicine, Ankara University, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, School of Medicine, Ankara University, Ankara, Turkey
| | - Mehmet A Karagoz
- Urology Clinic, Ankara Training and Research Hospital, Ankara, Turkey
| | - Ahmet M Hascicek
- Urology Clinic, Ankara Training and Research Hospital, Ankara, Turkey
| | - Tarkan Soygur
- Department of Paediatric Urology, School of Medicine, Ankara University, Ankara, Turkey
| | - Berk Burgu
- Department of Paediatric Urology, School of Medicine, Ankara University, Ankara, Turkey
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Telli O, Hamidi N, Kayis A, Suer E, Soygur T, Burgu B. Can the success of structured therapy for giggle incontinence be predicted? Int Braz J Urol 2016; 42:334-8. [PMID: 27256188 PMCID: PMC4871395 DOI: 10.1590/s1677-5538.ibju.2014.0560] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Accepted: 09/09/2015] [Indexed: 11/22/2022] Open
Abstract
Introduction: To evaluate possible factors that can guide the clinician to predict potential cases refractoriness to medical treatment for giggle incontinence (GI) and to examine the effectiveness of different treatment modalities. Material and methods: The data of 48 children referred to pediatric urology outpatient clinic between 2000 and 2013 diagnosed as GI were reviewed. Mean age, follow-up, GI frequency, associated symptoms, medical and family history were noted. Incontinence frequency differed between several per day to less than once weekly. Children were evaluated with uroflowmetry-electromyography and post-void residual urine. Clinical success was characterized as a full or partial response, or nonresponse as defined by the International Children's Continence Society. Univariate analysis was used to find potential factors including age, sex, familial history, GI frequency, treatment modality and dysfunctional voiding to predict children who would possibly not respond to treatment. Results: Mean age of the patients was 8.4 years (range 5 to 16). Mean follow-up time and mean duration of asymptomatic period were noted as 6.7±1.4 years and 14.2±2.3 months respectively. While 12 patients were treated with only behavioral urotherapy (Group-1), 11 patients were treated with alpha-adrenergic blockers and behavioral urotherapy (Group-2) and 18 patients with methylphenidate and behavioral urotherapy (Group-3). Giggle incontinence was refractory to eight children in-group 1; six children in-group 2 and eight children in-group 3. Daily GI frequency and dysfunctional voiding diagnosed on uroflowmetry-EMG were found as outstanding predictive factors for resistance to treatment modalities. Conclusions: A variety of therapies for GI have more than 50% failure rate and a standard treatment for GI has not been established. The use of medications to treat these patients would not be recommended, as they appear to add no benefit to symptoms and may introduce severe adverse effects.
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Affiliation(s)
- Onur Telli
- Department of Paediatric Urology, School of Medicine, Ankara University, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, School of Medicine, Ankara University, Ankara, Turkey
| | - Aytac Kayis
- Department of Urology, School of Medicine, Ankara University, Ankara, Turkey
| | - Evren Suer
- Department of Urology, School of Medicine, Ankara University, Ankara, Turkey
| | - Tarkan Soygur
- Department of Paediatric Urology, School of Medicine, Ankara University, Ankara, Turkey
| | - Berk Burgu
- Department of Paediatric Urology, School of Medicine, Ankara University, Ankara, Turkey
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Gokce MI, Hamidi N, Suer E, Tangal S, Huseynov A, Ibiş A. Author reply: The neutrophil-to-lymphocyte ratio in clinical practice. Can Urol Assoc J 2016; 10:142. [PMID: 27217864 DOI: 10.5489/cuaj.3630] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Mehmet Ilker Gokce
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Evren Suer
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Semih Tangal
- Department of Urology, Ufuk University School of Medicine, Ankara, Turkey
| | - Adil Huseynov
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Arif Ibiş
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
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Hamidi N, Suer E, Gokce I, Altinbas N, Yagci C, Baltaci S, Turkolmez K. PD06-06 THE EFFECT OF NEUROVASCULAR BUNDLE PRESERVATION ON CHANGES IN PENIS LENGTHS AND ELASTICITY SCORES FOLLOWING RADICAL PROSTATECTOMY. J Urol 2016. [DOI: 10.1016/j.juro.2016.02.2626] [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: 11/25/2022]
