The Role of Partial Nephrectomy without Arterial Embolization in Giant Renal Angiomyolipoma

Angiomyolipoma is a benign neoplasm composed of varying admixtures of blood vessels, smooth muscle cells, and adipose tissue. Because of an increased risk of spontaneous haemorrhage, surgical approach is needed greater than 4–8 cm size. We here report our partial nephrectomy experience in the 24 cm size giant angiomyolipoma. 26-year-old woman referred to our clinic with a 24 cm size angiomyolipoma in her lower pole of right kidney. The inferior vena cava was deviated to the left by the mass. All the blood tests were normal and we offered her the choices of partial nephrectomy or nephrectomy. Right subcostal approach was used. The patient underwent resection of the mass with a safety region of 1 cm. Frozen section evaluation was consistent with angiomyolipoma and free for surgical margin. Warm ischemia time was 35 min. and intraoperative bleeding volume was 200 cc. Postoperative 2nd day the drain was taken and hospital stay was 4 days. In literature we observed very rare angiomyolipoma cases with such a large dimension treated by partial nephrectomy without arterial embolization. If technically suitable partial nephrectomy is the main chioce in this kind of benign lesions in young patients

980-Nm Diode Laser Vaporization versus Transurethral Resection of the Prostate for Benign Prostatic Hyperplasia: Randomized Controlled Study

Purpose: We compared the effectiveness and complications of 980-nm diode laser vaporization and transurethral resection of the prostate (TURP) in patients with benign prostatic hyperplasia (BPH)

Trifecta Outcomes of Laparoscopic Partial Nephrectomy for T1a and T1b Renal Tumors: A Single-Center Experience in a Tertiary Care Institution

Objective: To assess the effectiveness and safety of laparoscopic partial nephrectomy (LPN) in T1a and T1b renal tumors using "Trifecta" in partial nephrectomy and determine the predictive factors in respect to the criteria that constitute Trifecta. Materials and Methods: We retrospectively analyzed the data harvested from the patients who underwent LPN for T1a or T1b tumors. Preoperative, perioperative, and postoperative outcomes were evaluated and analyzed. Patients who had grade 15% decrease in eGFR after surgery. Complications were observed in 11 (8.6%) patients. A total of 78 (60.9%) patients had strict trifecta outcomes. Tumor size was found to be a predictive factor affecting Trifecta at multivariate analysis. Conclusions: LPN procedure has been shown to demonstrate improved strict Trifecta outcomes in patients with T1a and T1b renal tumors. Only the tumor size was found to be a predictive factor regarding the Trifecta criteria

The determination of oleic acid contents in sunflower genotypes

High oleic sunflower is new trend both in Turkey and also in the world due to that it present healthy vegetable oil and also higher standing ability for frying. Higher oleic acid also affects from environment especially nigh temperatures during the grain filling period but genetic contribution is also important. High oleic acid content comes from Pervenent mutation in sunflower and it controlling Ol genes. However, because of being a seed trait which is determining after harvest, it is so difficult and unnecessary works (waiting even low oleic ones until seed treshing, etc) to select high oleic sunflower genetic materials. Therefore, selection utilization of molecular markers for determining of higher oleic types help breeders a lot to select accurately high oleic ones and also reduce costs both workers, isolation material, etc… The study covers determining of higher oleic type sunflower genetic materials developed in National Sunflower Hybrid Breeding Project conducted by Trakya Agricultural Research Institute. To screen of high oleic acid genotypes, around 400 sunflower F2 and F3 individuals obtained from crosses between high oleic acid and low oleic acid lines were used in TUBITAK (The Scientific and Technological Research Council of Turkey) Project 1003-114O971. Fatty acids of sunflower genotypes were determined by Agilent 6850 Gas Chromatography in Trakya University Lab. Based on the study results, oleic acid contents of sunflower genotypes were changed between 21.9-91.8 %, linoleic acid contents of them between 1.1-66.5 %, palmitic acid contents of them were between 3.4-8.0 % and stearic acid contents of genotypes were changed between 1.1-9.7 %. The higher oleic types were selected based on the study results for further generations

Penile Mondor Disease and its Effect on Erectile Function: Results of 30 Patients

OBJECTIVE To investigate the treatment outcomes among patients diagnosed with penile Mondor disease and to evaluate the effect of the disease on erectile function