Decreased Vitamin B12 Levels in Children with Nocturnal Enuresis

Objectives. Nocturnal enuresis is a common pediatric problem, the etiology of which is unclear. In the present study, vitamin B12 and folate levels were measured in children with nocturnal enuresis and compared with those in healthy control group children to investigate whether there was any relation with enuresis and neurogenic maturation as a first time in the literature. Methods. In this cross-sectional study, we included thirty children (16 girls, 14 boys) who had presented with primary nocturnal enuresis (PNE) complaints in the study group and 31 children (13 girls, 18 boys) in the control group. Body weight and height measurements were obtained and complete blood counts and vitamin B12 and folate levels were measured in all children. Results. No difference was found in age, height, and weight between study and control groups. Also the mean levels of the hemoglobin, hematocrit, and mean corpuscular volume (MCV) were not different between the two groups. Significantly lower mean vitamin B12 and folate levels were found in the enuresis group compared with the control group. Conclusions. Further studies are needed to clarify B12 and folate deficiency in larger series so that these tests can be included in routine investigations of enuretic children

Fournier's Gangrene: Conventional Dressings versus Dressings with Dakin's Solution

Purpose. Fournier's gangrene is a fulminant and destructive inflammation of the scrotum, penis, and perineum. The objective of this study was to compare 2 different approaches to wound management after aggressive surgical debridement. Methods. Data from 14 patients with Fournier's gangrene were retrospectively collected (2005–2011). Once the patients were stabilized following surgery, they were treated with either daily antiseptic (povidone iodine) dressings (group I, n = 6) or dressings with dakin's solution (sodium hypochloride) (group II, n = 8). Results. The mean age of the patients was 68.2 ± 7.8 (55–75) years in group I and 66.9 ± 10.2 (51–79) years in group II. Length of hospital stay was 13 ± 3.5 (7–16) days in group I and 8.9 ± 3.0 (4–12) days in group II (P < 0.05). The number and rate of mortality was 1/6 (16.7%) in group I, and 1/8 (12.5%) in group II. Conclusions. The hospitalization time can be reduced with the use of dakin's solution for the dressings in the treatment of FG. Also, dressings with dakin's solution seems to have favorable effects on morbidity and mortality. Consequently dakin's solution may alter the treatment of this disastrous disease by reducing cost, morbidity and mortality

Prematür Ejakülasyon Hastalarında Mizaç ve Karakter Farklılıkları

Giriş: Prematür ejakülasyon’un etiyolojisi ile ilgili çok miktarda biyolojik ve psikolojiteorilerin olmasına karşın tartışmalar hala sürmektedir. Mizaç ve karakter envanteile prematür ejakülasyonlu hastaların kişilik yapısını araştırmayı amaçladık. Yöntem: Kırk prematür ejakülasyonlu hasta, 40 sağlıklı kontrol grubuyla eşleştirildÇalışmaya katılanlardan mizac ve karakter envanteri ve genel demografik bilgi formunu doldurması istendi. Bulgular: Toplam yenilik arayışı ve alt ölçeği keşfetme ve heyacan duyma prematür ejakülasyonlu hastalarda kontrol grubuna göre anlamlı olarak yüksek(p<0,05). Toplam zarardan kaçınma ve alt ölçeği belirsizlik korkusu prematüejakülasyonlu hastalarda kontrol grubuna göre anlamlı olarak düşük bulund(p<0,05). Beck depresyon skorun da prematür ejakülasyonlu hastalar kontrol grubundan anlamlı olarak yüksekti. Sonuç: Prematür ejakülasyonlu kişiler daha dürtüsel (heyecanlı), daha öfkeldaha heyacanlı ve zararlı davranışlara daha az yatkındılar. Mevcut bulgular prematür ejakülasyonun nörobiyolojik ve psikolojik kökenli olduğununu desteklemeğilimindedir. (Nöropsikiyatri Arşivi 2012; 49: 332-336)ntroduction: The debate on the etiology of premature ejaculation is still ongoing although there was huge amount of biological and psychological theories. We aimed to investigate the personality structure of patients with premature ejacula- ion via temperament and character inventory. Methods: Forty patients with premature ejaculation and a matched number of healthy people were included. Participants were asked to fill out a questionnaire booklet with separate sections for general demographic information and the tem- perament and character inventory. Results: Total novelty seeking scores and subscale 1 (exploration-excitability) cores in premature ejaculation patients were significantly higher than in control groups (p<0.05). Total harm avoidance scores and harm avoidance subscale 2 (fear of uncertainty) scores in premature ejaculation patients was found significantly low- er than in control group (p<0.05). Beck depression score was significantly higher in patients with premature ejaculation than in control groups. Discussion: Men with premature ejaculation are more impulsive (excitant), more empered, more excitable and less prone to harmful behavior. Current findings tend o reinforce premature ejaculation based upon combination of neurobiological and psychological reasons. (Arc&shy;hi&shy;ves of Neu&shy;ropsy&shy;chi&shy;atry 2012; 49: 332-336