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Hamidi N, Telli O, Bagci U, Esen B, Karagoz MA, Hascicek AM, Soygur T, Burgu B. Outcomes of Laparoscopic Treatment Modalities for Unilateral Non-palpable Testes. Front Pediatr 2016; 4:13. [PMID: 26973822 PMCID: PMC4778551 DOI: 10.3389/fped.2016.00013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2015] [Accepted: 02/15/2016] [Indexed: 11/13/2022] Open
Abstract
PURPOSE To date, laparoscopy has gradually become the gold standard for treatment of non-palpable testicles (NPT) with different success and complication rates. In this study, we aimed to evaluate outcomes of laparoscopic approaches for NPT. MATERIALS AND METHODS We reviewed data of 82 consecutive patients who underwent laparoscopic treatment for unilateral NPT at two institutions by two high volume surgeons from 2004 January to 2014 December. Laparoscopic-assisted orchidopexy (LAO) and two-stage Fowler-Stephens technique (FST) was performed for 45 and 37 patients, respectively. Age (at surgery), follow-up time, laterality of testes, and postoperative complications were analyzed. Modified Clavien classification system (MCCS) was used for evaluating complications. RESULTS The median age (at surgery) and median follow-up time were 18 (range: 6-56) and 60 (range: 9-130) months, respectively. Overall success rate for two laparoscopy techniques was 87.8% during the maximal follow-up time. We observed wound infection in two, hematoma in one, testicular atrophy in five, testicular re-ascending in two patients at follow-up period. There was no statistical difference between two laparoscopic techniques for grade I (five vs. two patients, p = 0.14) and grade IIIb MCCS complications (five vs. two patients, p = 0.44). CONCLUSION Our results have shown that two laparoscopic approaches have low complication rates.
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Affiliation(s)
- Nurullah Hamidi
- Department of Urology, Ankara University School of Medicine , Ankara , Turkey
| | - Onur Telli
- Department of Pediatric Urology, Ankara University School of Medicine , Ankara , Turkey
| | - Uygar Bagci
- Department of Urology, Ankara University School of Medicine , Ankara , Turkey
| | - Baris Esen
- Department of Urology, Ankara University School of Medicine , Ankara , Turkey
| | - Mehmet Ali Karagoz
- Department of Urology, Ankara Training and Research Hospital , Ankara , Turkey
| | | | - Tarkan Soygur
- Department of Pediatric Urology, Ankara University School of Medicine , Ankara , Turkey
| | - Berk Burgu
- Department of Pediatric Urology, Ankara University School of Medicine , Ankara , Turkey
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Gokce MI, Hamidi N, Suer E, Tangal S, Huseynov A, Ibiş A. Evaluation of neutrophil-to-lymphocyte ratio prior to prostate biopsy to predict biopsy histology: Results of 1836 patients. Can Urol Assoc J 2015; 9:E761-5. [PMID: 26600880 DOI: 10.5489/cuaj.3091] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
INTRODUCTION We evaluate the role of NLR prior to prostate biopsy to predict biopsy histology and Gleason score in patients with prostate cancer. METHODS In this retrospective study, we evaluated data of patients underwent prostate biopsy between May 2005 and March 2015. We collected the following data: age, prostate-specific antigen (PSA), biopsy histology, Gleason score (GS) in prostate cancer patients, neutrophil counts, and lymphocyte counts. Patients were grouped as benign prostatic hyperplasia (BPH), prostate cancer, and prostatitis. The Chi square test was used to compare categorical variables and analysis of variance (ANOVA) was applied for continuous variables. RESULTS Data of 1836 patients were investigated. The mean age, total PSA and neutrophil-lymphocyte ratio (NLR) of the population were 66.8 ± 8.17 years, 9.38 ± 4.7 ng/dL, and 3.11 ± 1.71, respectively. Patients were divided as follows: 625 in the group with BPH history, 600 in the prostatitis group, and 611 in the prostate cancer histology group. The mean NLR of the prostatitis group was higher compared to the prostate cancer and BPH groups (p = 0.0001). The mean NLR of the prostate cancer group was significantly higher compared to the BPH group (p = 0.002). The GS 8-10 group had a significantly higher mean NLR compared to GS 5-6 (3.64 vs. 2.54, p = 0.0001) and GS 7 (3.64 vs. 2.58, p = 0.0001) patients. CONCLUSIONS NLR was found to differ with regard to histology of prostate biopsy and higher GS was associated with higher NLR in patients with prostate cancer. However prostatitis prevents the use of NLR in predicting prostate cancer before a prostate biopsy. Also, the retrospective nature and lack of multivariate analysis in this study somewhat limits the relevance of these results.
