Effects of 5 alpha-reductase inhibitor therapy with dutasteride on sexual function in patients with benign prostatic hyperplasia

Conclusion: Six-month therapy of dutasteride in men with BPH did not alter the sexual functions

A unique scrotal extratesticular epidermod cyst attached to the seminal vesicles

A 46-year-old man was admitted with a scrotal long standing painless mass. The workup included physical examination, alpha-fetoprotein (alpha FP) and beta-human chorionic gonadotropin (beta-hCG) analyses, scrotal ultrasound, magnetic resonance imaging and urethrocystoscopy. Surgical exploration revealed a separate mass between the testes extending superiorly with a thin stalk. It was dissected easily to the anterior aspect of the seminal vesicles and removed from the junction to the seminal vesicles. Pathology reported an epidermoid cyst. To our knowledge this is the first case of a scrotal extratesticular epidermoid cyst attached to the seminal vesicles

The comparison of percutaneous and transurethral cystolithotripsy methods simultaneously performed with Transurethral Resection of Prostate in patients with BPH and bladder stone

Conclusion: The use of urethral approach for long periods during TCL increases the risk of urethral stricture in the postoperative period. In patients who are planned to undergo TUR-P and who have an accompanying high stone burden, the combination of TUR-P + PCL seems to be a rational approach

Fibroepothelial polyp of the glans penis due to pad use for urinary incontinence

A 78-year-old man was admitted to our urology polyclinic with painless penile mass. The lesion was 3.5 cm in size on the ventral aspect of the penis. He had been using a pad for urinary incontinance for 10 months and said that the lesion had been increasing in size for past 3 months. He underwent a wide local excision under local anesthesia. The histopathologic diagnosis was fibroepithelial polyp. A fibroepithelial polyp of the penis is very rare and strongly linked to long-term condom catheter use. We present a case of fibroepithelial polyp of the glans which is not associated with condom catheter use

The comparison of percutaneous and transurethral cystolithotripsy methods simultaneously performed with Transurethral Resection of Prostate in patients with BPH and bladder stone

OBJECTIVE: To compare the efficiency of percutaneous (PCL) and transurethral (TCL) cystolithotripsy simultaneous with transurethral prostatectomy (TUR-P)

The relationship between histological prostatitis and lower urinary tract symptoms and sexual function

ABSTRACT This prospective analysis assessed the effect of histological prostatitis on lower urinary tract functions and sexual function. The patients were separated into two groups as histologically observed prostatitis (Group A) and no prostatitis (Group B) according to the biopsy outcomes. International prostate symptom score, international index of erectile function-5 scores, maximal and average flow rate, and residual urine volumes were compared statistically between groups. There was no significant difference (P>0.05) in baseline age (t=0.64), body mass index value (t=0.51), prostate volume (t=0.87), prostate-specific antigen levels (t=0.43), maximal (t=0.84) and average flow rate (t=0.59), and post-void residual urine volume (t=0.71). Mean international prostate symptom score in patients with prostatitis was numerically but not significantly higher than that in those without prostatitis (t=0.794, P=0.066). Mean international index of erectile function-5 score in the prostatitis group was significantly lower than that in those without prostatitis (t=1.854, P=0.013). Histological prostatitis notably affected sexual function of patients and may serve as a major risk factor for sexual dysfunction while having little effect on lower urinary tract symptoms