Assessment of the quality and reliability of the information on lateral epicondylitis surgery on YouTube

Aim: To investigate the quality and reliability of videos related to lateral epicondylitis (LE) surgery on YouTube® and to define a new scoring system that can be used to assess online information about LE. Method: To conduct the study, a search on YouTube® using the words "lateral epicondylitis surgery" and "tennis elbow surgery" was conducted on February 15, 2022. The first 100 videos that appeared upon the search were included in the study. The videos were classified based on the type of publishing source as a medical doctor, medical center, and Commercial/Medical media agency. Two authors independently analyzed the videos. The quality and reliability of the videos were examined using DISCERN score, Journal of the American Medical Association (JAMA) score, Health on the Net (HON) score, and a novel YouTube® LE-score (LES). Video Power Index (VPI) and View Ratio (VR) were used to assess the popularity of videos. Results: A total of 29 videos were included in the study. There was no significant difference between the groups in terms of DISCERN, JAMA, HON, and LES scores. Although the group of medical doctors had much higher VRs and VPIs, there was no significant difference between the groups. LES score was found to be positively correlated with DISCERN, JAMA and HON (rho 0.879, p< 0.001; rho 0.709, p < 0.001; rho, 0.838, p < 0.001, respectively). Conclusion: The quality and reliability of the online information made available by YouTube® concerning LE surgery had an average level of quality and reliability. In addition, the LES scoring system created by us was highly compatible with the DISCERN and JAMA scoring systems accepted in the literature. It can be used as evaluation scoring in searches about lateral epicondylitis

Extragenital endometriosis (a case report)

Endometriozis is rarely seen on incisional scars following a hernia operation, a incisional mass is considered to be either due to inflamation or reccurence. Preoperative diagnosis is diffucult and a definite diagnosis can only be made by an operative procedure and histopathological examination.İnsizyon skarlarında endometriozis oluşumu nadir görülmektedir. Fıtık ameliyatı sonrası, ameliyat lojunda kitle tespiti öncelikle inflamasyon yada fıtık nüksünü düşündürmektedir. Preoperatif tanı güç olup kesin tanı cerrahi girişim ve histopatolojik incelemeyle konulabilmektedir

Acute prostatitis after prostate biopsy under ciprofloxacin prophylaxis with or without ornidazole and pre-biopsy enema: analysis of 3.479 prostate biopsy cases

Objectives: To investigate the characteristics of cases of NIH category I acute prostatitis developed after transrectal prostate biopsy and clarifiy the risk factors and preventive factors. Materials and Methods: We retrospectively reviewed the medical records of 3.479 cases of transrectal ultrasound-guided needle biopsies performed with different prophylactic antibiotherapy regimens at two different institutions between January 2011 and February 2016. The patients of Group I have received ciprofloxacin (n=1.523, 500mg twice daily) and the patients of Group II have received ciprofloxacin plus ornidazole (n=1.956, 500mg twice daily) and cleansing enema combination as prophylactic antibiotherapy. The incidence, clinical features and other related microbiological and clinical data, were evaluated. Results: Mean age was 62.38 +/- 7.30 (47-75), and the mean prostate volume was 43.17 +/- 15.20 (21-100) mL. Of the 3.479 patients, 39 (1.1%) developed acute prostatitis after the prostate biopsy procedure. Of the 39 cases of acute prostatitis, 28/3.042 occurred after the first biopsy and 11/437 occurred after repeat biopsy (p=0.038). In Group I, 22 of 1.523 (1.4%) patients developed acute prostatitis. In Group II, 17 of 1.959 (0.8%) patients developed acute prostatitis. There was no statistical difference between the two groups according to acute prostatitis rates (X2=2.56, P=0.11). Further, hypertension or DM were not related to the development of acute prostatitis (P=0.76, X2=0.096 and P=0.83, X2=0.046, respectively). Conclusions: Repeat biopsy seems to increase the risk of acute prostatitis, while the use of antibiotics effective for anaerobic pathogens seems not to be essential yet