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Affiliation(s)
- Mehmet Ilker Gokce
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Evren Suer
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Semih Tangal
- Department of Urology, Ufuk University School of Medicine, Ankara, Turkey
| | - Adil Huseynov
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Arif Ibiş
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
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Bernhard J, Patard J, Bigot P, Suer E, Vuong N, Verhoest G, Alimi Q, Flamand V, Reix B, Beauval J, Benoit T, Nouhaud F, Lenormand C, Hamidi N, Eto M, Larre S, El bakri A, Baco E, Ploussard G, Koutlidis N, Schneider A, Roupret M, Leon P, Carrouget J, Droupy S, Marchal S. Cancer du rein cliniquement localisé : quels sont les facteurs prédictifs du risque d’upstaging pathologique pT3a par invasion de la graisse ? Prog Urol 2015; 25:800. [DOI: 10.1016/j.purol.2015.08.169] [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: 11/29/2022]
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Hamidi N, Esen B, Kıvrak H, Sertçelik A, Gülpınar Ö. A large and metastatic primitive neuroectodermal tumor of the kidney. Turk J Urol 2015; 41:152-4. [PMID: 26516600 DOI: 10.5152/tud.2015.92653] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [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: 09/23/2014] [Accepted: 12/29/2014] [Indexed: 11/22/2022]
Abstract
Primitive neuroectodermal tumor (PNET) of the kidney is rare. Mostly patients with renal PNET are young adults and the survival rates are poor. Although radiological and pathological investigations, differential diagnosis from other kidney tumours is very difficult. The treatment is often delayed because of difficulties with diagnosis. In most cases of renal PNET, as in this case, prognosis is poor. Particularly, in young adults with large renal masses, it must be diagnosed and treatment should be started immediately.
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Affiliation(s)
- Nurullah Hamidi
- Department of Urology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Barış Esen
- Department of Urology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Hale Kıvrak
- Department of Pathology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Ayşe Sertçelik
- Department of Pathology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Ömer Gülpınar
- Department of Urology, Ankara University Faculty of Medicine, Ankara, Turkey
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Suer E, Hamidi N, Gokce MI, Gulpinar O, Turkolmez K, Beduk Y, Baltaci S. Significance of second transurethral resection on patient outcomes in muscle-invasive bladder cancer patients treated with bladder-preserving multimodal therapy. World J Urol 2015; 34:847-51. [PMID: 26462931 DOI: 10.1007/s00345-015-1710-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Accepted: 10/08/2015] [Indexed: 11/26/2022] Open
Abstract
PURPOSE Although the role of second transurethral resection of bladder tumor (TURB) is well established in high-risk non-muscle-invasive bladder cancer, to the best of our knowledge, there is no study regarding the role of a second transurethral resection (TUR) after a complete first TURB in multimodal therapy (MMT). The aim of this study was to evaluate the role of a second TUR on disease-specific survival (DSS) and overall survival (OS) rates in muscle-invasive bladder cancer (MIBC) patients who were treated with MMT. METHODS We assessed the data of 90 patients (stage T2-4, N0-1, M0 urothelial cancer) who were treated with MMT at our clinic between January 2000 and June 2014. Patients with incomplete initial TURB were excluded. A total of 43 patients had a second TUR before starting radiochemotherapy of MMT (group 1), and 47 patients (group 2) were treated with MMT without having a second TUR. The impact of second TUR on DSS and OS rates was the primary outcome measure of the study. RESULTS Mean (SD, range) age and mean follow-up of the patients were 65.1 (7.1, 52-81) years and 60.3 (38.3, 6-159) months, respectively. The two groups were similar with regard to sex, age, presence of hydronephrosis, lymph node involvement and stage. The 5-year DSS rate was better in group 1 compared to group 2 (68 vs. 41 %) (p = 0.046). The 5-year OS rates of the patients were 63.7 and 40.1 % in groups 1 and 2, respectively (p = 0.054). Multivariate analysis revealed that second TUR, lymph node involvement, presence of hydronephrosis and tumor stage were independent prognostic factors for DSS. CONCLUSIONS Second TUR should be performed in patients with MIBC who are going to be treated with bladder-preserving MMT protocols.
