Grand Journal of Urology
E-ISSN : 2757-7163

Current Issue
Dear colleagues, I am honored to share with you the second issue of 2023 (volume 3, issue 2) of the Grand Journal of Urology (Grand J Urol) with the contributions of many respected researchers and authors. Grand Journal of Urology (GJU) aims to carry written and visual scientific urology studies to academic platforms and to make significant contributions to the science of urology. Our journal has been abstracted/indexed in Tubitak Ulakbim TR Index, DOAJ, EBSCOhost, J-Gate, Index Copernicus International, EuroPub, SciLit, ResearchGate, ScienceGate and Google Scholar international databases. As of these achievements, the Grand Journal of Urology (GJU) has taken its place among the journals indexed by national and international databases. In this issue of our journal, there are many valuable articles under the subheadings of Andrology, Urological Oncology, Endourology, Urolithiasis, Pediatric Urology and General Urology. I hope that these carefully prepared articles will make important contributions to valuable readers, researchers and the urology literature. On this occasion, I would like to express my heartfelt gratitude to our authors who have contributed to our journal with their articles, to our reviewers who have meticulously evaluate the articles. Respectfully yours May 2023 Assoc. Prof. Ekrem GUNER, MD Editor-in-Chief
Original Article
Endourology, Online First: 19 April 2023
Grand J Urol 2023;3(2):038-041, DOI: 10.5505/GJU.2023.60362
Objective: Bipolar transurethral resection of the prostate (TURP) is a minimally invasive procedure that causes fewer problems, and a faster resection, but requires more expensive equipment. It is the treatment of choice for benign prostatic hyperplasia. In this study, its outcomes will be compared to those of conventional monopolar TURP. Materials and Methods: Twenty-seven patients aged between 52 and 65 years underwent either monopolar TURP (Group 1, n: 15) or bipolar TURP (Group 2, n: 12). Preoperative and perioperative data were recorded and analyzed, including the maximal flow rate (Qmax), prostate volume, intraoperatively resected tissue volume, resection velocity, and operation time. Results: Preoperative mean prostate volumes in Groups 1, and 2 were 82.6 ± 21 ml and 78.8 ± 12 ml, respectively (p=0.117). Preoperative mean serum sodium levels were 140.4 ± 2.3 mmol/l in Group 1 and 139.8 ± 2.2 mmol/l in Group 2. Preoperative mean serum hemoglobin values were 15 ± 0.8 g/dl in Group 1, and 14.5 ± 2.2 g/dl in Group 2. Postoperative mean serum sodium levels were 130.6 and 136.7 mmol/l, in Groups 1, and 2, respectively. Eight patients from the monopolar TURP group exhibited a notable drop in serum sodium levels. In the monopolar TURP group, there were 5 occurrences of TUR syndrome and 2 patients needed blood transfusions due to a mean decrease of 5 g/dl in hemoglobin levels. Complications were identified in 7 cases. Conclusion: Compared to monopolar TURP, bipolar TURP is associated with a shorter hospital stay, and lower transfusion and complication rates.
