To evaluate the clinical findings, treatment methods and outcomes of patients treated for renal forniceal rupture (RFR). Materials and Methods: Files and records of the patients treated for RFR between January 2013 and November 2016 were evaluated retrospectively. In primary treatment; ureteroscopy and laser/pneumatic lithotripsy (URL) with stone fragmentation and double J (JJ) stent placement were performed in patients with no finding of sepsis. However, only JJ stent/percutaneous nephrostomy placement was performed in those with sepsis findings. The demographic characteristics, related symptoms, and the results of primary and secondary treatment of the patients were evaluated. Results: We had 43 patients with a mean age of 48.6±16.6 years. No cause was found in 4 patients while a urological cause was identified in 39 of them by using anamnesis, physical examination, laboratory and imaging methods. Out of 43 patients, percutaneous nephrostomy catheterization was performed in 5 of 32 patients under primary treatment. URL and JJ stenting were performed in the remaining 11 patients. Additionally, due to giant retroperitoneal urinoma, a retroperitoneal drain was placed in 2 patients by interventional radiology clinic. Conclusion: URL and stone fragmentation seem to be feasible treatment option in the primary treatment of patients with RFR without sepsis findings.
Amaç: Nötrofil lenfosit oranı (NLR) son zamanlarda oldukça popüler olan tanısal bir belirteçtir. Bu makalede NLR'nin prostat kanseri tanısındaki yeri, cut off değeri yanında platelet lenfosit oranı (PLR), Gleason skoru ve biyopside saptanan tümör yüzdesi ile ilişkisi değerlendirildi. Ayrıca transrektal ultrason (TRUS) eşliğinde biyopsi yapılan hastaların bulguları paylaşıldı. Gereç ve Yöntemler: Kliniğimizde 2014 ağustos-2017 şubat tarihlerinde, prostat spesifik antijen (PSA) değerleri 2.5ng/ml ve üzeri olup TRUS eşliğinde prostat biyopsisi yapılan 679 hastanın sonuçları retrospektif olarak incelendi. Hastalar PSA değerlerine göre 2.5-3.9 ng/ml arası (Grup 1), 4-9.9 ng/ml arası (Grup 2), 10-19.9 ng/ml arası (Grup 3), 20 ng/ml ve üzeri (Grup 4) olarak dört gruba ayrıldı. NLR'nin bu gruplarda patoloji sonuçlarına göre tanısal değeri incelendi. Bulgular: NLR, grup 2,3 ve 4'te diagnostik bir belirteç olarak bulundu. Cut off değeri 2.5 olarak hesaplandı. PLR ile benzer tanısal güce sahipti. Gleason skoru ve her bir core tümör yüzdesi ile zayıf bir korelasyonu vardı. Kemik metastazını öngörmede bir öneme sahip değildi. PSA dansitesi ve rektal tuşe bulguları arasındaki fark, patolojisi prostat kanseri (PCa) veya benign prostat hiperplazisi (BPH) olan gruplar da istatistiksel olarak anlamlıydı. Sonuç: NLR PCa tanısında çok güçlü olmasa da diagnostik bir değere sahiptir. PSA' yı destekleyici bir belirteç olarak kullanılabilir.
Öz Purpose: In this study, we aimed to report the long-term results of congenital penile curvature (CPC) patients treated by a single surgical team using the Nesbit procedure. Materials and Methods: Forty patients who underwent Nesbit procedure due to CPC in our clinic were retrospectively reviewed. Penile curvature sites of patients were classified as ventral, dorsal, lateral and biplanar. Penile length, curvature and location of the patients were recorded with perioperative measurements and this value was based on patient follow-up. The patients had penile length, residual curvature condition after intracavernal papaverine injection at 12 months postoperatively. At the same time, the International Index of Erectile Function-5 (IIEF-5) was questioned and its subjective complaints and satisfaction were evaluated. Results: The mean age of the patients was 26.8 years (18-42). The mean preoperative curvature was 55.6 (40-90) degrees. The mean follow-up was 39.9 (12-97) months. The number of patients with postoperative complete axial regularity was 22 (55%). 17 (42.5%) patients had an average clinically insignificant residual curvature of 13.2 degrees (10-30). One (2.5%) patients had residual (40 degree) curvature. None of the patients had perioperative and early postoperative complications. Conclusion: Curvature grade and location, penis size and erectile capacities in CPC patients are among the factors affecting surgical technique selection. At least the experience of the surgeon as much as these variables influences the choice of the surgeon. Nesbit is a successful method in the appropriate patient group with CPC with longterm outcomes.
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