Polyps of the gallbladder: retrospective analysis of 33 cases

Amaç: Safra kesesi polipleri , safra kesesi mukozasından köken alan lezyonlardır. Bu çalısmada, klinigimizde preoperatif safra kesesi polibi tanısı alarak cerrahi girisim uygulanan olgular patolojik tanıları ile tartısılmakta ve cerrahi endikasyon koyduracak kriterlerin tanımlanması amaçlanmaktadır. Materyal-Metod: Klinigimizde Ocak 1995 ile Haziran 2003 tarihleri arasında preopeeratif safra kesesi polibi tanısı alan olgular demografik özellikleri, klinik ve abdominal ultrasonografi bulguları, yapılan cerrahi tedavi, histopatolojik tanıları, morbidite ve mortalite açısından retrospektif olarak degerlendirildi. Bulgular: Kolesistektomi yapılan 1420 olgunun otuzüçü de (%2,3) preoperatif safra kesesi polibi tanısı almıstır. Karın agrısı en sık rastlanılan semptom idi.Tüm olgulara abdominal ultrasonografi ile tanı konulmus olup görüntülemede, 3 olguda sesil, 30 olguda ise pediküllü polip bulunurken, 7 olguda ek olarak kolelithiasis saptandı. Tedavide 8 olguda laparoskopik, 25 olguda ise açık olarak kolesistektomi yapıldı. Histopatolojik incelemede ; 16 olguda sadece kolelithiasis ve kronik kolesistit, 14 olguda kolesterol polibi, 2 olguda adenomatöz polip, 1 olguda ise adenokarsinom saptandı. Sonuç: Safra kesesi poliplerinde cerrahi tedavi, tüm semptomatik, beraberinde kolelitiasis olan, polip boyutu 10 mmgeçen ve ultrasonografik olarak malignite riski tasıyan olgularda yapılmalıdır.Aim: The nature of polypoid lesions of the gallbladder is difficult to define before operation, and surgical indications still remain controversial. The aim of this study was to identfy surgical indications for polypoid lesion of the gallbladder with regarding their ultrasonographic histopathological findings and indications. Material-Methods: Between 1995 and June 2003, the patients with preoperative diagnosis of gallbladder polyp were evaluated retrospectively according to their demographic findings, clinical symptoms, abdominal ultrasonography results, surgical treatment and pathology . Results: The incidence of preoperative gallbladder polyp diagnosis was 2,3% (33/1420) in cholecystectomized patients. The most common symptom was abdominal pain. In abdominal ultrasonography used for diagnosis in all patient, the polyps were sessile in 3 cases and pedunculated in 30 cases. Also cholelithiasis was coexist with polyp in 7 cases ultrasonographically. Cholecystectomy was made laparoscopically in 8 patients and others were with open technique. In histopathological assesment, the results were as only cholelithiasis and chronic cholecystitis / 16 cases, cholesterol polyp / 14 cases, adenoma / 2 cases and adenocarcinoma / 1 case. Conclusion: Surgery is the choice of treatment in all symptomatic patients and the cases having polyps with a size of greater than 10 mm as well as the cases carrying malignant features ultrasonographically

Lateral imaging technique of the femoral neck in a supine-semilithotomy position without a fracture table

Treatment of proximal femoral fractures in the supine position poses has certain challenges, especially due to difficulties in lateral imaging of the femoral neck in cases where there is no fracture table, such as prolonging the surgery time and increasing the dose of radiation exposure. The purpose of this study is to present the lateral imaging technique of the femoral neck by fluoroscopy on the conventional operating table in the treatment of proximal femoral fractures. We applied proximal femoral nail by positioning the healthy leg in a semilithotomy position to facilitate lateral imaging of the femoral neck by fluoroscopy while the patients were in the supine position.The study analyzed 22 patients (12 women, 10 men) with femoral pertrochanteric and basicervical fractures with the following types of fractures (9 patients had AO type 31-A1, 9 patients had AO type 31-A2, 4 patients had AO type 31-B2.1), and with a mean age of 62.1 years (33-75 years). The preparation time of the supine-semilithotomy position was about 2 minutes, and the reduction was finished within 9 intraoperative fluoroscopy exposure times. No patient suffered from a postoperative complication. The mean surgery time was 20 minutes (18-22 minutes), the average number of scopy shots was 8 (7-9), and the mean hospital stay duration was 2 days (2-2 days). We believe that the supine-semilithotomy technique is a suitable treatment option for proximal femoral intramedullary nailing and cannulated screw application. Since the lateral view of the femoral neck is obtained quickly and clearly with this technique, fluoroscopy does not need to be performed repeatedly, so fluoroscopy time and the number of shots are reduced, and the time spent by the patient and the surgical team in the surgery is shortened. [Med-Science 2020; 9(4.000): 1061-4

The effect of platelet-rich plasma on chronic pain in osteoarthritic knees

Platelet-rich plasma (PRP) is an autologous blood product with widespread use in recent years to increase regeneration in many joints and tissues. Knee osteoarthritis is a degenerative process increasing with age and causing chronic pain. Therefore, the aim of the study was to investigate the short-term effectiveness of intra-articular PRP injection, used to provide cartilage regeneration, on chronic pain in osteoarthritic knees. 60 patients with stage 1-4 knee osteoarthritis according to the Kellgren-Lawrence grading scale (K-L) were included in the study. Three doses of PRP were injected into the knee joint once every three weeks. All three initial measurements were made before injection. Chronic pain of the patients was evaluated using visual analog scale (VAS) and the Knee Injury and Osteoarthritis Outcome Score (KOOS) scales on Day 1, Week 3, Week 6, Week 12, and Month 6. 6 months of follow-ups for all 60 patients were completed. Mean baseline values were measured as follows: VAS 8.63 ± 1.0, and KOOS Pain 22.11 ± 13.7, KOOS Sympt 24.80 ± 18.3, KOOS Function 24.90 ± 15.7, KOOS Sport 13.00 ± 11, 6, KOOS QoL 16.16 ± 10.2. Mean values measured during the last follow-up were as follows: VAS 2.30 ± 1.0, and KOOS Pain 81.20 ± 11.7, KOOS Sympt 81.78 ± 12.5, KOOS Function 78.08 ± 10.9, KOOS Sport 73.58 ± 11.7, KOOS QoL 68.91 ± 10.7 values. Significant improvements were observed in VAS and KOOS values after injection compared to the baseline values (p = 0.001 for all). Treatment of knee osteoarthritis (OA) with PRP injection is safe in terms of adverse reactions. PRP seems to be effective in managing pain and improving quality of life in all osteoarthritis stages, especially in patients with K-Lgrade 1-2 knee OA. [Med-Science 2021; 10(2.000): 299-303

