Optimizing individual treatment outcomes in men with lower urinary tract symptoms using storage subscale score/total International Prostate Symptom Score (IPSS) as a new IPSS lratio

Background/aim: To evaluate the effects of the storage/total International Prostate Symptom Score (s/T) ratio on the selection and success of medical therapy in men with lower urinary tract symptoms (LUTS).Materials and methods: A total of 54 men (>45 years of age) with moderate or severe LUTS were divided into 2 groups according to the s/T ratio: Group 1 at 0.43. Tamsulosin (0.4 mg to Group 1) and tolterodine ER (4 mg to Group 2) were administered. Patients were evaluated during the 1st and 3rd months of follow-up treatment.Results: Thirty-seven (68.5%) and 17 (31.5%) patients were in Groups 1 and 2, respectively. The mean s/T ratios in Groups 1 and 2 increased to 0.38 ± 0.19 from 0.33 ± 0.08 (P = 0.03) and decreased to 0.54 ± 0.18 from 0.59 ± 0.1 (P = 0.17) during the 3rd month of follow-up, respectively. The treatment success rates of Groups 1 and 2 were 88.4% and 75.7%, respectively. Nine unsuccessful cases were treated with combination therapy and the treatment success was 86.6% at follow-up.Conclusion: The s/T ratio is effective to determine symptom dominance in men with LUTS and can guide medical treatment selection through better identification of symptoms. © TÜBİTAK

Care and sterilization of urological endoscopic instruments

Introduction: The cleaning and maintenance of urological endoscopic equipment are important for patient care. Increasing number of endourological interventions and inadequate number of instruments to be sterilized before the ongoing procedures make it necessary to perform effective-faster decontamination. Most rigid and flexible endoscopes are fragile as well as costly, thereby necessitating appropriate cleaning and storage. As most of the urological endoscopes are accepted to be semi-critical item, they are decontaminated mostly by gas sterilization or high-level disinfection. Ethylene oxide is the preferred agent for sterilization and glutaraldehyde for disinfection. Also care must be taken in the storage of the sterilized items before the next use. In this article you will find information about the basic principles of decontamination and type of it

Ürolojik endoskopik cihazların sterilizasyonu ve bakımı

Ürolojik endoskopi cihazlarının temizliği ve devamlılığının sağlanması hasta bakımında önemlidir. Artan olgu sayısı ve yetersiz endoskopik aletlerin olması devam eden ürolojik olgularda hızlı-etkili dekontaminasyon işlemini gerekli kılmaktadır. Rijid ve fleksibl aletlerin pek çoğu kırılabilen ve pahalı aletler olduğundan, uygun temizlik ve saklamanın yapılması gerekir. Ürolojik endoskopların önemli bir kısmı yarı kritik cihazlar olduğundan gaz sterilizasyonu veya yüksek düzey dezenfeksiyonla dekontamine edilirler. Sterilizasyon işlemleri için etilen oksit, dezenfeksiyon için glutaraldehit tercih edilmektedir. Sterilize edilen aletlerin bir sonraki kullanıma kadar saklanması sırasında dikkatli olmak gerekir. Bu yazıda dekontaminasyon işlemlerinin temel prensiplerinin yanında dekontaminasyon çeşitleri hakkında bilgiler aktarılacaktır

Re: Diagnostic Value of Systematic Biopsy Methods in the Investigation of Prostate Cancer: A Systematic Review. K. Eichler, S. Hempel, J. Wilby, L. Myers, L. M. Bachmann and J. Kleijnen, J Urol, 175: 1605-1612, 2006

Abstract Not Availabl

A simple method for the treatment of lower-third ureteric stones in female patients with cystocele

Abstract Not Availabl

Evaluation of quality of life and post-operative complications of our radical prostatectomy series for 5 years

Purpose: The aim of this study is to evaluate health status, erectile function, continence status and mental status of the patients. We also analyze demographic features and post-operative complications. We want to detect changings in surgical techniques and complication rates, so we will obtain accurate knowledges for the patients who will undergo radical prostatectomy in the future. Materials and methods: 67 patient included to this study with permission of Pamukkale University ethic commission. We phoned patients and ask to come hospital to filling out forms and to ask few questiones. We suggest them to fill out generel health quality, IIEF, ICIQ and MMT forms. We also asked them how they decide to undergo operation, their satisfaction with the treatment and whether they would accept the same treatment again. We record demographic and follow-up informations of patient from database of our hospital. Results: We found that the number of the patients who undergone radical prostatectomy increased over the years and the lenght of stay in hospital and the risk of additional operation for urethral stricture decreased. Conclusion: Data from our study were compatible with the existing literature

Two giant stones located in the penile and prostatic urethra: A case report and review of the literature

Urethral stones account for less than 2% of all urinary stone diseases in developed countries. Most urethral stones are associated with abnormalities that predispose individuals to urinary stasis and infections, such as strictures, lower urinary tract surgery, congenital or acquired diverticula, chronic urinary infections, foreign bodies, and schistosomiasis. The aim of this case report was to present a fifty-nine-year-old man with two giant penile and prostatic ureteral stones who received a different treatment approach. After the impacted urethral stone was seen in the anterior urethra in ureteroscopy, urethrotomy was performed with a 3 cm vertical incision in the penile urethra. Pneumatic lithotripsy was performed extracorporeally via incision. The stone in the penile urethra was disintegrated and extracted using forceps. The prostatic stone was pushed back into the bladder and disintegrated by the same urethral incision with a lithotripter through a cystourethroscope. For large, impacted urethral stones, external urethrotomy combined with externally pneumatic lithotripsy may prevent long urethral incisions. Therefore, this technique may reduce the risk of postoperative stricture. © 2012 by Turkish Association of Urology

Tartışmalı olgu [2006]

Abstract Not Availabl

Bilateral epididymoorchitis secondary to brucellosis

Abstract Not Availabl