ISSN : 2757-7163

Articles


Dear Colleagues
Our journal titled Grand Journal of Urology (Grand J Urol), whose foundation studies were completed by the end of 2020 was published in January 2021 by publishing its first issue and took its place among scientific journals in the field of urology. The journal aims to publish original scientific urological articles. It is an open access, peer-reviewed journal and will be published online three times a year (January, May and September) in English. ...
Urological Research and Education in Covid-19 Pandemic
The new coronaviruses outbreak caused by SARS-CoV-2 (COVID-19) originated from the Chinese region of Wuhan in the last quarter of 2019 affected approximately 75 million people all around the world and caused over 1.6 million deaths. COVID-19 is a highly contagious viral infection and its main routes for transmission are the person to person contact, touch, and aerosol. While it has detrimental effects on respiratory and cardiovascular systems it ...
Isolated Adrenal Gland Injury After Blunt Trauma
A 36-year-old male patient was admitted to the emergency department with abdominal and left side pain 1.5 hours after an in-vehicle traffic accident. The patient had no history of comorbidity or surgery. The patient did not receive any anticoagulant or antiplatelet therapy prior to the trauma. Vital signs of the patient were stable (Blood pressure 145/100 mmHg, pulse 98 beats/min, and temperature 37.2°C). Physical examination revealed no additio ...
An Unexpected Emergency Room Visit: Penile Strangulation with Rubber Band
A 74-year-old male patient was admitted to the emergency department with a 1 cm incision surrounding the penis body, bleeding, and discoloration of the penis skin. It was observed that there were white-yellow rubber bands in the incision area in the examination of the patient (Figure 1). Laboratory examinations revealed no pathology. The patient was consulted at the urology clinic. It was learned that he underwent urethral surgery after trauma an ...
A Cause of Recurrent Urinary Retention in Pregnancy; Retroverted Uterus: Case Report
Acute urinary retention is one of the most common situations in urological emergencies. It is more common in older men. Acute urinary retention in pregnant women is a rare condition but it may cause abortus, preterm labor and rarely uterine ischemia. It is very difficult to reveal the causes of acute urinary retention in pregnant women. One of them is acute urinary retention due to retroverted uterus which is observed in 11% of pregnant women. In ...
Management of Giant Retroperitoneal Liposarcoma: A Case Report
Retroperitoneal liposarcoma (RPLS) is a rare tumor. Early diagnosis and treatment are difficult due to absence of specific clinical presentations. We report a case of a 66-years-old woman who succesfully underwent complete surgical resection for a giant retroperitoneal liposarcoma. The complete surgical resection is the most important predictor of local recurrence and overall survival. We believe that complete surgical resection involving adjacen ...
Current Approaches in Prostate Cancer Radiotherapy
Prostate cancer is one of the most common tumor in males. Radical prostatectomy, radiotherapy and watchful waiting are the main treatment options in localized disease. Radiotherapy together with hormonotherapy is standard of care in patients with advanced stages. Surgery or radiotherapy has comparable local control and survival outcomes in localized disease. During recent years a significant reduction in the rate of serious side effects has been ...
Alternative Treatment Methods for Refractory Overactive Bladder
Overactive bladder is a serious condition that can significantly impair quality of life. Antimuscarinic agents are recommended as second step therapy in patients who do not respond to behavioral therapy. However, the therapeutic efficacy of antimuscarinic agents is limited. Alternative treatment methods to medical treatment have been developed due to its limited effectiveness and high side effects. Posterior tibial nerve stimulation (PTNS), trans ...
Factors Affecting TESE Success in Infertility Treatment: Single Center Experience Preliminary Results
Infertility is a health problem with increasing treatment seeking. Testicular sperm extraction (TESE) is the only possible procedure to offer genetic parenting to men with nonobstructive azoospermia (NOA). Our aim in this study is to present our clinical experiences that affect the success of sperm finding in men with NOA in the light of the literature. In our study, patients who underwent TESE with a diagnosis of NOA between 2017-2020 were retro ...
The Evaluation of Platelet Volume Indices in Patients with Varicocele
Varicocele is the abnormal venous dilatation and the tortuosity of the pampiniform plexus. Varicocele has been shown to be related with systemic varicosity in some studies. Platelet volume indices have also been reported to increase in vascular disorders. In this study, we aimed to determine if complete blood count (CBC) parameters especially platelet count and volume indices could be a practical tool in varicocele diagnosis and follow-up. The me ...
False Penile Fracture: Retrospective Analysis and Review of the Literature
Penile fracture is one of the urological emergencies that require early surgical inter-vention. False penile fracture, on the other hand, is a condition that presents with similar clini-cal features and can be treated conservatively. In this study, it was aimed to present the clini-cal and operative results of 8 patients who were operated on with a prediagnosis of penile fracture and then diagnosed with a false penile fracture in the light of the ...
In our study, we aimed to examine the effects of body mass index (BMI) and multiple drug use on urinary incontinence (UI) in diabetic geriatric patients. Our study included 246 type 2 diabetes mellitus patients aged 65 and over who applied to our outpatient clinic between October and December 2019 and remained after the exclusion criteria were applied. The relationship between the frequency of UI and age, diabetes age, HbA1c, BMI, number of drugs ...
The Effects of Previous Renal Stone Surgery on Percutaneous Nephrolithotomy Outcomes
We aimed to compare outcomes of percutaneous nephrolithotomy (PNL) surgery in patients who had and had not undergone renal stone surgery before PNL. We retrospectively analyzed the medical records all patients who underwent PNL in our department between 2010 and 2019. Examined parameters consist of patient demographics, medical and surgical history, stone size, stone density, stone site, estimated intraoperative blood loss, duration of operation, ...

