Introduction: This study aimed to investigate the effects of PCNL on the renal parenchymal thickness.
Materials and Methods: Adult (≥18 years) patients who underwent percutaneous nephrolithotomy (PNL) in Health Sciences University Diskapi Training and Research Hospital between May 2016 and May 2021 constituted the target population of this descriptive study. Patient data were retrospectively reviewed. All patients had preoperative and postoperative sixth-month abdominopelvic computerized tomography (CT) scan images and preoperative and postoperative day 1 blood workup results. Stone surface areas (SSA) and stone densities were measured using preoperative CT scans. The renal parenchymal thickness (RPT) was calculated on preoperative and postoperative CT images. Preoperative and postoperative RPT values were compared. Results: 358 patients (232 men and 126 women) were included. Thirty-two (8.9%) patients had 2 PNL surgeries. Median SSA and stone density were calculated as 566.5 (100-2237) mm2 and 937.5 (304-1474) Hounsfield Units. The mean duration of hospital stay was 4.2±2.1 days. Our analysis revealed a significant reduction in RPT (p<0.001). While the median RPT reduction was 2.5 (0-8) mm in patients who underwent PNL once, it was five (1-12) mm in patients who underwent PNL twice (p<0.05). Correlation analysis revealed no correlation between RPT reduction and duration of hospital stay. Conclusion: A significant decrease in RPT was detected after PNL. No correlation was found between the decrease in renal parenchyma thickness and the length of hospital stay.
How quality and reliable are youtube videos about hydrocele for patients? OBJECTIVE: In this study, our aim is to evaluate the adequacy, quality and reliability of the Turkish video contents found on YouTube about hydrocele disease. MATERIAL and METHODS: In order to find videos about hydrocele disease, the term ‘Hydrocele’ was written in the Youtube search section on February 14, 2023. Videos in the last five years to make videos up to date were included in the study. The first 50 video content determined after the exclusion criteria was included in the study. The video quality included in the study data is described by ‘Global Quality Scale’ and video reliability is defined by modified ‘DISCERN’ scales. RESULTS: A total of 50 videos related to hydrocele on YouTube were analyzed. The total number of views included in the study was 384.290. In 48 (96%) of 50 videos, he was a doctor who had information or surgery on hydrocele disease. The average ‘Global Quality Scale’ of the videos prepared for hydrocele disease was measured as 2.3±1.06 points. For patients, very useful, full and clear information, ‘Global Quality Scale’ score of five videos could not be detected (0%). The average score of the modified DISCERN scale was 2.06±0.95. Since no video is based on the sources and did not propose additional sources of information for patients, the modified DISCERN scale score was not found (0%). CONCLUSION: Health information about health is increasing day by day. In today’s age, patient information requests can be met instantly via the Internet. Doctors and related associations should be aware of this situation in order not to be misinformed and misleaded by patients. For this reason, it is important to take the right steps in order to direct patients to the right resources via the internet. Keywords: internet use, scrotal hydrocele, YouTube
Primary signet ring cell carcinoma of the bladder is a rare tumor and it has a poor prognosis and is more mortal than the urothelial cell carnioma. However, most patients apply with painless macroscopic hematuria; rarely do they could apply with urinary tract infection or lower urinary tract symptoms. In this study; a 47-yearold male was referred to our clinic with dysuria, which was antibiotic therapy and symptomatic treatment. In ultrasonography, bladder wall thickening has been seen then patient underwent with cystoscopy. After atypical lesions were seen on the bladder mucosa, random punch biopsies were taken. A pathological examination revealed infiltrative urothelial carcinoma with a poorly differentiated signet ring cell component. As in this case report, patients with signet ring cell bladder cancer, which is rare and has an aggressive course, might only present with non-specific complaints such as dysuria. If atypical lesions are observed during the diagnostic cystoscopy procedure, the threshold should be kept low to decide on biopsy.
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