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Affiliation(s)
- Evren Suer
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey.
| | - Mehmet Ilker Gokce
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Omer Gulpinar
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Kadir Turkolmez
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Yasar Beduk
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - Sumer Baltaci
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
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Hamidi N, Telli O, Burgu B. A Rare Case of Penile Lymphangioma Circumscriptum Treated with the Split-Thickness Skin Grafting Technique. jus 2015. [DOI: 10.4274/jus.326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Gökçe Mİ, Kerimov S, Akıncı A, Hamidi N, Afandiyev F, Yaman Ö. Effect of dutasteride treatment on reducing blood loss and in perioperative period of open prostatectomy. Turk J Urol 2015; 41:24-6. [PMID: 26328194 DOI: 10.5152/tud.2015.90094] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Accepted: 12/09/2014] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Open prostatectomy (OP) is a valid option for the surgical treatment of large prostates in the absence of holmium laser enucleation. The most frequent complication of OP is intra- and perioperative bleeding. Preoperative use of dutasteride has been shown to reduce vascularity and perioperative bleeding in transurethral resection of the prostate (TUR-P). However, there has been no study addresing this effect in OP. The aim of this study was to evaluate whether pretreatment with dutasteride for 6 weeks before OP can reduce surgical blood loss. MATERIAL AND METHODS Data of 218 patients with benign prostatic hyperplasia (BPH) who underwent OP was investigated retrospectively. Of the 218 patients, 46 were treated with dutasteride for at least 6 weeks and the rest were dutasteride naïve. Age, prostate volume, prostate-specific antigen (PSA) levels, coagulation tests, platelet counts, pre- and postoperative hemoglobin (Hb) levels, and transfusion history were recorded. Blood loss was estimated as follows: preoperative Hb (-) postoperative Hb (+) amount of transfusion. The 2 groups were compared by independent samples t-test and a p value of 0.05 was considered significant. RESULTS The groups were similar in terms of age, prostate volume, platelet counts, coagulation tests, and postoperative Hb levels. Preoperative Hb levels were lower in the dutasteride group (13.4 vs. 14.3, p=0.002) and amount of bleeding (-2.72 g/dL vs. -1.93 g/dL, p= 0.01) was shown to be significantly lower in dutasteride group. CONCLUSION Our results showed that pretreatment with dutasteride for 6 weeks before OP considerably reduces perioperative surgical bleeding. Further prospective randomized trials should be conducted to confirm the effectiveness of such treatment.
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Affiliation(s)
- Mehmet İlker Gökçe
- Department of Urology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Seymur Kerimov
- Department of Urology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Aykut Akıncı
- Department of Urology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Nurullah Hamidi
- Department of Urology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Faraj Afandiyev
- Department of Urology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Önder Yaman
- Department of Urology, Ankara University Faculty of Medicine, Ankara, Turkey
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Hamidi N, Suer E, Gokce MI, Alacayir I, Atasoy C, Kankaya D, Kirmizi A, Telli O, Baltaci S. An Unusual Manifestation of Renal Angiomyolipoma: Pulmonary Fat Embolism. Urology 2015; 86:e13-5. [PMID: 26166674 DOI: 10.1016/j.urology.2015.05.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2015] [Revised: 05/15/2015] [Accepted: 05/21/2015] [Indexed: 10/23/2022]
Abstract
Renal angiomyolipoma (AML) is the most common benign renal mesenchymal tumors. AMLs are usually asymptomatic and frequently affect women. Only epithelioid variant has malignant potential. Although life-threatening complications related to retroperitoneal bleeding and massive hematuria are possible, it is often detected incidentally. Pulmonary embolism as the first symptom is extremely rare. Herein, we present a case of renal AML who admitted with pulmonary embolism symptoms.
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Affiliation(s)
- Nurullah Hamidi
- Department of Urology, Ankara University, School of Medicine, Ankara, Turkey.