Prematür Ejakülasyon Hastalarında Mizaç ve Karakter Farklılıkları

Giriş: Prematür ejakülasyon’un etiyolojisi ile ilgili çok miktarda biyolojik ve psikolojiteorilerin olmasına karşın tartışmalar hala sürmektedir. Mizaç ve karakter envanteile prematür ejakülasyonlu hastaların kişilik yapısını araştırmayı amaçladık. Yöntem: Kırk prematür ejakülasyonlu hasta, 40 sağlıklı kontrol grubuyla eşleştirildÇalışmaya katılanlardan mizac ve karakter envanteri ve genel demografik bilgi formunu doldurması istendi. Bulgular: Toplam yenilik arayışı ve alt ölçeği keşfetme ve heyacan duyma prematür ejakülasyonlu hastalarda kontrol grubuna göre anlamlı olarak yüksek(p<0,05). Toplam zarardan kaçınma ve alt ölçeği belirsizlik korkusu prematüejakülasyonlu hastalarda kontrol grubuna göre anlamlı olarak düşük bulund(p<0,05). Beck depresyon skorun da prematür ejakülasyonlu hastalar kontrol grubundan anlamlı olarak yüksekti. Sonuç: Prematür ejakülasyonlu kişiler daha dürtüsel (heyecanlı), daha öfkeldaha heyacanlı ve zararlı davranışlara daha az yatkındılar. Mevcut bulgular prematür ejakülasyonun nörobiyolojik ve psikolojik kökenli olduğununu desteklemeğilimindedir. (Nöropsikiyatri Arşivi 2012; 49: 332-336)ntroduction: The debate on the etiology of premature ejaculation is still ongoing although there was huge amount of biological and psychological theories. We aimed to investigate the personality structure of patients with premature ejacula- ion via temperament and character inventory. Methods: Forty patients with premature ejaculation and a matched number of healthy people were included. Participants were asked to fill out a questionnaire booklet with separate sections for general demographic information and the tem- perament and character inventory. Results: Total novelty seeking scores and subscale 1 (exploration-excitability) cores in premature ejaculation patients were significantly higher than in control groups (p<0.05). Total harm avoidance scores and harm avoidance subscale 2 (fear of uncertainty) scores in premature ejaculation patients was found significantly low- er than in control group (p<0.05). Beck depression score was significantly higher in patients with premature ejaculation than in control groups. Discussion: Men with premature ejaculation are more impulsive (excitant), more empered, more excitable and less prone to harmful behavior. Current findings tend o reinforce premature ejaculation based upon combination of neurobiological and psychological reasons. (Arc&shy;hi&shy;ves of Neu&shy;ropsy&shy;chi&shy;atry 2012; 49: 332-336

Ureteral Triplication and Contralateral Duplication with Vesicoureteral Reflux

Ureteral triplication is a rare congenital anomaly of the urinary tract. Since its first description, only about 100 cases have been reported in the literature. The association of ureteral triplication and contralateral duplication is even rarer. We reported a case of ureteral triplication and contralateral duplication with vesicoureteral reflux. The patient was a five-year-old girl with a history of recurrent urinary tract infections, dysuria and lower abdominal pain. Intravenous Pyelography (IVP) showed duplication of the right ureter and triplication of the left ureter. In the cystourethrogram there was vesicoureteral reflux at the lower pole of the right kidney. The patient underwent right lower to upper ureteroureterostomy and excision of the distal ureter. This is the second report of ureteral triplication in Turkey. The literature concerning this rare anomaly was reviewed