The comparison of urodynamic findings in women with various types of urinary incontinence

WOS: 000337913500015PubMed ID: 24856491Purpose: We aimed to determine the differences of the urodynamic findings of mix urinary incontinence (MUI), urge urinary incontinence (UUI), and stress urinary incontinence (SUI), and to evaluate the urodynamic findings in different groups by using bladder sensitivity index (BSI). Materials and Methods: The data of 99 patients who underwent urodynamic testing related to the suspicion of SUI, UUI or MUI were analysed. This analysis included a retrospective evaluation of patients' cards, voiding diaries, and urodynamic reports. At filling cystometry, the parameters of first sensation of bladder filling (FSBF), first desire to void (FDV), strong desire to void (SDV), and bladder capacity (V-max)(,) which were related to the bladder sensation, were determined. Subsequently, uroflowmetric findings were recorded during bladder emptying. BSI was defined as the ratio of V-max/FDV. These results were statistically compared among the goups. Results: The sample included 35(35.5%) MUI, 33(33.3%) UUI and 31 (31.1%) SUI. The mean ages were similar in all groups (P = 0.868). The mean FSBF, FDV, SDV and Vmax values were significantly different among groups (p = 0.004, p < 0.001, p < 0.001, p < 0.001 respectively). Nevertheless, there was no statistically significant difference among the mean daily voiding accounts (P = 0.005). Although the mean maximum flow rate (Q(max)) values were similar (P = 0.428), the mean maximum detrusor pressure (Pdet(max)) values were significantly different (P = 0.021). The mean BSI values showed no significant differences (P = 0.097). Conclusions: It was concluded that while the use of urodynamic testing could contribute to the management of urinary incontinence, the indexes including BSI requere more detailed and comprehensive studies

Life Long Learning Preferences of General Surgeons After Covid-19 : Hybrid ModelGenel Cerrahların Covid-19 Sonrasında Yaşam Boyu Öğrenme Tercihleri : Hibrit Model

Aim: For a surgeon during his professional career; Increasing their knowledge and experience, improving their professional skills and sharing their knowledge and experience is a necessity rather than a choice. The COVID-19 pandemic has revealed new choices in the concept of lifelong learning, with virtual meetings scheduled by surgeons using videoconferencing applications over the internet. In this study, we evaluated the compliance of general surgeons to webinars during the COVID-19 outbreak and their future training expectations with a questionnaire. Design: A questionnaire of 20 questions was prepared. The questionnaire was administered questions without aiming to obtain the personal information of the participants. . This survey was announced on the social media application Twitter. Survey questions were answered by 108 participants. Results: In the survey participated by surgeons, we concluded that short-term presentations, edited surgery videos and question-answer activities will be preferred more, and webinars held in the evening will be preferred more than those planned at the weekend. During the pandemic, it was determined that surgeons preferred free webinars and attended more national and international meetings compared to the pre-pandemic period. Respondents stated that they would prefer hybrid meetings in the future. Results: Considering the results of our social media-mediated survey: there is an intense participation in online seminars by surgeons. We also concluded that in the near future, surgeons will prefer hybrid training models rather than face-to-face training to improve and update themselves.</p

Spontaneous enteroatmospheric fistula in a patient with COVID-19 disease

Coronavirus 2019 (COVID-19) disease patients present with upper respiratory symptoms; however, thesepatients may show gastrointestinal symptoms on arrival at the hospital. This finding requires an abdominalphysical examination and imaging for 33% of patients. Enteroatmospheric fistulas (EAF) may form aconnection between the external environment and the gastrointestinal tract and usually presents variousdifficulties in controlling the disease without surgical intervention. Its management requires a high level ofclinical expertise to control and treat the fistula. In this case report, spontaneous EAF and its managementare presented in a 65-year-old morbidly obese female patient who spontaneously had EAF during herhospitalization for COVID-19.&nbsp;</p

Common Bile Duct Obstruction Due to Surgical Clips Following Laparoscopic Cholecystectomy Treated with Percutaneous Balloon Dilatation

Bile duct injury is a commonly seen complication of the laparoscopic cholecystectomy (LC) approach, which can even lead to a life-threatening condition and endoscopic retrograde cholangiopancreatography (ERCP) is the first-line choice in treatment. Beside this, it can be concluded that percutaneous transhepatic cholangiography (PTC) and balloon dilatation methods may also constitute a reasonable selection with non-invasive, feasible and effective aspects prior to open surgery. In the present case, we report the management of a bile duct obstruction due to surgical clips following LC, treated with PTC and balloon dilatation instead of surgical procedure in a child patient