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Cizmeci S, Ongun S, Sarac A, Sel E, Tozburun S, Durmus N. Low frequency neuromuscular electrical stimulation applied to the bulbospongiosus muscle prolongs the ejaculation latency in a rat model. Int J Impot Res 2024; 36:261-264. [PMID: 36782022 DOI: 10.1038/s41443-023-00678-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 02/02/2023] [Accepted: 02/03/2023] [Indexed: 02/15/2023]
Abstract
Premature ejaculation (PE) is common, but its true pathophysiology is not clear, and treatments are limited. We aimed to investigate the effect of neuromuscular electrical stimulation applied in different modes and frequencies to the bulbospongiosus muscle on ejaculation parameters. In this study, 24 male Wistar albino rats were used. The rats were equally divided into three groups: control, high-frequency burst (HFB) and low-frequency (LF) (n = 8 each). Neuromuscular electrical stimulation was applied to the rats for 30 min. In the HFB group, this stimulation was applied in the burst mode at 80 Hz frequency using 200 microseconds (µs) transition time. In the LF group, manual stimulation was applied using a 2 Hz frequency and 200 µs transition time. Following the intraperitoneal administration of para-chloroamphetamine at a dose of 5 mg/kg, ejaculation time, increase in basal seminal vesicle pressure, seminal vesicle maximum pressure, number and interval time of seminal vesicle contractions and bulbospongiosus muscle electromyography activities were evaluated over 30 min. There was a significant difference between the groups in terms of ejaculation time (p = 0.002). The ejaculation times of the LF, HFB and control groups were 1344.71 ± 105.9, 908 ± 62 and 672 ± 149.7 s, respectively. The post hoc analysis revealed that the ejaculation time of the LF group was significantly longer than that of the HFB and control groups (p = 0.033 and p = 0.001, respectively). The remaining parameters did not differ significantly between the groups. The results showed that low-frequency (2 Hz) electrical stimulation applied to the male rats significantly prolonged the ejaculation time. It is thus considered that applying neuromuscular electrical stimulation before planned sexual activity can prevent the rhythmic contractions necessary for completing the ejaculatory process by maintaining subtetanic continuous contraction and prolonging the ejaculation time in patients with premature ejaculation complaints.
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Affiliation(s)
- Sezer Cizmeci
- Department of Urology, Balikesir University School of Medicine, Balikesir, Turkey
| | - Sakir Ongun
- Department of Urology, Balikesir University School of Medicine, Balikesir, Turkey.
| | - Ayberk Sarac
- Department of Pharmacology, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Eda Sel
- Department of Pharmacology, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Serhat Tozburun
- Department of Genomic Sciences and Molecular Biotechnology, Izmir Biomedicine and Genome Center, Izmir, Turkey
| | - Nergiz Durmus
- Department of Pharmacology, Dokuz Eylul University School of Medicine, Izmir, Turkey
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Ongun S, Sarikaya E, Sarac A, Sel E, Guner O, Demir O, Esen AA, Durmus N. Bilateral orchiectomy deteriorates the structure and function of seminal vesicles in a rat model. Int J Impot Res 2023:10.1038/s41443-023-00662-z. [PMID: 36627510 DOI: 10.1038/s41443-023-00662-z] [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: 07/01/2022] [Revised: 12/21/2022] [Accepted: 01/03/2023] [Indexed: 01/12/2023]
Abstract
The effects of hormone levels on ejaculation are known. In addition to thyroid hormone levels, testosterone levels are also associated with ejaculation, but no consensus has been reached on this issue. Thus, we investigated the effect of decreased testosterone levels due to bilateral orchiectomy on the chemical stimulation-induced ejaculation phases in rats. Twenty-one male Wistar rats were randomized into the orchiectomy, sham, and control groups, with seven rats in each group. Bilateral orchiectomy was performed. The ejaculation parameters were evaluated 5 days after the sham and bilateral orchiectomy operations and the waiting period in the control group. The seminal vesicle (SV) phasic contraction number and increase in basal pressure amplitude were significantly lower in the orchiectomy group (6.9 ± 3.3 and 0.6 ± 0.3 mmHg) than in the sham and control groups (11.2 ± 1.7 and 1.0 ± 0.4 mmHg, and 14.5 ± 6.6 and 1.1 ± 0.2 mmHg, respectively; p = 0.016 and p = 0.03, respectively). The interval between the SV contractions was significantly longer in the orchiectomy group (166.2 ± 104.3 s) than in the sham and control groups (76.0 ± 15.5 s and 63.1 ± 31.1 s, respectively; p = 0.014 (between groups), orchiectomy vs sham p = 0.040 and orchiectomy vs control p = 0.018). The SV weights of the rats were significantly lower in the orchiectomy group (0.14 ± 0.01 g) than in the sham and control groups (0.37 ± 0.05 g and 0.48 ± 0.03 g respectively; p < 0.0001 (between groups), orchiectomy vs sham p < 0.0001 and orchiectomy vs control p < 0.0001). The groups showed no significant differences in ejaculation time, SV basal pressure, SV maximum amplitude, and bulbospongiosus muscle contraction electromyographic activity. Our results partially clarified the relationship between decreased testosterone levels and ejaculation. Decreased testosterone levels caused statistically significant changes in SV functions and affected the ejaculation emission phase.