Image Column


Although ultrasonography is noninvasive, easily accessible, and inexpensive, it is dependent on the person and can sometimes be inadequate when evaluating retroperitoneal organs. CT is the gold standard for detecting adrenal gland injury as in all trauma cases. CT scan findings of adrenal gland injury include hyperdensity, periadrenal fat stranding infiltration, and ipsilateral diaphragmatic crural thickening. Furthermore, the need to monitor and rule out an underlying adrenal neoplasm should be taken into account in these patients due to possible bleeding to a pre-existing adrenal mass. Surgery (adrenalectomy) and interventional radiologic procedures (embolization) may be needed although most adrenal gland injuries are treated conservatively. Treatment depends on the hemodynamic condition of the patient, the severity of the gland damage, bilateral gland involvement, and the extent of bleeding within the gland.
Urinary retention can be described as an inability to urinate, which occurs due to any cause that needs urgent intervention. It is often seen as a result of obstruction due to benign prostatic hyperplasia and urethral stenosis, especially in adult men. Urinary retention is more rare in women and can potentially occur due to anatomical, pharmacological, neurological, infective, myopathic and psychogenic etiologies. A rare cause of urinary retention is the retroverted uterus, which mechanically obstructs the bladder during pregnancy. Retroverted uterus occurs in approximately 11% of first trimester pregnancies, of which only 1% have urinary retention that requires treatment. Urinary retention in pregnant women is important to prevent complications by revealing the underlying causes.
Retroperitoneal sarcomas represent 10-15% of all soft tissue sarcomas. The most common histological type of sarcomas is liposarcoma, accounting for 20-45% of cases. Retroperitoneal liposarcoma (RPLS) usually occurs in 40-60 year-old patients, with a male/female ratio of 1:1. Because of the largeness of retroperitoneal area, liposarcomas are usually asymptomatic. When initially diagnosed, the sarcoma has reached a large size and often invades adjacent organs. If needed a negative surgical margin should be provided by resection of adjacent organs to improve survival. However, the 5-year survival rate is 20% in the well-differentiated and 83% in the undifferentiated subtypes. We report the management of a rare case of a giant 25 cm retroperitoneal liposarcoma. In conclusion, RPLS is a rare tumor with a high rate of relapse without any typical symptoms. The large size of the mass at the time of diagnosis can make surgery difficult.
Prostate cancer is one of the most common tumor in males. Radical prostatectomy, radiotherapy and watchful waiting are the main treatment options in localized disease. Radiotherapy together with hormonotherapy is accepted as the standard of care in patients with advanced stages. Surgery or radiotherapy has comparable local control and survival outcomes in localized disease. During recent years a significant reduction in the rate of serious side effects has been achieved due to the development of modern radiotherapy techniques. With the use of these techniques such as Intensity-modulated radiotherapy (IMRT), Image-guided radiotherapy (IGRT), Stereotactic body radiotherapy (SBRT), high doses can be given safely and the rates of serious short - or long-term side effects have not exceeded 1 percent.

