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AmaçBu çalışmada amaç Mersin Üniversitesi Tıp Fakültesi Hastanesi Üroloji Anabilim Dalı’nda 2010-2020 yılları arasında tanı alan ve/veya tedavi edilen ürogenital kanser hastalarının yaş, cinsiyet, histopatolojik tipleri ve yıllara göre dağılımının değerlendirilmesidir. YöntemMersin Üniversitesi Tıp Fakültesi Hastanesi Üroloji Anabilim Dalı’na Ocak 2010-Haziran 2020 tarihleri arasında başvuran ve cerrahi müdahale sonucunda alınan doku örneklerinin patoloji raporu malignite lehine yorumlanan hastaların kayıtları incelenmiştir. Söz konusu bu retrospektif veriler hastanemiz Patoloji Anabilim Dalı tarafından hazırlanmış olan ve hastanemiz bilgi veritabanında muhafaza edilen raporlardan elde edilmiştir. Çoklu raporlara sahip hastaların mükerrer kayıtları elenmiştir. Nüks veya progresyon gösteren hastaların ya da birden çok opere edilen hastaların verilerinden en kapsamlı olanları seçilmiştir. Bulgular2010-2020 yılların arasında anabilim dalımızca opere edilen 4852 hastadan operasyon sonucundan alınan örnekler Patoloji Anabilim Dalında çalışılmış olup sadece malignite lehine yorumlanan 2000 hastaya ait veri çalışmaya dahil edilmiştir. Elde edilen verilerin analizi sonucu; hastanemizde tüm ürogenital kanserler arasında prostat, mesane, böbrek ve testis kanseri hastalarının sayısı Türkiye ortalamasının üzerinde bulunurken; adrenal bez, üreter ve penis kanserli hastaların sayısı Türkiye ortalamasının altında bulunmuş olup, tüm bu farklar istatistiksel olarak anlamlı bulunmamıştır. SonuçBu çalışma ile Çukurova bölgesinde hizmet vermekte olan hastanemizde tanı alan hastaların analizlerinin, hem literatüre hem de bölgemizde yapılan sağlık planlamalarına katkı sağlayabileceği kanaatindeyiz., AimThis study aims to evaluate the distribution of urogenital cancer patients diagnosed and/or treated between 2010-2020 in Mersin University Faculty of Medicine Hospital, Department of Urology, according to age, gender, histopathological types, and years.MethodThe records of patients who applied to the Urology Department of Mersin University Medical Faculty Hospital between January 2010 and June 2020 and whose tissue samples were taken as a result of surgical intervention, whose pathology report was interpreted in favor of malignancy, were examined. These retrospective data were obtained from the reports prepared by the Pathology Department of our hospital and kept in the information database of our hospital. Duplicate records of patients with multiple reports were eliminated. The most comprehensive data were selected from patients with relapse or progression or from patients who had multiple operations.ResultsThe samples taken from the results of the operation from 4852 patients who were operated on between 2010 and 2020 by our department were studied in the Department of Pathology, and only the data of 2000 patients who were interpreted in favor of malignancy were included in the study. As a result of the analysis of the obtained data; While the number of prostate, bladder, kidney, and testicular cancer patients among all urogenital cancers in our hospital are above the Turkey average; The number of patients with adrenal gland, ureter, and penile cancer was found below the Turkey average, and all these differences were not statistically significant.ConclusionWe believe that the analyzes of the patients diagnosed in our hospital, which is serving in the Çukurova region, can contribute to both the literature and the health plans made in our region.

OBJECTIVE: The aim of the study was to compare the efficacy and cost-effectiveness of single-session aspiration and ethanol sclerotherapy with laparoscopic de-roofing in the management of symptomatic simple renal cysts. MATERIAL AND METHODS: Between March 2010 and December 2012, patients with simple renal cysts presenting with pressure and pain symptoms were divided into two groups. In Group 1 following local anesthetic administration, single session percutaneous aspiration with 95% ethanol sclerotherapy (n=38) and in Group 2 transperitoneal laparoscopic de-roofing under general anesthesia (n=42) were performed. The data were evaluated retrospectively and demographic characteristics, duration of operation and hospitalization, complication rates, cost effectiveness, radiological and symptomatic success rates at six month- follow-up were compared between the two groups. RESULTS: The mean age and gender of the patients, cyst diamater, side and localization of the cyst and indications for intervention were similar in two groups. The median course of treatment and hospitalization were signifcantly decreased in Group 1 (respectively 33 min versus 59 min and 6 hours versus 24 hours, p