| | - Evren Suer
- Department of Urology, Ankara University, School of Medicine, Ankara, Turkey
| | - Mehmet Ilker Gokce
- Department of Urology, Ankara University, School of Medicine, Ankara, Turkey
| | - Iskender Alacayir
- Department of General Surgery, Ankara University, School of Medicine, Ankara, Turkey
| | - Cetin Atasoy
- Department of Radiology, Ankara University, School of Medicine, Ankara, Turkey
| | - Duygu Kankaya
- Department of Pathology, Ankara University, School of Medicine, Ankara, Turkey
| | - Ayca Kirmizi
- Department of Pathology, Ankara University, School of Medicine, Ankara, Turkey
| | - Onur Telli
- Department of Urology, Ankara University, School of Medicine, Ankara, Turkey
| | - Sumer Baltaci
- Department of Urology, Ankara University, School of Medicine, Ankara, Turkey
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Okutucu TM, Telli O, Ozturk E, Suer E, Hamidi N, Burgu B. Can the effect of adhesion barriers and/or intravesical balloon inflation improve bladder autoaugmentation outcomes in a rabbit model? J Pediatr Urol 2015; 11:86.e1-6. [PMID: 25869825 DOI: 10.1016/j.jpurol.2014.12.008] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2014] [Accepted: 12/22/2014] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Bladder augmentation is used for the treatment of bladder dysfunction in order to minimize intravesical pressure and increase bladder capacity. However, less-invasive procedures, such as autoaugmentation, have been proposed due to several complications that have occurred using bowel and gastric segments. The technique of autoaugmentation involves wide excision of the detrusor by leaving the bladder mucosa intact and has shown increased bladder capacity and compliance. An additional step to keep the achieved surface area of this non-contractible bladder segment and, thus, bladder capacity, was reported by using an intravesical balloon to prevent shrinkage of the surgically achieved diverticulum during autoaugmentation. On the other hand, adhesion barriers (AB) with absorbable hydrogel, which can spare tissue and organ plans, are used to prevent postsurgical adhesions. The efficacy of sprayable AB has been demonstrated in animal models and it is now mostly used in laparoscopic surgeries. OBJECTIVE The present study aimed to compare the efficacy of AB and/or intravesical balloon insertion, which might potentially improve the urodynamic and histopathological outcomes of autoaugmentation in a rabbit model. METHODS A total of 25 New Zealand rabbits were included in the study. Following the surgical reduction to form a low-capacity bladder model (35-40% of the initial volume), standard detrusorotomy was performed in all groups except the sham group. Group 2 had only autoaugmentation as the control group. The bladders in Group 3 were supported with an intravesical balloon. An Adhesion Barrier System (CUI Tissue Expander) was used for all bladders in Group 4, without balloon inflation. In Group 5, both intravesical balloon inflation and adhesion barrier application were performed following autoaugmentation. Urodynamic evaluations were performed at day 0 before reduction, day 0 after reduction, and the 90th postoperative day. Capacity and compliance measurements were noted. Bladders were histopathologically evaluated. Expression of CD31 (microvessel density) and fibrosis were noted. RESULTS Autoaugmentation does not result in a reliable increase in bladder capacity and compliance when compared to a sham group. Urodynamic measurements were similar in balloon-inflated groups (Group 3 and Group 5), showing a statistically significant improvement. Sprayable AB system alone revealed a slight, but not statistically significant, increase (Table). No significant differences between all five groups were detected regarding microvessel density (CD31 expression) and fibrosis. DISCUSSION In the present study, the intravesical balloon application (IVBA) efficiency was investigated alone and in combination with AB. The main basis of this study were the previous findings, which demonstrated prevention or decrease in the contraction of diverticula by IVBA. The role of AB alone or within a combination was also evaluated. Adhesion barriers are mostly used in laparoscopic gynecologic and colorectal operations. They decrease the postoperative adhesions by forming a physical barrier. In the present study, it was thought that AB might reduce postoperative adhesions and enhance the outcome of autoaugmentation. One of the most important outcomes was the inconsistency of fibrosis density with final bladder capacity and compliance values; this finding did not support the role of fibrosis prevention with IVBA. The present study had some limitations: the partial cystectomy method, which was used to form a low-compliance bladder, is a different clinical condition to neurogenic bladder, and a rectal catheter was not used during urodynamic evaluation. General anesthesia and muscle relaxant were performed during urodynamy and abdominal contractions were not seen. CONCLUSION Bladder autoaugmentation in a rabbit model, followed by intravesical balloon inflation offers improvement in bladder capacity and compliance. The use of sprayable adhesion barrier hydrogel technology may facilitate tissue healing and result in it being easier to maintain the success achieved by surgery when only supported with an intravesical balloon.
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Affiliation(s)
- T M Okutucu
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - O Telli
- Department of Pediatric Urology, Ankara University School of Medicine, Ankara, Turkey.
| | - E Ozturk
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - E Suer
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - N Hamidi
- Department of Urology, Ankara University School of Medicine, Ankara, Turkey
| | - B Burgu
- Department of Pediatric Urology, Ankara University School of Medicine, Ankara, Turkey
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