An overview of telemedicine in Turkey

This study focuses on telemedicine in Turkey by the use of the Internet, where the potential for telemedicine of Turkey, telemedicine initiatives conducted in Turkey until now are examined first. The types of applications that the Internet can support in consumer health, clinical care, financial and administrative transactions, public health, health professional education in Turkey are investigated next. Finally, a discussion on the technical, legal and bureaucratic obstacles for realizing telemedicine in Turkey over the Internet and suggestions on how to overcome these obstacles are presented. © 2013 Trade Science Inc.-INDIA

An overview of telemedicine in Turkey

This study focuses on telemedicine in Turkey by the use of the Internet, where the potential for telemedicine of Turkey, telemedicine initiatives conducted in Turkey until now are examined first. The types of applications that the Internet can support in consumer health, clinical care, financial and administrative transactions, public health, health professional education in Turkey are investigated next. Finally, a discussion on the technical, legal and bureaucratic obstacles for realizing telemedicine in Turkey over the Internet and suggestions on how to overcome these obstacles are presented. © 2013 Trade Science Inc.-INDIA

Effect of varicocelectomy on the frequency of nocturnal sperm emissions

WOS: 000374234000009PubMed: 26345399The aim of this study was to investigate the frequency of nocturnal sperm emissions (NSE) in varicocele patients after varicocele surgery. A total of 127 patients, 96 varicocele (Group 1) and 31 patients with inguinal hernia (Group 2) were included in this study. Mean age, laterality of surgical procedures, spermiogram results, marital status, and postoperative serum hormone levels were noted for all patients. Two groups were compared in terms of Beck depression score (BDS) and anxiety scores (AS). The frequency of NSE and libido changes in the patients during 10 days postoperatively was evaluated. The number of the patients who had NSE and increased libido were significantly higher in the varicocelectomy group when compared with the control group. No significant difference was noted between the groups in terms of BDS, AS, and serum hormone levels. No association was reported between BDS, AS, and serum hormone levels and the presence of NSE in Group 1. The incidence of NSE was higher in younger men. Increased libido was significantly associated with NSE in Group 1. Cord dissection during surgery may be a factor on increased frequency of NSEs in varicocele patients

Epididymoorchitis as the First Finding in Patients with Brucellosis

Purpose. Acute scrotal pain as the first symptom of brucellosis is rarely observed. We aimed to evaluate the data of male patients with brucellosis and epididymoorchitis as the initial diagnosis. Material and Methods. The data of seven patients presented with testicular pain, hyperemia, swelling, and increased fever were reviewed. Concomitant focal diseases as well as clinical, laboratory, and radiological findings were retrospectively evaluated. Results. The mean age of the patients was 22.28 ± 7.78 (16–35) years. All patients presented with scrotal pain, swelling, and increased sweating. Additional findings included fever, asthenia, arthralgia, dysuria, shiver and rash, weight loss, and vomiting in 6, 5, 4, 4, 3, 2, and 1 patient, respectively. In all of 7 patients, the agglutination tests of Rose-Bengal and Wright were positive. Coombs test was positive only in 3 patients. The patients underwent antibiotic and conservative treatment. No relapse was observed following the treatment. Conclusion. In endemic regions, epididymoorchitis caused by brucellosis should be considered in the differential diagnosis of patients presenting with acute scrotal pain. Clinical and serological findings are sufficient for the diagnosis. Conservative management combined with antibiotic therapy is adequate for managing brucellar epididymoorchitis

Telerounding & telementoring for urological procedures

Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve a patient's clinical health status. Telemedicine includes a growing variety of applications and services using two-way video, email, smart phones, wireless tools and other forms of telecommunications technology. Starting out over forty years ago with demonstrations of hospitals extending care to patients in remote areas, the use of telemedicine has spread rapidly and is now becoming integrated into the ongoing operations of hospitals, specialty departments, home health agencies, private physician offices as well as consumer's homes and workplaces. There's also a current trend in the use of telemedicine in urology. In the present paper we aimed to review the recent literature about telemedicine and the use of telerounding and telementoring in urological procedures

Does Urinary Bladder Shape Affect Urinary Flow Rate in Men with Lower Urinary Tract Symptoms?

We aimed to investigate the role of urinary bladder shape which may potentially change with advancing age, increased waist circumference, pelvic ischemia, and loosening of the urachus on bladder emptying and UFR. We retrospectively investigated the medical records of 76 men. The patients were divided into two groups according to bladder shapes in MRI scan (cone and spheric shapes). There was a significant difference between the two groups in terms of IPSS, Qmax, Qave, and waist circumference. A positive correlation has been demonstrated between mean peak urinary flow rate measured with UFM and mean flow rate calculated using the CP. There was a significant difference between mean urinary flow rates calculated with CP of cone and sphere bladder shapes. The change in the bladder shape might be a possible factor for LUTS in men and LUTS may be improved if modifiable factors including increased waist circumference and loosening of the urachus are corrected

Co-insidental, Ipsilateral Renal Cell Carcinoma and Urothelial Carcinoma of Ureter: A Rare Case

Renal cell carcinoma and urothelial carcinoma of the upper urinary tract are not rare urological malignancies, however, in a patient with renal cell carcinoma and urothelial carcinoma seen simultaneously in the same kidney is a rare event. We present a patient with a renal mass who underwent laparoscopic radical nephrectomy in our clinic. Pathology results revealed renal cell carcinoma and urothelial carcinoma, therefore, ureterectomy and cuff excision were performed. Pathological investigation of the ureterectomy specimen revealed urothelial carcinoma of the proximal ureter. We report this rare case with a literature review