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Objective: The success of urethroplasty depends on a well-vascularized urethra, and in graft procedures, also on a healthy and well-vascularized graft bed for neovascularization. Elderly patients have an increased comorbid burden that may result in decreased penile and urethral blood flow. Therefore, we aimed to investigate whether age is an independent determinant of surgical success in patients undergoing urethroplasty. Material and Methods: The data of male patients who underwent urethroplasty (Excision-primary anastomosis and buccal mucosa graft) between 2015 and 2020 in our clinic were retrospectively analyzed. Urethroplasty success was defined as no urethral intervention required for at least one year of follow-up. Patients under the age of 60 were matched in a 1: 1 ratio with patients aged 60 and over, according to the length of the stricture and the type of operation. Patient characteristics were compared between the two age groups. Factors affecting success were evaluated with multivariate logistic regression analysis. Results: Nineteen patients (n= 8 excision-primary anastomosis, n= 11 buccal mucosa graft) aged 60 years and older were matched with those

Aim:To analyze the effect of double-J stent placement on shockwave lithotripsy (SWL) success in the treatment of relatively large (15-25 mm) upper and middle calyceal stones.Methods:A total of 167 patients who had 15-25 mm opaque upper or middle calyceal stones and scheduled for SWL were included in the study. Patients with solitary kidney, urinary system anomalies, skeletal anomalies, previous urologic surgery, severe calyceal dilatation, untreated urinary tract infection, bleeding disorder, eGFR

In this study, we discuss the place of robotic surgery in urology in the light of the current technological developments. Within the past 15 years, unprecedented advances have been experienced in robotic surgery. Urology has been played an active role in these developments. Owing to innovations of robotic surgery, some technical limitations of conventional laparoscopy have been overcome. Especially, some technical limitations of conventional laparoscopic surgery requiring reconstruction and operational challenges have significantly been solved. Despite these superior advantages, high cost of the method is the most important disadvantage. In the literature, the cost-effectiveness is the main point of discussions about robotic surgery. In the future, if the cost problem is resolved, robotic surgery will be the gold standard of treatment for the operations, such as partial nephrectomy, pyeloplasty, radical prostatectomy and radical cystectomy, which require more complex reconstruction.

Aim: In this study, we evaluated the results of 2300 patients who underwent percutaneous nephrolithotomy (PNL) between March 2002 and April 2013. Methods: In our clinic, a total of 2300 PNL operations were performed between March 2002 - April 2013. Demographic characteristics (age, gender), body mass index, stone features (side, size, location), clinical characteristics of the urinary tract (renal anomaly, previous surgery, previous extracorporeal shock wave lithotripsy), operation parameters (duration of the intervention and fluoroscopy, number of access, location of access, transfusion, complications), post-operative data (length of hospital stay, transfusion, complications, stone-free) were recorded on PNL forms. The data were analyzed retrospectively. Results: Of all the PNL operations, 1225 (53.2%) were left-sided, 1074 (46.6%) were right-sided and 1 was bilateral. The mean age of the subjects was 43.5 (7-83) years and the mean body mass index was 26.6 kg/m2 (12-51). A total of 46 (2%) cases had renal anomalies. There were 16 patients with horseshoe kidney. More than one accesses was performed in 18.6% of the patient and intercostal access was done in 9.8%. Perioperative and post-operative transfusion rates were 1.4% and 2.9%, respectively. The mean stone size was 7.5±4.1 cm2. Stone-free (SF) rate was 65.1% and success rate was 78.5%. Conclusion: With increasing experience and advances in endourology, PNL is being widely performed with low morbidity and high success in our country as in the world. (The Me­di­cal Bul­le­tin of Ha­se­ki 2013; 51: 19-24)