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Affiliation(s)
- Sakir Ongun
- Department of Urology, Balikesir University Scholl of Medicine, Balikesir, Turkey.
| | - Ege Sarikaya
- Department of Urology, Dokuz Eylul University Scholl of Medicine, Izmir, Turkey
| | - Ayberk Sarac
- Department of Pharmacology, Dokuz Eylul University Scholl of Medicine, Izmir, Turkey
| | - Eda Sel
- Department of Pharmacology, Dokuz Eylul University Scholl of Medicine, Izmir, Turkey
| | - Ozge Guner
- Medical Pharmacology, University of Health Sciences Istanbul Kanuni Sultan Süleyman Education and Research Hospital, İstanbul, Turkey
| | - Omer Demir
- Department of Urology, Life Urology Clinic, Izmir, Turkey
| | - Ahmet Adil Esen
- Department of Urology, Dokuz Eylul University Scholl of Medicine, Izmir, Turkey
| | - Nergiz Durmus
- Department of Pharmacology, Dokuz Eylul University Scholl of Medicine, Izmir, Turkey
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Tanidir Y, Gokalp F, Akdogan N, Batur AF, Sekerci CA, Egriboyun S, Deger M, Sahin B, Akarken I, Aydin C, Altan M, Ozman O, Ucar M, Gudeloglu A, Ongun S, Akbal C, Esen A. How did the COVID-19 pandemic affect audience's attitudes in webinars? Int J Clin Pract 2021; 75:e14239. [PMID: 33866644 PMCID: PMC8250336 DOI: 10.1111/ijcp.14239] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Accepted: 04/08/2021] [Indexed: 11/27/2022] Open
Abstract
INTRODUCTION Following the COVID-19 pandemic, the face-to-face meetings are delayed to a future date, which is still not clear. However, seminars, meetings and conferences are necessary for updating our knowledge and skills. Web-based seminars (webinars) are the solutions to this issue. This study aimed to show the participant behaviour when webinars present at the COVID-19 pandemic era. METHODS From December 2017 to July 2020, 58 webinars were broadcasted via the Uropedia, electronic library of SUST. Data of all webinars were collected with the YouTube analytics and application of the Uropedia. Data of streaming webinars included participant behaviours such as content views, engagement time, total unique attendees, average engagement time and the number of audience to leads. Data were split into two groups; group-1 is webinars before COVID-19 (before March 2020) and group-2 is the webinars during COVID-19. RESULTS Total broadcast time and total page view number were found to be 112.6 hours (6761 minutes) and 15 919, respectively. The median participant age was 40.1 y. Median content view and median engagement time were found to be 261.0 and 12.2 minutes, respectively. Comparison of two groups revealed a significant increment in the content views (group-1; 134.0 range = 86.0-87.0 and group-2; 414.0 range = 296.0-602.0, P < .001) and the number of the unique attendees (group 1; 18.0 range = 10.0-26.0 and group-2; 57.0 range = 27.0-100.0, P < .001) following COVID-19. However, the median engagement time of the audience did not seem to change with the COVID-19 pandemic (group-1; 11.5 range = 10.0-13.3 minutes and group-2; 13.2 range = 9.4-18.1 minutes, P = .12). CONCLUSION The webinars are effective ways to share information and have many advantages, including low cost, reaching a high number of audiences. Audience number and page visits seemed to increase following the COVID-19 pandemic. However, this era did not seem to affect the critical attitude of the audience, which is engagement time.
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Affiliation(s)
- Yiloren Tanidir
- Department of UrologyMarmara University School of MedicineIstanbulTurkey
| | - Fatih Gokalp
- Department of UrologyHatay Mustafa Kemal University School of MedicineHatayTurkey
| | - Nebil Akdogan
- Department of UrologyÇukurova University School of MedicineAdanaTurkey
| | - Ali Furkan Batur
- Department of UrologySelçuk University School of MedicineKonyaTurkey
| | - Cagri Akin Sekerci
- Department of UrologyMarmara University School of MedicineIstanbulTurkey
| | - Sedat Egriboyun
- Department of Urologyİzmir Katip Çelebi University Atatürk Training and Research HospitalİzmirTurkey
| | - Mutlu Deger
- Department of UrologyÇukurova University School of MedicineAdanaTurkey
| | - Bahadir Sahin
- Department of UrologyMarmara University School of MedicineIstanbulTurkey
| | - Ilker Akarken
- Department of UrologyMuğla Sıtkı Koçman University School of MedicineMuğlaTurkey
| | - Cemil Aydin
- Department of UrologyHitit University School of MedicineÇorumTurkey
| | - Mesut Altan
- Department of UrologyHacettepe University School of MedicineAnkaraTurkey
| | - Oktay Ozman
- Urology ClinicGaziosmanpaşa Training and Research HospitalİstanbulTurkey
| | - Murat Ucar
- Department of UrologyAlanya Alaaddin Keykubat UniversitySchool of MedicineAntalyaTurkey
| | - Ahmet Gudeloglu
- Department of UrologyHacettepe University School of MedicineAnkaraTurkey
| | - Sakir Ongun
- Department of UrologyBalıkesir University School of MedicineBalıkesirTurkey
| | - Cem Akbal
- Department of UrologyAcıbadem Mehmet Ali Aydınlar UniversitySchool of MedicineİstanbulTurkey
| | - Adil Esen
- Department of UrologyDokuz Eylül University School of MedicineİzmirTurkey
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Sahin MO, Sen V, Ongun S, Irer B, Yildiz G. Comparison of the efficacy of silodosin and a terpene combination in the medical expulsive therapy of distal ureteral stones. Int J Clin Pract 2021; 75:e13866. [PMID: 33236480 DOI: 10.1111/ijcp.13866] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2020] [Accepted: 11/20/2020] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE We aimed to compare the efficacy of silodosin and a terpene combination in the treatment of distal ureteral stones. METHODOLOGY The data of the patients admitted to the urology policlinic with renal colic, diagnosed with distal ureteral stones, and followed up with medical expulsive therapy between December 2017 and June 2018 were retrospectively reviewed. The patients were divided into two groups: Group 1 comprised 72 patients that received 8 mg/day silodosin and Group 2 consisted of 51 patients that were given three capsules of a terpene combination daily. The groups were compared in terms of the patients' demographic characteristics, medical history, localisation of the present stone, renal collecting system status, daily fluid intake, number of emergency service visits, number of additional analgesic applications needed, number of pain attacks, number of days off work, stone expulsion rate and time to stone expulsion. RESULTS Of the total 123 patients, 98 (79.7%) were stone-free. The stone-free rate was 75.0% in Group 1 and 86.3% in Group 2, with no statistical difference between the two groups. However, the number of visits to the emergency service because of pain, number of additional analgesic applications required, number of days off work, and time to stone expulsion were statistically significantly lower in Group 2 than in Group 1. CONCLUSIONS The treatment of distal ureteral stones with silodosin is as effective as the terpene combination. However, the terpene combination is more effective than silodosin in managing pain and accelerating stone expulsion.