WOS: 000361339400015, PubMed ID: 26123266, We aimed to investigate the demographic, clinical, diagnostic, treatment and outcome features of patients with urinary tuberculosis (UTB). Patients with UTB admitted to seven separate centers across Turkey between 1995 and 2013 were retrospectively evaluated. The diagnosis of UTB was made by the presence of any clinical finding plus positivity of one of the following: (1) acid-fast bacilli (AFB) in urine, (2) isolation of Mycobacterium tuberculosis, (3) polymerase chain reaction (PCR) for M. tuberculosis, (4) histopathological evidence for TB. Seventy-nine patients (49.36% male, mean age 50.1 +/- 17.4 years) were included. Mean time between onset of symptoms and clinical diagnosis was 9.7 +/- 8.9 months. The most common signs and symptoms were hematuria (79.7%), sterile pyuria (67.1%), dysuria (51.9%), weakness (51.9%), fever (43%) and costovertebral tenderness (38%). Cystoscopy was performed in 59 (74.6%), bladder biopsy in 18 (22.8%), kidney biopsy in 1 (1.26%) and nephrectomy in 12 (15.2%) patients. Histopathological verification of UTB was achieved in 12 (63.1%) patients who undergone biopsy and in 100% of those undergone nephrectomy. Mycobacterium tuberculosis was isolated in the urine of 50 (63.3%) cases. Four-drug standard anti-TB treatment was the preferred regimen for 87.3% of the patients. Mean treatment duration was 10.5 +/- 2.7 months. Deterioration of renal function occurred in 15 (18.9%) patients two of whom progressed to end-stage renal disease and received hemodialysis. Only one patient died after 74-day medical treatment period. Cases with UTB may present with non-specific clinical features. All diagnostic studies including radiology, cyctoscopy and histopathology are of great importance to exclude UTB and prevent renal failure.

soygur, tarkan/0000-0001-7014-1798; Onal, Bulent/0000-0003-0540-2693; Onal, Bulent/0000-0003-0540-2693; Burgu, Berk/0000-0003-1546-1179; Ozden, Ender/0000-0003-3196-4024 WOS: 000293688300097 PubMed: 21784482 Purpose: We evaluated factors affecting complication rates of ureteroscopy for pediatric ureteral calculi. Materials and Methods: We retrospectively evaluated 642 children who underwent ureteroscopy at 16 Turkish centers between 2000 and 2010. Semirigid ureteroscopy was used with various calibers to treat 670 ureteral units in 660 sessions. Complications were evaluated according to the Satava and Clavien classification systems. Univariate and multivariate analyses were done to determine predictive factors affecting complication rates. Results: A total of 367 females and 265 males were studied. Mean +/- SD patient age was 90.2 +/- 51.4 months (range 4 to 204). Mean +/- SD stone size, operative time and postoperative hospital stay were 8.9 +/- 4.7 mm, 45.8 +/- 23.8 minutes and 1.8 +/- 2.8 days, respectively. At a mean +/- SD followup of 13.3 +/- 17.6 months 92.8% of patients were stone-free and efficacy quotient was 90.3%. Complications, which occurred in 8.4% of patients (54 of 642), were intraoperative in 25 (Satava grade I to II in 22), early postoperative in 25 (Clavien grade I to II in 23) and late postoperative in 4 (all grade III). While operative time, age, institutional experience, orifice dilation, stenting and stone burden were statistically significant on univariate analysis, multivariate analysis revealed that operative time was the only statistically significant parameter affecting the complication rate. Conclusions: Semirigid ureteroscopy is effective, with a 90% stone-free rate and efficacy quotient. Most complications are low grade and self-limiting. Our results confirm that prolonged operative time is an independent predictor of complications, and should be considered when choosing and performing the treatment modality.