Retropubik ve perineal radikal prostatektomi tekniklerinin cerrahi sonrası üriner kontinans üzerine olan etkileri: 196 hastanın sonuçları

Objective: The aim of this study was to examine the effects of the retropubic and perineal radical prostatectomy techniques on postoperative urinary continence. Material and methods: This study included patients who had undergone radical retropubic (RRP) (n=54) or radical perineal prostatectomies (RPP) (n=142) in our clinic between December 2006 and December 2010 with the indication of localized prostate cancer. Preoperative, and postoperative continence levels of the patients were evaluated on the day of catheter removal, and at 3., 6. or 12. months using University of California-Los Angeles (UCLA) prostate cancer index query forms completed by the patients themselves in outpatient clinics. Results: Mean ages of the perineal, and retropubic groups were 62.3 (48-77), and 62.5 (50-74) years, respectively. The absolute urinary control rates of the RPP patients on the first days, and the first, third, sixth, and twelfth months were 44.3, 63.6, 76.2, 79.5, and 86.1%, respectively. The same rates were 51.4, 75.7, 78.4, 89.2, and 91.9% for the RRP group, respectively. Conclusion: There was no significant difference between RRP groups as for the frequency of urinary incontinenceAmaç: Bu çalışmanın amacı; farklı diseksiyon yollarını kullanan retropubik ve perineal radikal prostatektomi tekniklerinin, postoperatif idrar kontinansı üzerindeki etkilerini değerlendirmektir. Gereç ve yöntemler: Çalışmaya lokalize prostat kanseri nedeniyle kliniğimizde Aralık 2006-Ağustos 2010 tarihleri arasında gerçekleştirilen 54 Radikal Retropubik Prostatektomi (RRP) ve 142 Radikal Perineal Prostatektomi (RPP) yapılan hasta dahil edildi. Hastaların preoperatif ve postoperatif transüretral kateter çekildiği gün, 1. ay, 3. ay, 6. ay ve 12. ay kontinans değerlendirilmesi University of California-Los Angeles (UCLA) Prostat Kanser Indeks sorgulama formu ile, poliklinik ortamında, formlar hastalar tarafından doldurularak yapıldı. Bulgular: Perineal grupta yaş ortalaması 62,3 (48-77) yıl, retropubik grupta ise 62,5 (50-74) yıl idi (p>0,05). İdrar kaçırma sıklığına göre kontinans değerlendirildiğinde tam idrar kontrolü olan hastalar postoperatif kateter çekildiği gün, postoperatif 1, 3, 6 ve 12. ay sonunda RPP grubunda sırası ile %44,3, %63,6, %76,2, %79,5 ve %86,1, RRP grubunda %51,4, %75,7, %78,4, %89,2 ve %91,9 olarak tespit edildi. Sonuç: Bizim çalışmamızda RPP ve RRP grupları arasında idrar kaçırma sıklığı açısından istatistiksel olarak anlamlı bir fark bulunmamıştı

Traumatic masturbation syndrome may be an important cause of erectile dysfunction in pre-mature ejaculation patients

We aimed to investigate of whether atypical masturbation behaviour is a pre-disposing factor in ED aetiology in pre-mature ejaculation (PE) patients. In addition to demographic data, self-estimated intravaginal ejaculatory latency time (IELT) was prospectively questioned in 2,572 patients between the ages of 18 and 60 who applied with the complaint of pre-mature ejaculation between March 2018 and May 2020. The masturbation habits of the patients were questioned with open-ended questions. After the exclusion criteria, 1,819 patients were evaluated. One thousand one hundred-fifty (63.2%) of patients were classified as lifelong PE, 369 (20.3%) were acquired PE, while 300 (16.5%) were natural-variable PE. According to the IIEF score, 714 patients (39.3%) had ED associated with PE. Eighty-eight per cent of men declared that they had masturbated in the last 4 weeks. Atypical masturbatory behaviours such as 'through clothes' and 'rubbing in prone position' were significantly higher in patients with ED (13% vs. 9%, p = .04 and 11% vs. 7%, p = .02 respectively). Atypical masturbatory behaviours are also seen in a significant part of the pre-mature ejaculation population and increase the rate of erectile dysfunction accompanying PE. This situation draws attention to the necessity of questioning masturbation habits, especially in the combination of PE and ED