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Affiliation(s)
| | - Volkan Sen
- Department of Urology, Manisa State Hospital, Manisa, Turkey
| | - Sakir Ongun
- Department of Urology, Balikesir University School of Medicine, Balikesir, Turkey
| | - Bora Irer
- Department of Urology, Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Turkey
| | - Guner Yildiz
- Department of Urology, Dr Suat Seren Chest Diseases and Surgery Training and Research Hospital, Izmir, Turkey
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Sahin MO, Sen V, Irer B, Ongun S, Yildiz G. Can the Hounsfield unit predict the success of medical expulsive therapy using silodosin in 4- to 10-mm distal ureteral stones? Int J Clin Pract 2021; 75:e13844. [PMID: 33231905 DOI: 10.1111/ijcp.13844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 11/16/2020] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVE We aimed to investigate the predictive ability of the Hounsfield unit (HU) on non-contrast computed tomography (NCCT) for the success of medical expulsive therapy (MET) using silodosin in distal ureteric stones of 4-10 mm. METHODOLOGY The data of patients who underwent MET were retrospectively screened. The patients were divided into two groups as Groups 1 and 2 depending on the presence or absence of stone expulsion, respectively. In addition to HU calculated using the NCCT images, state of the collecting systems, daily fluid intake, number of emergency department visits, and number of pain attacks were compared. RESULTS A total of 88 patients were included in the study. Sixty-four patients (72.7%) expelled the stone after MET while the treatment was not successful in 24 patients (27.3%). The stone area was significantly larger in Group 2 (28.4 ± 15.7 mm2 vs 46.8 ± 16.1 mm2 ; P < .001). NCCT-HU was calculated as 542.5 ± 256.8 for Group 1 and 873.1 ± 335.2 for Group 2, indicating a significant difference (P < .001). The mean number of pain attacks was 1.5 ± 1.2 in Group 1 and 2.2 ± 1.4 in Group 2 (P = .048). The number of visits to the emergency department significantly differed between Groups 1 and 2 (1.1 ± 1.0 and 1.8 ± 1.3, respectively; P = .010). CONCLUSIONS In this study, HU and stone area values calculated on NCCT were found to be effective factors in predicting the treatment success for MET. Therefore, we consider that it would be useful to consider these parameters in the selection of an appropriate treatment for distal ureteric stones.
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Affiliation(s)
| | - Volkan Sen
- Department of Urology, Manisa State Hospital, Manisa, Turkey
| | - Bora Irer
- Department of Urology, Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Turkey
| | - Sakir Ongun
- Department of Urology, Balikesir University School of Medicine, Balikesir, Turkey
| | - Guner Yildiz
- Department of Urology, Dr Suat Seren Chest Diseases and Surgery Training and Research Hospital, Izmir, Turkey
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Bozkurt O, Sen V, Irer B, Sagnak L, Onal B, Tanidir Y, Karabay E, Kaya C, Ceyhan E, Baser A, Duran MB, Suer E, Celen I, Selvi I, Ucer O, Karakoc S, Sarikaya E, Ozden E, Deger D, Egriboyun S, Ongun S, Gurboga O, Asutay MK, Kazaz IO, Yilmaz IO, Kisa E, Demirkiran ED, Horsanali O, Akarken I, Kizer O, Eren H, Ucar M, Cebeci OO, Kizilay F, Comez K, Mercimek MN, Ozkent MS, Izol V, Gudeloglu A, Ozturk B, Akbaba KT, Polat S, Gucuk A, Ziyan A, Selcuk B, Akdeniz F, Turgut H, Sabuncu K, Kaygisiz O, Ersahin V, Kahraman HI, Guzelsoy M, Demir O. Nation-wide analysis of the impact of Covid-19 pandemic on daily urology practice in Turkey. Int J Clin Pract 2021; 75:e13735. [PMID: 32996259 PMCID: PMC7536952 DOI: 10.1111/ijcp.13735] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Accepted: 09/23/2020] [Indexed: 01/18/2023] Open
Abstract
OBJECTIVE To present a nation-wide analysis of the workload of urology departments in Turkey week-by-week during Covid-19 pandemic. METHODOLOGY The centres participating in the study were divided into three groups as tertiary referral centres, state hospitals and private practice hospitals. The number of outpatients, inpatients, daily interventions and urological surgeries were recorded prospectively between 9-March-2020 and 31-May-2020. All these variables were recorded for the same time interval of 2019 as well. The weekly change of the workload of urology during pandemic period was evaluated, also the workload of urology and the distributions of certain urological surgeries were compared between the pandemic period and the same time interval of the year 2019. RESULTS A total of 51 centres participated in the study. The number of outpatients, inpatients, urological surgeries and daily interventions were found to be dramatically decreased by the 3rd week of pandemics in state hospitals and tertiary referral centres; however, the daily urological practice were similar in private practice hospitals throughout the pandemic period. When the workload of urology in pandemic period and the same time interval of the year 2019 were compared, a huge decrease was observed in all variables during pandemic period. However, temporary measures like ureteral stenting, nephrostomy placement and percutaneous cystostomy have been found to increase during Covid-19 pandemic compared with normal life. CONCLUSIONS Covid-19 pandemic significantly affected the routine daily urological practice likewise other subspecialties and priority was given to emergent and non-deferrable surgeries by urologists in concordance with published clinical guidelines.
