Re: Fascelli et al: Combined biparametric prostate magnetic resonance ımaging and prostate-specific antigen in the detection of prostate cancer: A validation study in a biopsy-naive patient population (urology 2016; 88:125-134)

WOS: 000383698300057PubMed ID: 27112511I read with interest the article by Fascelli et al1The authorsaimed to validate the use of biparametric (T2- and diffusion-weighted) magnetic resonance imaging and prostate-specific antigen (PSA) or PSA density in a biopsy-naivecohort at risk for prostate cancer (PCa) and they used for-mulas for validation

Methemoglobinemia developing after circumcision and its treatment

Methemoglobinemi, özellikle lidokain ve prilokain kullanılan durumlarda gözlenen, klinik olarak ağır seyreden bir durumdur. Prilokain, infiltrasyon anestezisinde kısa etki profilinden dolayı en sık kullanılan amid tipi lokal anesteziklerden biri olup, ayrıca edinsel methemoglobinemiye en sık neden olan ajanlardan biridir.Olgumuzda 2 ay 10 günlük çocuğa dorsal penil blokaj ile yapılan sünnet sonucunda görülen methemoglobineminin yönetiminden sunacağız.Methemoglobinemia, especially observed in cases used lidocaine and prilocaine, is a condition characterized severe clinical. Prilocaine, is one of the most commonly used amide-type local anesthetics in infiltration anesthesia, is also one of the most common causative agent of acquired methemoglobinemia.In our case, 2 months 10 days of the child, we will provide management of methemoglobinemia as a results of circumcision with dorsal penile block

Re: Sancar S, Demirci H, Güzelsoy M, et. Al. Fear of circumcision in boys considerably vanishes within ten days of procedure. Urol j. 2016 Mar 5-2541:(1)13;5

WOS: 000380525900013PubMed ID: 27351332

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WOS: 000375063200025PubMed ID: 27123340

Re: Karabakan M, Bozkurt A, Hirik E, Celebi B, Akdemir S, Guzel O, Nuhoglu B. The prevalence of premature ejaculation in young Turkish men. Andrologia 2016; 24: 1–5

I read the original article by Karabakan et al. with interest. The authors demonstrated that the prevalence of premature ejaculation in young Turkish men is lower (9.2%) than the other studies (Porst et al., 2007; Waldinger & Schweitzer, 2007), and they concluded that it may be a result of good physical and mental health (SF- 12). Also, they used only premature ejaculation diagnosis tool (PEDT) for diagnosis of PE and subjects with a PEDT score >10 were considered to be PE patients (Karabakan et al., 2016)

Re: Sancar S, Demirci H, Güzelsoy M, et. al. Fear of circumcision in boys considerably vanishes within ten days of procedure. Urol J. 2016 Mar 5-2541:(1)13;5 reply

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Evaluation of depression and self-esteem in children with monosymptomatic nocturnal enuresis: A controlled trial

Objectives: Nocturnal enuresis (NE) is very common and is one of the most common causes for patients to be admitted to urology, pediatrics, child psychiatry and child surgery departments. We aimed to investigate the effect on depression and self-esteem of this disorder that can cause problems on person's social development and human relations. Material and methods: 90 patients who were admitted to our clinic with complaints of nocturnal enuresis were enrolled. Investigations to rule out organic causes were performed in this group of patients. Out of them 38 children and adolescents (age range 8-18 years) with primary monosymptomatic nocturnal enuresis (PMNE) agreed to participate in the study In the same period 46 healthy children and adolescents with a similar age range without bed wetting complaint were included in the study as a control group. The age of the family, educational and socioeconomic level were questioned and Piers-Harris Children's Self-Concept Scale (PHCSCS) and Children's Depression Inventory (CDI) forms were filled out. Results: Mean age of the cases (18 females or 47.4% and 20 males or 52.6%) was 10.76 ± 3.82 years whereas mean age of controls (26 females or 56.5% and 20 males or 43.5%) was 10.89 ± 3.11 years. Depression scale was significantly higher (p = 0.001) in the case group than in the control group (10.42 ± 4.31 vs 7.09 ± 4.35). In both groups there was no statistically significant difference by age and sex in terms of depression scale (p > 0.05). Conclusion: NE is widely seen as in the community and is a source of stresses either for children and for their families. When patients were admitted to physicians for treatment, a multidisciplinary approach should be offered and the necessary psychological support should be provided jointly by child psychiatrists and psychologists

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