Urolithiasis, Online First: 25 April 2023
Grand J Urol 2023;3(2):042-048, DOI: 10.5505/GJU.2023.70883
Objective: We aimed to determine the individualized management of middle-sized kidney stones in the lower pole calyces that can be removed using shock wave lithotripsy (SWL) (Group A), flexible ureteroscopic retrograde intrarenal surgery (RIRS) (Group B) and micro-percutaneous lithotomy (micro-PNL) (Group C). Materials and Methods: Patients who had 1-2 cm kidney stones in the lower pole calyces whose calyceal necks (length: 5mm), pelvicalyceal angle (>30o) and relatively shorter stone-skin distance as determined based on tomographic urography results were included in the study. Patients with renal cystine, whewellite stones or stones with a hardness above 1000 Hounsfield units were excluded. The groups were not formed randomly. Contarily, treatment methods were explained to the patients and let them decide the treatment method for themselves. Each group consisted of 34 patients. Results: After excluding nine patients who were lost to follow-up, the study was completed with 93 patients at the final analysis. Stone-free rate was lower in Group A (47%) than Groups B (80.5%) and C (77%) (p
Andrology (Male Sexual Disfunction, Infertility), Online First: 05 May 2023
Grand J Urol 2023;3(2):049-053, DOI: 10.5505/GJU.2023.18480
Objective: Studies have shown that insulin resistance (IR) plays a role in the pathogenesis of erectile dysfunction (ED). Triglyceride-glucose (TyG) index has been found as a reliable marker of IR. In this study, our aim was to investigate the role of TyG index in patients with ED. Materials and Methods: One hundred six patients with ED (study group) and 54 subjects with normal sexual function (control group) constituted our study population. Erectile function was assessed by using International Index of Erectile Function-5 (IIEF-5) questionnaire. TyG index was calculated for each participant. Results: ED patient were older, had higher total cholesterol (TC), low- density lipoprotein cholesterol (LDL-C), glucose and triglyceride concentrations and TyG indexes (p
General Urology, Online First: 12 May 2023
Grand J Urol 2023;3(2):054-059, DOI: 10.5505/GJU.2023.50470
Objective: This study compared the pre-COVID-19, COVID-19, and post-COVID-19 periods of the patients in terms of urinalysis parameters and assessed the relationships between the changes in these parameters and renal functions. Materials and Methods: Four-hundred-eighty-two moderate and severe COVID-19 patients who had the data of urinalysis performed in the pre-COVID-19 period at most three months before the onset of COVID-19 diagnosis, during COVID-19 disease, and 15 days after they completely recovered from the COVID-19 disease were included in the study. Parameters of bilirubin, erythrocyte, leukocyte, protein, glucose, acidity (pH), and density were analyzed in urine samples, and the results were recorded. Results: CRP, e-GFR, fibrinogen and D-dimer values were found to be significantly different between the three groups (for all parameters p
Case Report
Pediatric Urology, Online First: 21 May 2022
Grand J Urol 2023;3(2):060-063, DOI: 10.5505/GJU.2022.64936
Diphallus is a very rare congenital anomaly usually accompanied by various congenital anomalies and can be classified according to the anatomical structure in which the anomaly develops. Generally, in cases with diphallus the surgical approach is preferred, in that the hypoplastic structure has been excised for esthetic and functional purposes and penile reconstruction is performed. In addition, urethroplasties have been also performed in the presence of any accompanying urethral abnormality. In the current case, we report a two-year-old boy who was diagnosed as having glandular diphallus.
Urological Oncology, Online First: 07 February 2023
Grand J Urol 2023;3(2):064-067, DOI: 10.5505/GJU.2023.58065
Angiomyolipomas are the most common benign mesenchymal tumors of the kidney. Although they are often seen sporadically, they can also be observed as a part of the tuberous sclerosis complex (TSC). They occur at an earlier age in cases associated with tuberous sclerosis (TS), bilateral mass and epithelioid formation. There are various treatment approaches such as active surveillance, nephron-sparing surgery, nephrectomy, angioembolization, and use of mammalian target of rapamycin (mTor) inhibitors. Our case was a patient with bilateral multiple renal angiomyolipomas associated with TS. We applied mTOR inhibitor and angioembolization therapy to this patient. In our article, we tried to evaluate our success rate in our treatment and the treatment regimens to be applied in these patients.
Clinical Image
General Urology, Online First: 13 March 2023
Grand J Urol 2023;3(2):068-069, DOI: 10.5505/GJU.2023.54154
Patients with penile lesions often delay seeking medical consultation, leading to advanced presentation of penile malignancies and extensive lesions. The main challenge in diagnosing these lesions is distinguishing between benign and malignant conditions, which cannot be defined on clinical evaluation only. The main concern is diagnosing squamous cell carcinoma and its variants. Benign lesions, such as fibroepithelial polyps, are rare and a diagnosis of exclusion. Fibroepithelial polyps arise from the mesoderm. They can occur anywhere on the skin, more frequently in the groin, axilla, and eyelids. In the urological setting, they are more commonly found in the ureter. There are few reported cases of penile presentation, with the polyps typically appearing on the glans and associated with poor hygiene or urinary catheter use. The possibility of recurrence or malignant transformation has been reported inconsistently in the literature [,]. We present a case with a florid manifestation of fibroepithelial polyps.