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Ongun S, Esen EC, Özer MS, Yildirim Ö, Hasirci E, Sah C, Sahin B, Duran MB, Cinar O, Cihan A, Kazaz IO, Gul U, Deliktas H, Kizilkan Y, Altunkol A, Kurt HA, Tosun C, Bozkurt O, Turunc T, Akkus E. The relationship between premature ejaculation and the timing of pre-adult circumcision. Andrologia 2021; 53:e14048. [PMID: 33709439 DOI: 10.1111/and.14048] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Revised: 02/18/2021] [Accepted: 02/25/2021] [Indexed: 11/26/2022] Open
Abstract
We aimed to investigate the relationship between premature ejaculation and the age when men had been circumcised before adulthood. A total of 2,768 sexually active male patients aged between 18 and 65 years were included in this study. A multicentre study was conducted prospectively with the participation of 20 centres. A survey consisting of 12 questions prepared by the researchers, as well as the validated Turkish versions of the five-item Premature Ejaculation Diagnostic Tool, was administered to all participants. The study included 1,603 participants who met the inclusion criteria. There was no significant difference in the Premature Ejaculation Diagnostic Tool and self-reported ejaculation time between the participants who had been circumcised at different ages during childhood. Remembering circumcision experience with fear or anxiety did not increase the risk of sexual dysfunction compared to the participants who described their experience with happiness or with no particular emotion. There was no significant difference in Premature Ejaculation Diagnostic Tool scores or the self-reported ejaculation time of the participants circumcised at different ages. The age of childhood circumcision, having a fearful or anxious circumcision experience, does not affect the risk of premature ejaculation in adult life.
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Affiliation(s)
- Sakir Ongun
- Department of Urology, Balikesir University Scholl of Medicine, Balikesir, Turkey
| | - Emre Cem Esen
- Department of Psychiatry, Balikesir University Scholl of Medicine, Balikesir, Turkey
| | | | - Ömer Yildirim
- Department of Urology, Istanbul University Cerrahpasa Faculty of Medicine, Fatih, Turkey
| | - Eray Hasirci
- Department of Urology, Baskent University Faculty of Medicine, Ankara, Turkey
| | - Cem Sah
- Urology, Medline Hospital Adana, Adana, Turkey
| | - Bahadir Sahin
- Urology, Marmara University Training and Research Hospital, Istanbul, Turkey
| | | | - Onder Cinar
- Urology, ZonguldakBülent Ecevit University Training and Research Hospital, Zonguldak, Turkey
| | - Ahmet Cihan
- Urology, Nigde Research Training Hospital, Nigde, Turkey
| | - Ilke Onur Kazaz
- Urology, Karadeniz Technical University Faculty of Medicine, Trabzon, Turkey
| | - Umit Gul
- Urology, Baskent University Adana Medical and Research Center, Adana, Turkey
| | | | - Yalcin Kizilkan
- Urology, Ministry of Health Ankara City Hospital, Cankaya, Turkey
| | - Adem Altunkol
- Urology, University of Health Sciences, Adana City Teaching and Research Hospital, Adana, Turkey
| | - Hasan Anil Kurt
- Urology, Çanakkale Onsekiz Mart University, Çanakkale, Turkey
| | - Cagatay Tosun
- Urology, Istanbul Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey
| | - Ozan Bozkurt
- Department of Urology, Dokuz Eylul University Scholl of Medicine, Izmir, Turkey
| | - Tahsin Turunc
- Urology, Iskenderun Gelisim Hospital, Iskenderun, Turkey
| | - Emre Akkus
- Department of Urology, Istanbul University Cerrahpasa Faculty of Medicine, Fatih, Turkey
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Sen V, Ongun S, Sahin MO, Irer B, Kizer O, Dogan B, Yildiz G. The use of computed tomography as the first imaging modality in patients with renal colic and microscopic haematuria. Int J Clin Pract 2021; 75:e13826. [PMID: 33164270 DOI: 10.1111/ijcp.13826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 11/02/2020] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE We aimed to evaluate the use of computed tomography (CT) as the first imaging modality in patients with renal colic and microscopic haematuria. METHODOLOGY The patients that presented to the emergency service of six health centers with renal colic between January 2017 and January 2018 and were found to have microscopic hematuria on urinalysis were retrospectively evaluated. Only patients for whom non-contrast CT was used as the first imaging modality were included in the study. Patients were divided into two groups according to the stone presence (stone +, stone -) and the groups were compared in terms of demographics and clinical characteristics of patients. RESULTS A total of 834 patients were included in the study and 711 (85.3%) were diagnosed with urolithiasis. CT also revealed additional pathology in 26 (3.1%) patients. The male patients had a significantly higher rate of stones than female patients (89.5% vs 75.2%; P < .001) and the BMI values were also significantly higher in the male patients compared with the females (27.0 ± 2.1 vs 25.0 ± 4.0, P < .001). Right renal colic was more common in female patients and the rate of left renal colic was significantly higher in male patients. The male patients diagnosed with stone disease required treatment at a higher rate than the female patients (P = .005). CONCLUSIONS Because of its high sensitivity and specificity values in the diagnosis of stone disease, easy applicability and fast results, CT can be safely used as the first imaging modality for the diagnosis of renal colic and microscopic haematuria.
