Sparing Surgery for an Epidermoid Cyst of the Testis: A Case Report and Literature Review

Epidermoid cyst of the testis is relatively rare and accounts for less than 1% of all testicular neoplasms. This condition usually occurs in young men and it is mostly detected by self-examination or routine physical examination. The case of a 27-year-old male with an epidermoid cyst of the testis is discussed. The diagnosis was based on ultrasonography and management was with testicular-sparing surgery. At 2-year follow-up, the patient had had no relapse or metastasis. In epidermoid cysts of the testis, high-frequency ultrasonography is a reliable diagnostic imaging method. Organ-preserving surgery is recommended in the management of these lesions

Methods and Rates of Punishment Implemented by Families to Enuretic Children in Turkey

Purpose Nocturnal enuresis is a serious health problem affecting a significant portion of the population. In this study, we investigated the frequency of punishment methods in nocturnal enuresis (NE) in Turkey and its relationship with other parameters. Materials and Methods A total of 501 children (301 boys and 200 girls) who were admitted to our outpatient clinic due to nocturnal enuresis were included in the study. Mean age was 9.39 years (range 5-18). Prepared questionnaire form inquiring educational status of the family, frequency and implementation and duration of punishment methods was applied to patients and families. Results At least one punishment method was applied to 291 (58.1%) of children with NE. Punishment methods of parents were detected as condemnation (257 patients, 51.3%), depriving desires of the child (120 patients, 23.9%), humiliating the child in the presence of other children (113 patients, 22.6%), reprimanding- threatening with punishment (203 patients, 40.5%). This application was found to continue for longer than 1 year in 52% of punished children. Families graduated of high school and above were found to use punishment methods significantly more than others. Conclusion According to the results of our study, a quite high proportion of enuretic children were detected to be exposed to punishment methods. Even, some parents consider that these methods are a part of nocturnal enuresis treatment. We, the doctors, should endeavor more for raising awareness of the community in order to diminish this worrisome behavior

The hypospadias profile in Turkey: A multicentric study

Dokuz değişik merkezde son 6 yılda hipospadiyas nedeniyle ameliyat edilen hastalar retrospektif olarak değerlendirildi. Böylece ülkemizdeki güncel hipospadiyas profili çıkarılmaya çalışıldı. 2001-2006 yılları arasında dokuz farklı üroloji kliniğinde hipospadiyas cerrahisi uygulanan 1483 hasta retrospektif olarak incelendi. Başvuru sırasındaki yaş ortalaması 5.8 yıl (1 ay-41 yıl) olan hastalar, tanının kimin tarafından konulduğu, hipospadiyasın yerleşimi, eşlik eden doğumsal bozukluklar, uygulanan ameliyat tekniği, varsa kateterizasyon türü ve hastanede kalış süresi bakımından değerlendirildi. Hastaların ameliyat sırasındaki ortalama yaşı 5.9 yıl olarak bulundu. %57’sinin hipospadiyası bulunduğu annebaba tarafından fark edilmiş iken, %18’i herhangi bir sebeple başvurduğu doktor tarafından, %13’ü doğum sırasında doktor ya da ebe tarafından ve %10’u ise sünnetçi tarafından fark edilmişti. 165 hasta (%11) başvuru sırasında sünnetli idi ve 360 hastada (%24) eşlik eden kordi mevcuttu. Hipospadiyak meatus yerleşimi %38’inde glanülar/koronal, %50’sinde distal penil, %6’sında proksimal penil ve %6’sında penoskrotal idi. Toplam hastaların %9.7’sinde eşlik eden doğumsal eksternal genital organ bozukluğu vardı (62 olguda kriptorşidi, 39 inguinal herni ve/veya hidrosel, 17 penoskrotal transpozisyon, 6 megameatus, 20 olguda diğerleri). Hastaların %77’sine TIP üretroplasti (1141), %11’ine MAGPI (163), %5’ine Mathieu (74) ve 105 hastaya ise diğer cerrahi teknikler uygulanmıştı. Ameliyatta 1160 hasta (%78) üretral yoldan, 251 hasta (%17) suprapubik olarak kateterize edilirken, 72 hastada herhangi bir diversiyon yöntemi kullanılmamıştı. Olguların hastanede ortalama kalış süresi 3 gün (1-20 gün) olarak bulundu. Bu çok merkezli çalışmamız hipospadiyas olgularının yaklaşık yarısının anne-baba tarafından fark edildiğini ve %11’inin başvuru sırasında sünnetli olduğunu göstermiştir. Ek doğumsal bozukluk (kriptorşidi, inguinal herni) oranı yayın bilgilerine göre düşüktür. TIP üretroplasti, yayınlar ile uyumlu olarak günümüzde hipospadiyas cerrahisinde en sık kullanılan tekniktir. Hastanede kalış süresinin nispeten yüksek olması dikkat çekicidir.Introduction: Patients who underwent hypospadias repair in nine different centers were evaluated retrospectively. Materials and Methods: Between 2001 and 2006, 1483 patients with hypospadias, mean age of 5.8 years, who underwent hypospadias operation in nine different centers of Turkey, were enrolled to this epidemiological study. They were evaluated according to the localization of hypospadiac meatus, associated congenital anomalies, the type of operation technique, chordee status and hospitalization time. Results: It was realized that hypospadias was recognized by parents in 57%, by doctors in physical examination in 18%. 13% was noted during the birth, and 10% was recognized by an unlicensed traditional circumciser. 11% of patients had already been circumcised on admission and chordee was present in 24%. The location of hypospadiac meatus was glandular/coronal in 38%, distal penile in 50%, proximal penile in 6% and penoscrotal in 6%. There were associated congenital external genital anomalies in 9.7%. While 77% of the patients underwent TIP urethroplasty, MAGPI was performed in 11%, Mathieu was performed in 5% and 105 patients underwent other surgical techniques. Urethral route was used in 1160 (78%) patients, while suprapubic route was used in 251 patients (17%) for urinary diversion. In 72 patients, no diversion was performed. The mean hospitalization time of patients was 3 days (1-20 day). Conclusion: Half of the cases with hypospadias were recognized by parents and 11% were found to have been circumcised before admission. While the incidence of associated congenital external genital organ anomalies was found to be lower than that of the literature, TIP urethroplasty was the most common technique in hypospadias repair. The hospitalization time was found to be higher than expected

THE HYPOSPADIAS PROFILE IN TURKEY: A MULTICENTRIC STUDY

Introduction: Patients who underwent hypospadias repair in nine different centers were evaluated retrospectively