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Background: Transrectal ultrasound biopsy is the preferred method for diagnosing prostate cancer, but it can cause infectious complications as a result of fluoroquinolone resistance. We aimed to explore the potential protective effect of a second rectal enema before biopsy. Methods: Between January 2015 and December 2020, 419 patients were assessed retrospectively. Patients with a history of anticoagulant use, uncontrolled diabetes, urological surgery, prostate biopsy, or recent hospitalization or overseas travel, as well as those with previous prostatitis, were excluded from the study. The patients were subsequently divided into two groups: Group 1 (n=223) had received one enema, on the morning of the biopsy, and Group 2 (n=196) had received two, with the additional enema administered half an hour before the procedure. Results: There was no significant difference between the groups in terms of age, BMI, diabetes, prostate-specific antigen (PSA) level, and prostate size (p=0.076, p=0.489, p=0.265, p=0.193, and p=0.661, respectively) or in relation to cancer detection (p=0.428). The median hospitalization date was significantly higher in Group 1 (p=0.003) as was UTI development (p=0.004). However, there was no significant difference in terms of fever and sepsis (p=0.524 and p=0.548, respectively). Additionally, subgroup analysis demonstrated that UTI was significantly lower in patients with diabetes mellitus who had received a second enema (p=0.004), though there was no significant difference in UTI between the groups in those without diabetes mellitus (p=0.215). Multivariable analysis showed that age and diabetes were significant risk factors for the development of UTI (p=0.002andp=0.003, respectively). Furthermore, the second enema was a significant protective factor for preventing UTI (p

Superselective vesical artery embolization is used in the control of bleeding due to bladder cancer. However, there are few studies with a small number of patients. The current study aimed to investigate the efficacy, complications, and short-mid-term results of super-selective transarterial embolization in the treatment of persistent hematuria associated with bladder cancer. A retrospective examination was made of 13 patients with bladder cancer-related persistent hematuria who were applied with selective vesical artery embolization in the interventional radiology unit. The patients were evaluated in terms of the success of the treatment, the patients' need for additional interventional procedures, and the complications related to the procedure. Superselective superior vesical artery embolization was applied to a total of 13 patients with a mean age of 78.85±11.76 years and a median follow-up of 181 days. The time without bleeding was determined as a median of 159 days (min: 15, max:1410 days). The short-term clinical success was calculated as 84.6%. In the long-term follow-up of the patients in this study, the clinical success was determined to be 76.9% and no major complications were observed in any patient. Superselective embolization of vesical arteries is an effective and reliable treatment method for bladder cancer-related bleeding with high clinical success rates and low complication rates.

Aim: To investigate the prevalence of monosymptomatic enuresis (ME) in children diagnosed with obstructive sleep apnea syndrome (OSAS) and the rate of resolution or improvement in enuresis following adenotonsillectomy. Materials and methods: We retrospectively reviewed the charts of 541 consecutive patients who underwent adenotonsillectomy for OSAS secondary to adenotonsillar hypertrophy between January 2005 and January 2009. All of the charts for patients between 5 and 18 years of age at the time of surgery (n = 398) were included in the study. After reviewing the charts, the families were contacted by telephone. Those patients who had shown preoperative symptoms of enuresis were questioned to determine whether there had been any change in their complaints postoperatively. Results: Of the 398 patients whose records were reviewed, 98 were excluded from this study because of incomplete records. The incidence of ME in the study group (n = 300) prior to adenotonsillectomy was 30.7% (92 patients). Among these 92 patients, 64 (69.6%) were male and 28 (30.4%) were female (P = 0.001). The parents of 46 of these 92 patients agreed to allow their children to participate in the study. In 46 patients, 26 (56.5%) had complete resolution, 8 (17.4%) had a partial improvement, and 12 (26.1%) had no change in enuresis following adenotonsillectomy. Patients with OSAS had a 2.38-fold higher risk of ME (odds ratio 2.38, 95% confi dence interval 1.60 to 3.53, P = 0.001). Conclusion: Children with OSA symptoms have a high rate of monosymptomatic enuresis. Relief of OSA symptoms also resulted in the complete resolution or partial improvement of ME in more than two-thirds of patients. In the diff erential diagnosis of a child presenting with enuresis, OSAS should be kept in mind and, conversely, the presence of enuresis should be investigated in children presenting with OSA symptoms.

Prostat adenokarsinomu ile birlikte hemorajik kist formasyonu ender görülen bir durumdur. Çoğunlukla alt üriner sistem belirtileri (AÜSB) ile üroloji polikliniğine başvuran ve tetkik edilen hastalarda rastlantısal olarak tespit edilir. Bu olguda AÜSS semptomları ile üroloji polikliniğine başvuran ve serum prostat-spesifik antijen düzeyi 102.35 ng/ml saptanan bir olguyu sunduk, Introduction: Prostate adenocarcinoma accompanied with hemorrhagic cyst formation is a rare entity. It is usually diagnosed incidentally in patients who represent to urology clinics with compliant of lower urinary tract symptoms (LUTS). Here, we presented a 70-year-old man who has LUTS and serum PSA level of 102.35 ng/ml.