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Affiliation(s)
- Volkan Sen
- Department of Urology, Manisa State Hospital, Manisa, Turkey
| | - Sakir Ongun
- Department of Urology, Balikesir University School of Medicine, Balikesir, Turkey
| | | | - Bora Irer
- Department of Urology, Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Turkey
| | - Onur Kizer
- Department of Urology, Soma State Hospital, Manisa, Turkey
| | - Bayram Dogan
- Department of Urology, School of Medicine, Bezmialem Vakif University, Istanbul, Turkey
| | - Guner Yildiz
- Department of Urology, Dr Suat Seren Chest Diseases and Surgery Training and Research Hospital, Izmir, Turkey
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Bozkurt O, Irer B, Kizilay F, Erbatu O, Sen V, Cinar O, Ongun S, Cihan A, Ozdemir T, Tasdemir D, Ucer O. Mechanisms and grading of nocturia: Results from a multicentre prospective study. Int J Clin Pract 2021; 75:e13722. [PMID: 32969572 DOI: 10.1111/ijcp.13722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 09/11/2020] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE To identify the pathophysiological mechanisms of nocturia and the correlation of these mechanisms with nocturia severity. METHODOLOGY After approval by the local ethics committee, all patients with nocturia (≥1 nocturnal void/night) were included and filled the Overactive Bladder questionnaire, Nocturia Quality of Life, Incontinence Questionnaire - Male Lower Urinary Tract Symptoms (male), International Consultation on Incontinence Questionnaire - Female Lower Urinary Tract Symptoms (female) and 3-day frequency-volume chart. Patients were divided into three groups according to the severity of nocturia: group 1 consisted of patients with mild (1-2 voids/night), group 2 with moderate (3-4 voids/night) and group 3 with severe nocturia (>4 voids/night). Comparative analysis was performed between groups, and P < .05 was deemed as statistically significant. RESULTS About 68.1%, 64.1% and 8.7% of the patients had nocturnal polyuria (NP), reduced bladder capacity and global polyuria, respectively. 42.7% of the patients had mixed nocturia. 6.1% of the patients did not comply with the aforementioned subtypes and defined as isolated nocturia. Regarding the severity of nocturia, 155 (41%) patients had mild, 167 (45%) patients had moderate and 57 (15%) patients had severe nocturia. Increased nocturia severity was related with decreased quality of life; higher age, urinary tract symptom scores, nocturnal urine volume, evening fluid consumption and beta-blocker medication rates. Increased nocturia severity was also associated with higher NP, global polyuria and reduced bladder capacity rates. CONCLUSIONS Nocturia mechanisms may vary between mild and moderate to severe nocturia groups according to the present study. Nocturia grading with identification of subtypes may help for better standardisation of the diagnostic and treatment approaches as well as for the design of future clinical trials.
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Affiliation(s)
- Ozan Bozkurt
- Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Bora Irer
- Department of Urology, Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Turkey
| | - Fuat Kizilay
- Department of Urology, Ege University School of Medicine, Izmir, Turkey
| | - Oguzcan Erbatu
- Department of Urology, Celal Bayar University School of Medicine, Manisa, Turkey
| | - Volkan Sen
- Department of Urology, Manisa City Hospital, Manisa, Turkey
| | - Onder Cinar
- Department of Urology, Bulent Ecevit University School of Medicine, Zonguldak, Turkey
| | - Sakir Ongun
- Department of Urology, Balikesir University School of Medicine, Balikesir, Turkey
| | - Ahmet Cihan
- Department of Urology, Nigde Omer Halisdemir University School of Medicine, Nigde, Turkey
| | - Turan Ozdemir
- Department of Urology, Ege University School of Medicine, Izmir, Turkey
| | - Dogu Tasdemir
- Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Oktay Ucer
- Department of Urology, Celal Bayar University School of Medicine, Manisa, Turkey
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Cinar O, Tanidir Y, Ozer S, Cizmeci S, Erbatu O, Ozdemir T, Girgin R, Ongun S, Ucer O, Kizilay F, Sen V, Irer B, Bozkurt O. Effects of mirabegron on JJ stent-related symptoms: A multicentric study. Int J Clin Pract 2021; 75:e13857. [PMID: 33230894 DOI: 10.1111/ijcp.13857] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Accepted: 11/16/2020] [Indexed: 12/28/2022] Open
Abstract
AIMS OF THE STUDY To investigate the effect of mirabegron 50 mg/daily for JJ stent-related symptoms after ureteroscopic stone surgery. METHODS Medical records of 145 patients who were given a single daily oral dose of 50 mg of mirabegron for relieving stent-related symptoms were retrospectively analysed. Demographic and clinical data and stone parameters were recorded. All participants completed the Turkish version of the Ureter Symptom Score Questionnaire (USSQ-T) on the postoperative 7th day, and again after at least 3 weeks, before JJ stent removal. The severity of stent-related symptoms was statistically compared before and after the mirabegron treatment. RESULTS The mean urinary symptoms score decreased significantly from 30.87 ± 9.43 to 22.61 ± 6.78 (P < .0001), mean body pain score decreased significantly from 21.82 ± 11.22 to 14.03 ± 7.52 (P < .0001), mean work performance score decreased from 10.50 ± 8.61 to 7.02 ± 6.51 (P < .0001) and mean general health score decreased significantly from 15.43 ± 6.50 to 11.12 ± 3.70 (P < .0001). The mean sexual matters score significantly decreased from 3.88 ± 3.40 to 2.48 ± 2.03 (P < .0001), the additional problem score decreased from 9.31 ± 4.61 to 6.51 ± 2.83 (P < .0001) and the overall quality of life (QoL) score decreased from 5.18 ± 1.94 to 4.23 ± 1.71 after mirabegron use (P < .0001). CONCLUSION Daily use of 50 g of mirabegron significantly improved stent-related symptoms, sexual matters and quality of life.
