Grand Journal of Urology
E-ISSN : 2757-7163

Current Issue
Editorial
Editorial, Online First: 20 May 2024

Dear colleagues, I am honored to share with you the second issue of 2024 (volume 4, 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) aimsto carry written and visualscientific 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, Endourology, General Urology, Laparoscopic and Robotic Surgery, Pediatric Urology and Urological Oncology. 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 2024 Assoc. Prof. Ekrem GUNER, MD Editor-in-Chief
Original Article
Objective: Radical cystoprostatectomy is the most important treatment option in local control and standard surgical treatment in muscle-invasive bladder cancer, and also has serious complications that occur during the postoperative period. We have aimed to evaluate postoperative bowel complications with peritoneal closure-assisted ileal conduit extraperitonealization technique. Materials and Methods: The data of 98 patients who underwent radical cystectomy and ileal conduit urinary diversion with the diagnosis of non-metastatic bladder cancer between 2015 and 2023 were retrospectively screened. The groups of patients who underwent extraperitonealization of the ileal conduit with radical cystectomy and traditional radical cystectomy were evaluated comparatively in terms of perioperative outcomes and postoperative complications. Results: Forty-five patients who underwent cystectomy with ileal conduit extraperitonealization technique and 53 patients who underwent ileal loop diversion with traditional cystectomy were evaluated comparatively. There was no statistically significant difference between the two groups in terms of demographic characteristics and duration of surgery. In the group that underwent cystectomy with extraperitonealization of the ileal conduit technique, the return of the normal gas pattern and the dwell time of the nasocracymic tube were statistically significantly shorter than the group that did not (p=0.017, p=0.023). The average length of hospital stay was 7.2 days in the extra-peritonealization group and 14.1 days in the group that did not undergo extraperitonealization, and this period was significantly shorter in the extraperitonealized group (p=0.013). There were no complications requiring reoperation in the extraperitonealized group. Conclusion: In radical cystectomy and ileal loop cutaneous urinary diversion, extraperitonizing the ileal segment reduces postoperative intestinal complications.
General Urology, Online First: 15 April 2024
Grand J Urol 2024;4(2):040-046, DOI: 10.5505/GJU.2024.84856
Objectives: The aim of this study is to compare two patient groups diagnosed with Fournier's Gangrene (FG) and treated with negative pressure wound therapy (NPWT) and conventional wound dressing (CWD) methods. Materials and Methods: 64 patients with FG, who were followed up and treated at the Urology clinic of University Hospital between January 2011 and July 2020, were included in the study. Patients were divided into two groups: While group 1 received CWD treatment, group 2 received NPWT. Demographic characteristics, etiology, length of stay, number of debridements, additional surgeries, Fournier Gangrene Severity Index (FGSI) scores, analgesic needs, area of necrosis and amount of involvement of the patients were retrospectively analyzed. Results: 37 patients in group 1 and 27 patients in group 2 were included in the study. All patients were male. The mean hospital stay was 17.9 ± 1.8 days in group 1, while it was 12.7 ± 1.1 days in group 2 (p:0.91). The mean debridement numbers in Group 1 and Group 2 were 7.1 ± 0.8 and 3.7 ± 0.3, respectively (p:0.004). The mean number of daily analgesic use in Group 1 and Group 2 was 2.4 ± 0.12 and 1.44 ± 0.08, respectively (p
Pediatric Urology, Online First: 19 April 2024
Grand J Urol 2024;4(2):047-052, DOI: 10.5505/GJU.2024.08370
Objective: To identify crucial factors influencing surgical success, specifically focusing on the role of differential renal function (DRF), in children with ureteropelvic junction obstruction (UPJO) and glomerular filtration rates (GFR) at or below 15 ml/min. Materials and Methods: Pyeloplasty results of 45 pediatric patients whose GFRs at or below 15 ml/min were analyzed retrospectively. Patients' demographic characteristics, anteroposterior diameters (APDs) of their renal pelvises, renal parenchymal thickness (PT), preoperative and postoperative DRFs and GFRs were recorded. The effects of the renal pelvis APD/PT ratio, the ratio between renal pelvis APD, and ultrasonographically measured preoperative length of the long axis of the kidney (LAK), and preoperative DRF values on the procedural success rates were evaluated. Results: Twenty-nine patients met the inclusion criteria. The mean age of the patients was 48.79 (5-180) months. The mean preoperative GFR (13.44±1.52 ml/min) and DRF (28.69%±9.32) values increased up to 23.35±10.52 ml/min and 35.71%±15.04 at postoperative 6th- and 24.35±10.8 ml/min and up to 35.27%±14.57 at postoperative 12th-months, respectively (p