Copyright of Medical Bulletin of Haseki / Haseki Tip Bulteni is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In this study, we discuss the place of robotic surgery in urology in the light of the current technological developments. Within the past 15 years, unprecedented advances have been experienced in robotic surgery. Urology has been played an active role in these developments. Owing to innovations of robotic surgery, some technical limitations of conventional laparoscopy have been overcome. Especially, some technical limitations of conventional laparoscopic surgery requiring reconstruction and operational challenges have significantly been solved. Despite these superior advantages, high cost of the method is the most important disadvantage. In the literature, the cost-effectiveness is the main point of discussions about robotic surgery. In the future, if the cost problem is resolved, robotic surgery will be the gold standard of treatment for the operations, such as partial nephrectomy, pyeloplasty, radical prostatectomy and radical cystectomy, which require more complex reconstruction. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Anesthesia & Reanimation is the property of Turkish Society of Anaesthesiology & Reanimation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: In this study, we evaluated the results of 2300 patients who underwent percutaneous nephrolithotomy (PNL) between March 2002 and April 2013. Methods: In our clinic, a total of 2300 PNL operations were performed between March 2002 - April 2013. Demographic characteristics (age, gender), body mass index, stone features (side, size, location), clinical characteristics of the urinary tract (renal anomaly, previous surgery, previous extracorporeal shock wave lithotripsy), operation parameters (duration of the intervention and fuoroscopy, number of access, location of access, transfusion, complications), post-operative data (length of hospital stay, transfusion, complications, stone-free) were recorded on PNL forms. The data were analyzed retrospectively. Results: Of all the PNL operations, 1225 (53.2%) were left-sided, 1074 (46.6%) were right-sided and 1 was bilateral. The mean age of the subjects was 43.5 (7-83) years and the mean body mass index was 26.6 kg/m2 (12-51). A total of 46 (2%) cases had renal anomalies. There were 16 patients with horseshoe kidney. More than one accesses was performed in 18.6% of the patient and intercostal access was done in 9.8%. Perioperative and postoperative transfusion rates were 1.4% and 2.9%, respectively. The mean stone size was 7.5±4.1 cm2. Stone-free (SF) rate was 65.1% and success rate was 78.5%. Conclusion: With increasing experience and advances in endourology, PNL is being widely performed with low morbidity and high success in our country as in the world. (The Medical Bul le tin of Ha se ki 2013; 51: 19-24) [ABSTRACT FROM AUTHOR]

Several methods of surgical treatment of benign prostatic hyperplasia have been described. Transurethral resection of the prostate, which was first performed in 1932, still remains the gold standard for surgical treatment. However, beside the risk of bleeding and TUR syndrome, transurethral resection of the prostate has some disadvantages such as need for anesthesia, hospitalization and prolonged catheterization. Because of these disadvantages, minimally invasive surgical methods have come to order more commonly, especially within the last decade. Minimally invasive methods include transurethral microwave therapy, transurethral needle ablation, laser treatments, transurethral ethanol ablation of the prostate, and high-intensity focused ultrasound. These techniques provided significant decreases in the risk of bleeding and TUR syndrome. They are superior to transurethral resection of the prostate in terms of hospitalization and catheterization time. In addition, short-term results of some techniques are comparable to transurethral resection of the prostate. However, because of the fact that the efficacy and safety of transurethral resection of the prostate have been proven for the purposes of long-term results, there is no any minimally invasive surgical method can take the place of transurethral resection of the prostate. In this review, minimal invasive surgical methods were evaluated in the light of current literature. [ABSTRACT FROM AUTHOR]

Cyst hydatid of the kidney is parasitic condition caused by Echinococcus granulosus and identified in many countries, especially associated with sheep farming. Echinococcal larvae enter the bloodstream using the digestive system and invade any organs in the human body. The urinary system is the third most common area affected by parasitic infection after liver and lungs, but isolated renal involvement is a very rare situation, even in endemic areas. İn our case, we aimed to report a 57-year-old female patient with an 18-centimeter isolated renal cyst hydatid treated by retroperitoneal nephrectomy. The diagnosis was based on imaging findings and confirmed by histopathologically.