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Affiliation(s)
- Onder Cinar
- Department of Urology, Zonguldak Bulent Ecevit University, Zonguldak, Turkey
| | - Yiloren Tanidir
- Department of Urology, Marmara University Istanbul Pendik Education and Research Hospital, Istanbul, Turkey
| | - Selcuk Ozer
- Department of Urology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
| | - Sezer Cizmeci
- Department of Urology, Faculty of Medicine, Balikesir University, Balikesir, Turkey
| | - Oguzcan Erbatu
- Department of Urology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey
| | - Turan Ozdemir
- Department of Urology, Faculty of Medicine, Ege University, Izmir, Turkey
| | - Reha Girgin
- Department of Urology, Zonguldak Bulent Ecevit University, Zonguldak, Turkey
| | - Sakir Ongun
- Department of Urology, Faculty of Medicine, Balikesir University, Balikesir, Turkey
| | - Oktay Ucer
- Department of Urology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey
| | - Fuat Kizilay
- Department of Urology, Faculty of Medicine, Ege University, Izmir, Turkey
| | - Volkan Sen
- Department of Urology, Manisa State Hospital, Manisa, Turkey
| | - Bora Irer
- Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Turkey
| | - Ozan Bozkurt
- Department of Urology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey
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Duran MB, Yildirim O, Kizilkan Y, Tosun C, Cirakoglu A, Gultekin MH, Gul U, Altan M, Sah C, Hasirci E, Ceyhan E, Ongun S, Turunc T. Variations in the Number of Patients Presenting With Andrological Problems During the Coronavirus Disease 2019 Pandemic and the Possible Reasons for These Variations: A Multicenter Study. Sex Med 2020; 9:100292. [PMID: 33318798 PMCID: PMC7721349 DOI: 10.1016/j.esxm.2020.100292] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Accepted: 11/19/2020] [Indexed: 12/13/2022] Open
Abstract
Introduction Coronavirus disease 2019 (COVID-19) pandemic caused unprecedented restrictions in outpatient services and surgical practices in urology as in other medical branches as well as in all areas of life. Aim To investigate whether there have been variations in the presentations of male patients with sexual and reproductive health problems to the outpatient urology clinics during the COVID-19 pandemic and to understand the underlying factors for these variations, if any. Methods Male patients aged ≥18 years who presented to the outpatient urology clinics in 12 centers across Turkey from February 1, 2020 to June 1, 2020 were retrospectively evaluated. The patients were divided into 2 groups: those who presented to the outpatient clinic from February 1, 2020 to March 11, 2020 comprised the “pre–COVID-19 pandemic period” group, whereas those who presented to the outpatient clinic from March 12, 2020 to June 1, 2020 comprised the “COVID-19 pandemic period” group and compared with each other. Main Outcome Measures The main outcome of this study was the number and diagnose of patients presented to urology outpatient clinics. Results Andrological problems were detected in 721 of 4,955 male patients included in the study. During the COVID-19 pandemic period, there was a significant increase in andrological diagnosis in these patients compared with the pre–COVID-19 pandemic period (n = 293 [17%] vs n = 428 [13.2%], P < .001, respectively). Similarly, there was a statistically significant increase in the number of patients diagnosed with male reproductive or sexual health problems during the COVID-19 pandemic period (n = 107 [6.2%] vs n = 149 [4.6%], P = .016 and n = 186 [10.8%] vs n = 279 [8.6%], P = .013, respectively). The number of patients diagnosed with erectile dysfunction during the pandemic was also significantly higher than the pre–COVID-19 pandemic period (n = 150 [8.7%] vs n = 214 [6.6%], P = .008). Conclusion Presentations to the outpatient urology clinics owing to andrological problems markedly increased during the pandemic period. Although these problems are of multifactorial origin, psychogenic factors are also considered to significantly trigger these problems. Duran MB, Yildirim O, Kizilkan Y, et al. Variations in the Number of Patients Presenting With Andrological Problems During the Coronavirus Disease 2019 Pandemic and the Possible Reasons for These Variations: A Multicenter Study. Sex Med 2021;9:100292.
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Affiliation(s)
- Mesut Berkan Duran
- Samsun Training and Research Hospital, Department of Urology, Samsun, Turkey.
| | - Omer Yildirim
- Istanbul University Cerrahpaşa School of Medicine, Department of Urology, Istanbul, Turkey
| | | | - Cagatay Tosun
- Haydarpasa Numune Training and Research Hospital, Department of Urology, Istanbul, Turkey
| | - Abdullah Cirakoglu
- Ordu University Faculty of Medicine, Department of Urology, Ordu, Turkey
| | | | - Umit Gul
- Başkent University Faculty of Medicine, Department of Urology, Adana, Turkey
| | - Mesut Altan
- Hacettepe University Faculty of Medicine, Department of Urology, Ankara, Turkey
| | - Cem Sah
- Medline Hospital, Clinic of Urology, Adana, Turkey
| | - Eray Hasirci
- Başkent University Faculty of Medicine, Department of Urology, Ankara, Turkey
| | - Erman Ceyhan
- Başkent University Faculty of Medicine, Department of Urology, Konya, Turkey
| | - Sakir Ongun
- Balıkesir University School of Medicine, Department of Urology, Balıkesir, Turkey
| | - Tahsin Turunc
- Iskenderun Gelişim Hospital, Clinic of Urology, Iskenderun, Turkey
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Ongun S, Esen C, Ozer S, Yildirim O, Duran B, Kazaz I, Sahin B, Hasirci E, Deliktas H, Sah C, Kizilkan Y, Cinar O. P-02-20 The Relationship Between Premature Ejaculation and the Timing of the Pre-Adult Circumcision. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.04.174] [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: 11/16/2022]
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13
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Ongun S, Dursun M, Egriboyun S. The effect of post-circumcision mucosal cuff length on premature ejaculation. Can Urol Assoc J 2020; 14:E309-E312. [PMID: 32017696 DOI: 10.5489/cuaj.6016] [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: 02/04/2020] [Indexed: 11/19/2022]
Abstract
INTRODUCTION We aimed to compare the length of mucosal cuff after circumcision in patients with and without a complaint of premature ejaculation (PE). METHODS Sexually active patients without erectile dysfunction that presented to the urology polyclinic between March 2018 and June 2018 were included in this multicentered, prospective study. The circumcision age of the patients, the person who performed the procedure (surgeon, non-surgeon), penile length, and dorsal and ventral penile measurements were recorded and compared between patients with and without PE. RESULTS A total of 208 patients were included in the study. The mean circumcision age of the patients was 5.7±4.2 years, and the mean dorsal and ventral mucosal sizes were 15.02±4.58 mm and 16.31±4.92 mm, respectively. PE was present in 106 of the participants. There was no statistically significant difference between the PE and non-PE groups in terms of the person who performed the procedure (surgeon, non-surgeon). However, patients with PE had statistically significantly longer dorsal and ventral mucosal measurements compared to those without PE (p<0.001). CONCLUSIONS Our study showed that the dorsal and ventral lengths of mucosal tissue left behind after circumcision are a risk factor for PE. Therefore, special attention should be paid not to leave redundant dorsal and ventral mucosal tissue during this procedure.
