A Ai im m: : The aim of this study is to evaluate the frequency of the circumcision and complications due to this operation on young male starting their military obligation in Turkey and to investigate the performer, the place and the mean age. R Re es su ul lt ts s: : The mean age of the privates was found 20.6±1.4. We found that 99.4% of the participants have been circumcised. The average age for circumcision was found 6.1± 3.2 years. Only 15.2% of the circumcisions were performed by a surgeon and 83.3% of them were executed at home. 24 participants (0.7%) had minor complications and 4 (0.1%) had major complications. In all the cases with complication, circumcisions were performed neither at a health center nor by a surgeon. C Co on nc cl lu us si io on n: : The circumcision is a traditional application in a Muslim country like Turkey and performed mainly by traditional practitioners. Therefore, the frequency of acute and chronic complications may increase due to nonphyscian operators. It is impossible to give up circumcision in a Muslim population, but unhealthy conditions must be prevented. B Bu ul lg gu ul la ar r: : Çalışmaya katılan erbaş ve erlerin yaş ortalamasının 20.6 ± 1.4 olduğu bulunmuştur. Katılımcıların %99.4'ünün sünnet olduğu, ortalama sünnet olma yaşı 6.1 ± 3.2 iken sünnet olanların sadece %15.2'sinin bir hekim tarafından bu işlemine tabi tutulduğu ve %83.3'ünde ise işlemin evde yapıldığı saptanmıştır. Diğer taraftan erbaş ve erlerin 24'ünde (‰6.6) minör 4'ünde (‰1.1) ise majör sünnet komplikasyonu saptanmıştır. Sünnet komplikasyonu saptanan vakaların tamamının hekim dışı personel tarafından ve sağlık kurumu dışında bir yerde sünnet edildiği bulunmuştur. S So on nu uç ç: : Türkiye gibi Müslüman ülkelerde geleneksel olarak uygulanan sünnet işleminin büyük bir kısmının hekim dışı personel tarafından ve sağlık kurumu dışında bir yerde gerçekleştirmiş olması bu işleme bağlı olarak ortaya çıkabilecek akut ve kronik komplikasyonların sıklığını artırmaktadır. İşlemin sağlıksız koşullarda ve yetkin olmayan kişiler tarafından yapılması önlenmelidir.A An na ah ht ta ar r K Ke el li im me el le er r: : Sünnet, Sıklık, Komplikasyon

Surgical correction of varicocele was associated with significant improvement in density, motility and sperm morphology evaluated using the Kruger classification.

The results of the current study, which to our knowledge is the first report of the effect of intermittent tamsulosin treatment on abnormal ejaculation, show that this treatment modality is well tolerated and provides comparable improvements for abnormal ejaculation.

No abstract

AIM:Urinary incontinence (UI) is a common dysfunction, affecting especially women of all ages. The terminology of low back pain (LBP) and radiculopathy (RP) may be misused interchangeably with each other. There are many reports of the association with LBP and incontinence but those involving compression of nerve root(as RP), has not been distinguished from isolated low back pain. This study was structured to analyse the association of UI, LBP and RP.METHODS:One hundred twenty patients were included in the study. Patients with spinal or urinary infection, tumour (spinal or others), cauda equine, pelvic operation, spinal trauma, spinal surgery, urogenital pathology were not accepted for this study. Age and weight of all patients were determined. Oswestry Disability Index (ODI) was utilised for assessment of loss of function and SEAPI incontinence index was used for urinary incontinence. All patients were examined for neurological pathology to differentiate between the LBP and RP by department of neurosurgery. Student t-test and Mann-Whitney-U tests were used for statistical significance.RESULTS:There was no statistical significance between low back pain with overall urinary incontinence (p = 0.131), urge (p = 0.103) or stress incontinence (p = 0.68), respectively. However; The statistical aspects were identified relationship between overall (p = 0.026) and urge (p = 0.001) urinary incontinence with radiculopathy. The association of urge incontinence and radiculopathy seems to show a more significant relationship. Yet there was no correlation between radiculopathy and stress incontinence (P = 0.062).CONCLUSION:Low back pain should not be regarded as a predisposing factor for urinary incontinence; however, radiculopathy has a statistically positive correlation between overall incontinence and urge incontinence.

Background/aim: To evaluate the effects of pelvic floor muscle training (PFMT) on symptoms of overactive bladder (OAB) as well as uroflowmetry parameters and functional bladder capacity.Materials and methods: Fifty-nine female patients with OAB symptoms were included. Patients were assessed by SEAPI-QMM, uroflowmetry, and abdominal ultrasound. A specially designed PFMT program using a Pilates ball was generated for patients. The training period was 1-h sessions twice a week for 6 weeks and aerobic home exercises to be performed at home 4 or 5 times every other day. Following training, subjects were reevaluated for body mass index, SEAPI questionnaire, and uroflowmetry.Results: Initial mean SEAPI score, mean maximum and average flow rates, and mean voided volume were 9.8 ± 7.2, 29.8 ± 16.4 mL/s, 16.3 ± 8.7 mL/s, and 211.6 ± 173.5 mL, respectively. After completion of the training program, SEAPI scores improved significantly to 3.4 ± 6.4 (P < 0.05). Maximum and average flow rate results did not show significant changes, whereas voided volume seemed to have improved in conjunction with patients' symptom scores (Pearson correlation coefficient: 0.86). Conclusion:According to our results, we think that proper PFMT results in increase of functional bladder capacity as well as improvement in OAB symptoms and can be recommended as first-line therapy or in conjunction with medical therapy in severe cases.

Thromboangiitis obliterans (TAO) or Buerger's disease is a clinical syndrome characterized by the development of segmental thrombotic occlusions of the medium and small arteries of the extremities. Exception of the peripheral arteries of the extremities in TAO is very rare. Reported herein is the first case of intrarenal branch involvement of the renal artery due to TAO.

Neurogenic factors contributing to erectile dysfunction may be found in up to 20 per cent of organically impotent men. Although many options have been suggested for the treatment of some of these problems in male patients, most are invasive and have substantial morbidity. Our study group comprised 32 patients with spinal cord injury. These 32 patients with neurogenic impotence, who had been injured at least one year previously and had a regular sexual partner were evaluated. We selected external vacuum therapy as the treatment modality. During the initial phase of the study, six patients refused treatment due to negative cultural perception and they were excluded from the study group. Four patients discontinued treatment because of minor complications such as ecchymoses, petechiae and lack of motivation. Our data suggest that external vacuum therapy is a feasible, safe, noninvasive alternative and possibly a better initial treatment for the management of impotence secondary to spinal cord injury.