Andrology (Male Sexual Disfunction, Infertility), Online First: 10 May 2024
Grand J Urol 2024;4(2):053-058, DOI: 10.5505/GJU.2024.43434
Objective: Our aim was to determine the effects of periprostatic nerve block and intrarectal local anesthesia techniques applied during the prostate biopsy and accompanied by transrectal ultrasonography on the erectile function. Materials and Methods: A total of 86 patients who underwent prostate biopsy between January 2020 and September 2021 were included in the study as two study groups. Forty patients (Group-1) received 10 mL intrarectal lidocaine gel 2%, and 46 patients (Group-2) underwent periprostatic nerve block with 10 ml lidocaine HCL 1%. We recorded demographic data (age, height, weight), PSA values before the biopsy procedure, prostate volumes, visual analogue scores (VAS), and post-procedure complications. Erectile function and changes over time was investigated with IIEF-5 questionnaire at the time of biopsy and 1, 3 and 6 months after the biopsy. Significance was set at p
Case Report
Endourology, Online First: 01 March 2024
Grand J Urol 2024;4(2):059-062, DOI: 10.5505/GJU.2024.39200
Self-inflicted foreign bodies in the urinary bladder are very rarely reported. Insertion of a wide variety of objects into bladder due to autoerotic stimulation, psychiatric disturbances, and senility etc. have been reported in the medical literature. This case report discusses an exceptional incident where a young male patient self-inserted a ball-point pen into his urinary bladder via the urethra. Notably, the pen negotiated the curvatures of the urethra without causing significant lower urinary tract injury. The report underscores the challenges and successful endoscopic removal of the pen, marking the first documented instance of such an extraction in a male patient.
Laparoscopic and Robotic Surgery, Online First: 11 March 2024
Grand J Urol 2024;4(2):063-066, DOI: 10.5505/GJU.2024.63835
Cat scratch disease (CSD) is a self-limiting infectious disease that develops after a cat bite or scratch, caused by the Gram-negative bacillus Bartonella henselae. The disease is generally characterized by fever and regional granulomatous lymphadenopathy, but in 5-10% of cases it can occur as a systemic disease and lead to various diseases. A 31 year old healthy woman applied to the internal medicine clinic with right side pain. He was referred to the urology clinic after the urinary system USG revealed a 4x3cm cystic mass in the right kidney. There was no finding in the patient"s history other than a cat bite 3 months ago. Radiological evaluations showed RCC suspicion in the right kidney with the classification of Bosniak type 3 cyst. Upon being reported as a medical condition, the patient underwent laparoscopic partial nephrectomy. Multiple abscesses in the liver and spleen, and microabscesses in both kidneys, accompanied by systemic inflammatory symptoms, have previously been reported in systemic CSD. However, as far as we know, this is the first case of Bartonella henselae in the literature showing isolated single kidney involvement of this size without showing systemic inflammatory symptoms.
Pediatric Urology, Online First: 09 May 2024
Grand J Urol 2024;4(2):067-069, DOI: 10.5505/GJU.2024.74046
Testicular torsion is one of the most important patologies among the genitourinary emergencies. Orchiectomy may be necessary in delayed cases. Our 2-year-old patient was hospitalized in an external center for 3 days due to abdominal and groin pain, nausea and vomiting. After discharge, he was brought to our clinic because of swelling and redness of the left scrotum which was noticed by his family. Abdominal examination was unremarkable except tenderness in the groin, swelling and hyperemia of the left scrotum, and painful and edematous left testicle on palpation. Pulsating color filling and blood flow were not observed during color Doppler US of the testicle. The patient was taken to emergency surgery with a preliminary diagnosis of the torsion of the left testicle. The patient underwent left orchiectomy because of intraoperative detection of a black necrotized testicle due to referral to our urology clinic after a delay of more than 72 hours following the onset of the incident. For a male patient applying with a stomach ache, testicular torsion should be considered as differential diagnosis and a complete physical examination, including the genital area, should be performed.