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Affiliation(s)
- Sakir Ongun
- Department of Urology, Balikesir University School of Medicine, Balıkesir, Turkey
| | - Murat Dursun
- Department of Urology, SB Malatya Training and Research Hospital, Malatya, Turkey
| | - Sedat Egriboyun
- Department of Urology, SB Izmir Odemis State Hospital, Izmir, Turkey
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Irer B, Sahin MO, Erbatu O, Yildiz A, Ongun S, Cinar O, Cihan A, Sahin M, Sen V, Ucer O, Kizilay F, Bozkurt O. Impact of previous SWL on ureterorenoscopy outcomes and optimal timing for ureterorenoscopy after SWL failure in proximal ureteral stones. World J Urol 2019; 38:769-774. [PMID: 31098658 DOI: 10.1007/s00345-019-02809-4] [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] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Accepted: 05/10/2019] [Indexed: 12/19/2022] Open
Abstract
PURPOSE We aimed to evaluate the impact of previous unsuccessful shock wave lithotripsy (SWL) therapy on ureterorenoscopy (URS) outcomes in proximal ureteral stones and to define whether there is any optimal timing for safe URS after SWL. METHODS The patients who underwent URS for proximal ureteral stones between the years 2015 and 2018 in eight centers were included. Patients were divided into two groups according to previous SWL history; group 1 consisted of patients without SWL before URS for the stone [SWL (-)] and group 2 consisted of patients with a previous SWL for the stone [SWL (+)]. Demographics, operation outcomes and stone characteristics were compared between these two groups. Regarding the complication and success rates, optimal timing for URS after SWL for the stone was calculated with receiver operator characteristics curve analysis. RESULTS Totally 638 patients were included (group 1: 466 patients and group 2: 172 patients). The operation and hospitalization times, rate of ureteral stenting and complications were significantly higher in group 2. Stone free status was similar between the groups. Optimal timing for URS after SWL was calculated as 16.5 days (AUC = 0.657, p = 0.012) with a sensitivity of 68% and specificity of 72%, regarding the complication rates. Complication rates were significantly higher in patients who were operated before 16.5 days (27.7% vs 6.5%, p < 0.001). CONCLUSIONS The optimal timing; 2-3 weeks delay of the URS procedure after unsuccessful SWL may decrease complication rates according to our results.
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Affiliation(s)
- Bora Irer
- Department of Urology, Izmir Metropolitan Municipality Esrefpasa Hospital, Izmir, Turkey
| | | | - Oguzcan Erbatu
- Department of Urology, Celal Bayar University School of Medicine, Manisa, Turkey
| | - Alperen Yildiz
- Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Sakir Ongun
- Department of Urology, Balikesir University School of Medicine, Balıkesir, Turkey
| | - Onder Cinar
- Department of Urology, Bulent Ecevit University School of Medicine, Zonguldak, Turkey
| | - Ahmet Cihan
- Department of Urology, Nigde Omer Halisdemir University School of Medicine, Nigde, Turkey
| | - Mehmet Sahin
- Department of Urology, Ege University School of Medicine, Izmir, Turkey
| | - Volkan Sen
- Department of Urology, Manisa State Hospital, Manisa, Turkey.
| | - Oktay Ucer
- Department of Urology, Celal Bayar University School of Medicine, Manisa, Turkey
| | - Fuat Kizilay
- Department of Urology, Ege University School of Medicine, Izmir, Turkey
| | - Ozan Bozkurt
- Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
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Asci A, Cihan A, Sahin B, Deliktas H, Cinar O, Ongun S, Turunc T, Gul U, Kizilkan Y, Gudeloglu A. PO-01-006 Intra-operative audible Micro-Doppler ultrasound for microsurgical varicocelectomy. J Sex Med 2019. [DOI: 10.1016/j.jsxm.2019.03.170] [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: 11/24/2022]
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Ongun S, Teken A, Yılmaz O, Süleyman S. Can Ureteral Jet Flow Measurement Predict Spontaneous Passage of Distal Ureteral Stones? Urol Int 2018; 101:156-160. [PMID: 29949810 DOI: 10.1159/000490498] [Citation(s) in RCA: 3] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2018] [Accepted: 05/29/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVES The study aimed to investigate the relationship between the spontaneous passage of distal ureteral stones and ureteral jet flow measurement. METHODS The study included 74 patients with acute renal colic between June 2015 and June 2016, and distal ureteral stones of 10 mm or less in a non-contrast CT were comprised in a prospective study. The ureteral jet was measured by Doppler ultrasonography. At the fourth week follow-up, kidney-ureter-bladder radiography was taken and the patients who no longer had a stone were considered to have spontaneously passed it. RESULTS The average stone size of the patients was 5.6 ± 2.0 mm. After 4 weeks of follow-up, 55 patients (74.3%) had passed the stone spontaneously whereas 19 (25.6%) had not. The patients in the former group were found to have a higher peak flow velocity of ureteral jet on the stone side than those in the latter group. In regression analysis ureteral jet on the stone side was independently associated with spontaneous passage (p = 0.027). For the spontaneous passage, a ureteral jet flow peak velocity above 15.25 cm/s had an 85.4% sensitivity and 63.1% specificity. CONCLUSIONS Measurement of the ureteral jet flow peak velocity can be beneficial in predicting the potential spontaneous passage of distal ureteral stones.