News from GJU


Dear Colleagues
Our primary goal is to carefully evaluate the works of domestic and foreign authors, to take place in national and international reputable indexes with original and scientific articles, and to announce its name and content on scientific platforms….
Urological Research and Education in Covid-19 Pandemic
We would like to congratulate you on the first issue of your journal planned to be released in such a difficult time and wish you to have significant contributions to the field of Urology in a strictly scientific manner. Sincerely yours….

Latest Issue


Volume 1 Issue 1
Cover Page

News


Coronavirus disease-2019 (COVID-19) is a global epidemic that has affected the whole world. COVID-19 has caused the postponement of elective operations, especially urological cancer surgeries, by affecting hospitals, patients, urologists, auxiliary health personnel, and resources at different rates in many countries and still continues with the current fluctuation. Delayed can-cer diagnosis and management during the pandemic will cause an increase in the incidence of untreated cancer patients in the coming months and we will face greater problems than the effects of COVID-19. If we list the urinary system cancers, they are adrenal, kidney, upper urinary system urothelial cancer, bladder, prostate, penis, and testicular cancer.

Adrenal gland cancers, especially adrenocortical cancer, have an aggressive course and require early surgery. Surgery for T1 kidney cancers may be delayed until sufficient resources are available. Early surgery should be planned if patients with T2 kidney cancer have unfavorable pre-operative prognostic factors, otherwise, it may be delayed. Higher stage kidney cancers should be considered for early surgery. An early multidisciplinary approach is recommended for metastatic kidney cancers. Early surgery should be performed especially in patients with the high-risk class of upper urinary tract urothelial carcinoma. Muscle-invasive bladder cancer is susceptible to high progression. Radical cystectomy, including neoadjuvant chemotherapy, should not exceed 12 weeks. If radical cystectomy cannot be performed, radiotherapy in combi-nation with chemotherapy should be considered for eligible patients. Patients with non-muscle invasive bladder cancer should be appropriately counseled based on their risk stratification. Intravesical treatments can be continued in accordance with urology guidelines. Short-term delays in this patient group do not carry a high risk of poor prognosis. Prostate cancer screening, imag-ing, and biopsies may generally be suspended. Active monitoring in low-risk prostate cancer should be done as in normal practice. Treatment can be safely delayed in low and intermediate-risk patients. Although surgery may be delayed in high-risk prostate cancer, neoadjuvant hormonal therapy and radiotherapy may need to be considered with little evidence. Initiation of long-term androgen deprivation therapy (ADT) together with external beam radiotherapy (EBRT) in high-risk and very high-risk prostate cancer may be preferred as a suitable alternative. Testicular cancer should be treated in a timely manner with surgery or chemotherapy as indicated. Penile cancer can have worse sexual, functional, and oncological consequences with prolonged surgical delay. In penile cancer, negative results were observed in 3-month delays before inguinal lymphadenectomy.

COVID-19 has dramatically changed the management of urological cancers and raises concern in urological cancer management with its ongoing high case numbers. Telemedicine-online interviews and meetings that increase the patient's awareness about the disease and discuss complicated patients should be encouraged. In order to minimize the risk in all urological cancer groups, correct planning and, if possible, early surgical treatment should be carried out by considering previous guidelines and data on the management of urology cancer patients in the cur-rent COVID-19 pandemic period.