Assessment of sexual functions in partners of women with complaints of urinary incontinence

ABSTRACT Aim: Investigation of the erectile functions in partners of women with urinary incontinence problems. Materials and Methods: Sexually active female patients over the age of 18 years with complaints of urinary incontinence (n=30) (Group-1), and without urinary incontinence (n=30) (Group-2, controls) were included this study. Evaluation of the patients were done at Erzincan Mengücek Gazi Training and Research Hospital's urology outpatient clinic between June 2012 and January 2013. Partners of group-1 and group-2 were asked to fill in the 5-item International Index of Erectile Function (IIEF-5) questionnaire, and then the scores of the two groups were compared for statistically significant differences. Results: Among the partners of the group-1 patients, 15 (50%) had mild erectile dysfunction (ED), 11 (36.6%) had moderate ED, 1 (3.4%) had severe ED, and erectile function was normal in the remaining 3 (10%). Among the partners of group-2 patients, 15 (50%) had mild ED, 7 had moderate ED, 1 (3.4%) had severe ED, and 7 (23.3%) had normal erectile function. Compared to the spouses of group-2 patients, ED was more prevalent among the spouses of group-1 patients. Conclusion: Erectile function in the partners of women with urinary incontinence may be adversely affected by the UI of their partners

The Impact of Unilateral Experimental Rat Varicocele Model on Testicular Histopathology, Leydig Cell Counts, and Intratesticular Testosterone Levels of Both Testes

Purpose: Varicocele, most treatable pathologic condition in male infertility, exerts unfavorableeffects on testicular ultrastructure via various mechanisms. In this study we aimed to demonstrateadverse effects of varicocele on both testes.Materials and Methods: Twenty one adult male Albino rats were divided into 3 groups. Shamoperation was performed for group 1 (control group), and this group of rats were sacrificed 4 weekslater. Experimental varicocele model was performed for group 2 (varicocele group) and these animalswere sacrificed 4 weeks after the operation. In group 3 the rats were varicocelectomized 4weeks later. This group of rats were sacrificed at 4 weeks postoperatively. The level of testiculardamage was examined, and serum testosterone and intratesticular testosterone levels were measured.Results: Mean (±SD) damage scores of the right testes of the sham, varicocele, and varicocelectomygroups were 0, 1.64 ± 1.3, and 1.21 ± 0.3, respectively. There was no statistically significantdifferences between damage scores of groups 2, and 3 (P = .320), relevant scores of both groupswere determined to be significantly higher than group 1 (P = .009, and P = .001). Mean (±) damagescores of the left testes of the three groups were detected to be 0.43 ± 1.13, 2.29 ± 1.15, and 1.78 ±0.39, respectively. The difference between varicocele, and varicocelectomy groups was not staticallysignificant (P = .112).Conclusion: Unilateral varicocele has deleterious effects on both testes. There was no statisticallysignificant difference as for histopathologic recovery following varicocelectomy

Does resectoscope size play a role in formation of urethral stricture following transurethral prostate resection?

ABSTRACTBackground and aims:To investigate the possible effect of resectoscope size on urethral stricture rate after monopolar TURP.Materials and Methods:A retrospective study of 71 men undergoing TURP was conducted at two centers’ from November 2009 to May 2013. The patients were divided into one of two groups according to the resectoscope diameter used for TURP. Resectoscope diameter was 24 F in group 1 (n=35) or 26 F in group 2 (n=36). Urethral catheter type, catheter removal time and energy type were kept constant for all patients. Urethral stricture formation in different localizations after TURP was compared between groups.Results:There was no significant difference between the two groups in terms of age, pre-operative prostate gland volume (PV), prostate-specific antigen (PSA), maximal urinary flow rates (Qmax), International Prostate Symptom Score (IPSS) and post-voiding residual urine volume (PVR). The resection time and weight of resected prostate tissue were similar for both groups (p>0.05). A statistically significant higher incidence of bulbar stricture was detected in group 2 compared to group1 (p=0.018).Conclusions:The use of small-diameter resectoscope shafts may cause a reduction in the incidence of uretral strictures in relation to urethral friction and mucosal damage

Is it possible to distinguish testicular torsion from other causes of acute scrotum in patients who underwent scrotal exploration? A multi-center clinical trial

Introduction To assess the clinical presentation of patients who underwent surgical exploration for acute scrotum and to investigate the potentially related factors for differential dignosis