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Affiliation(s)
- Sakir Ongun
- Department of Urology, SB Istanbul Bahcelievler State Hospital, Istanbul, Turkey
| | | | - Orkun Yılmaz
- Department of Urology, SB Istanbul Silivri State Hospital, Istanbul, Turkey
| | - Sakir Süleyman
- Department of Radiology, SB Sanliurfa Birecik State Hospital, Sanliurfa, Turkey
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Ongun S, Teken A, Yılmaz O, Süleyman S. Relationship Between Ureteral Jet Flow, Visual Analogue Scale, and Ureteral Stone Size. Urology 2017; 104:36-39. [PMID: 28257915 DOI: 10.1016/j.urology.2017.02.031] [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: 12/02/2016] [Revised: 02/18/2017] [Accepted: 02/20/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To contribute to the diagnosis and treatment of ureteral stones by investigating the relationship between the ureteral jet flow measurements of patients with ureteral stones and the size of the stones and the patients' pain scores. MATERIALS AND METHODS The sample consisted of patients who presented acute renal colic between December 2014 and 2015 and from a noncontrast computed tomography were found to have a urinary stone. The ureteral jet flow velocities were determined using Doppler ultrasonography. The patients were all assessed in terms of stone size, localization and area, anteroposterior pelvis (AP) diameter, and visual analogue scale (VAS) scores. RESULTS A total of 102 patients were included in the study. As the VAS score decreased, the peak jet flow velocity on the stone side increased, whereas the flow velocity on the other side, AP diameter, and stone area were reduced (P < .05). As the stone size increased, the peak jet flow velocity was reduced and the AP diameter increased significantly (P < .05). Ureteral jet flow was not observed in 17 patients on the stone side. A statistically significant difference was found between these patients and the remaining patients in terms of all parameters (P < .05). CONCLUSION For patients, in whom the peak flow velocity of ureteral jet is low and with a severe level of pain or the peak flow velocity of ureteral jet cannot be measured, there is a low possibility of spontaneous passage and a high possibility of a large stone, and therefore the treatment should be started immediately.
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Affiliation(s)
- Sakir Ongun
- Department of Urology, SB Istanbul Bahcelievler State Hospital, Istanbul, Turkey.
| | - Abdurrazak Teken
- Department of Radiology, SB Sanliurfa Siverek State Hospital, Turkey
| | - Orkun Yılmaz
- Department of Urology, SB Sanliurfa Siverek State Hospital, Turkey
| | - Sakir Süleyman
- Department of Radiology, SB Sanliurfa Siverek State Hospital, Turkey
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Ongun S, Bozkurt O, Demir O, Cimen S, Aslan G. Midterm renal functions following acute renal infarction. Kaohsiung J Med Sci 2015; 31:529-33. [DOI: 10.1016/j.kjms.2015.07.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2014] [Revised: 05/26/2015] [Accepted: 03/31/2015] [Indexed: 10/23/2022] Open
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Ongun S, Demir O, Gezer NS, Gurboga O, Bozkurt O, Secil M. Impact of pelvic biometric measurements, visceral and subcutaneous adipose tissue areas on trifecta outcome and surgical margin status after open radical retropubic prostatectomy. Scand J Urol 2014; 49:108-14. [PMID: 25319551 DOI: 10.3109/21681805.2014.967812] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE There is no sufficient evidence to demonstrate whether more challenging pelvic anatomy affects the functional and oncological outcomes of radical retropubic prostatectomy (RP). The aim of this study was to investigate the impact of pelvic biometric measurements, visceral and subcutaneous adipose tissue areas on trifecta outcome (cancer control, continence and potency) and surgical margin status after open RP. MATERIALS AND METHODS A retrospective study was performed on 270 patients who were diagnosed with clinically localized prostate cancer between 2005 and 2011 and underwent computed tomography imaging before RP. Pelvic bony and soft-tissue measurements, and visceral and subcutaneous adipose tissue area calculations were performed. Patients were evaluated for trifecta outcome and surgical margin status on univariate and multivariate analyses. Subgroup analysis was performed for prostate volume, body mass index (BMI) and D'Amico risk classification. RESULTS Univariate analysis revealed that patients with trifecta were younger, and had lower prostate-specific antigen (PSA) levels, wider symphysis angle, and narrower prostate width and soft-tissue width (p < 0.05). Patients with positive surgical margins were older, and had higher PSA levels, lower prostate volume and narrower prostate width (p < 0.05). Visceral adipose tissue area was lower in patients with trifecta when BMI was below 25 kg/cm² (p < 0.05). In multivariate analysis, PSA level and symphysis angle were statistically significant for trifecta while PSA level was the only statistically significant variable for positive surgical margins (p < 0.05). Interfemoral index was significant in the low-risk group of D'Amico classification for trifecta outcome. CONCLUSION Pelvic biometric measurements and adipose tissue area calculations may help in preoperative planning and the management of RP.
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Ongun S, Çelik S, Aslan G, Yörükoğlu K, Esen A. Cavernous hemangioma of the female urethra: a rare case report. Urol J 2014; 11:1521-1523. [PMID: 24807777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Received: 01/03/2013] [Revised: 06/16/2013] [Accepted: 06/13/2013] [Indexed: 06/03/2023]
Affiliation(s)
- Sakir Ongun
- Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey.
| | - Serdar Çelik
- Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Güven Aslan
- Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Kutsal Yörükoğlu
- Department of Pathology, Dokuz Eylul University School of Medicine, Izmir, Turkey
| | - Adil Esen
- Department of Urology, Dokuz Eylul University School of Medicine, Izmir, Turkey
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Ongun S, Demir O, Gezer S, Gurboga O, Secil M. MP7-12 IMPACT OF PELVIC BIOMETRIC MEASUREMENTS, VISCERAL AND SUBCUTANEOUS ADIPOSE TISSUE AREAS ON TRIFECTA OUTCOMES AND SURGICAL MARGIN STATUS AFTER OPEN RADICAL PROSTATECTOMY. J Urol 2014. [DOI: 10.1016/j.juro.2014.02.335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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