Grand Journal of Urology
E-ISSN : 2757-7163

Current Issue
Original Article
Andrology (Male Sexual Disfunction, Infertility), Online First: 06 December 2024
Grand J Urol 2025;5(1):001-005, DOI: 10.5505/GJU.2025.95914
Objective: To investigate the relationship between Frank's sign (FS), a diagonal fold of the earlobe, and the severity of erectile dysfunction (ED), focusing on FS as a potential prognostic marker for ED, particularly its vascular components. Materials and Methods: A prospective study was conducted on 114 male patients aged 18-80 years at the Andrology Clinic of Haydarpaşa Numune SUAM. Participants were stratified according to International Index of Erectile Function-5 (IIEF-5) scores. FS presence, body mass index (BMI), lipid profiles and inflammatory markers (NLR, PLR) were recorded. Statistical analyses assessed the association between FS, ED severity and cardiovascular risk factors. Results: A significant correlation was found between FS and ED severity, especially for bilateral FS (p=0.000). Patients with FS had higher BMI and LDL levels, indicating a strong association with cardiovascular risk factors. Atherogenic index and PLR were also significantly associated with ED (p=0.018, p=0.003). Conclusion: FS, especially bilateral FS, is closely associated with ED severity and its vascular pathology, suggesting its potential use as a prognostic marker in the evaluation of ED. Further research is needed to confirm these findings and to explore the integration of FS into clinical practice.
Pediatric Urology, Online First: 09 December 2024
Grand J Urol 2025;5(1):006-012, DOI: 10.5505/GJU.2025.55264
Objective: This study aimed to investigate hematological parameters and related factors predicting testicular salvage in patients diagnosed with testicular torsion in children. Materials and Methods: The data of 86 patients under the age of 18 years, who underwent emergency scrotal exploration for testicular torsion between January 2013 and December 2019, were retrospectively analyzed. The patients were divided into two groups as Group 1 (Successful Salvage - Detorsion: 63 patients), and Group 2 (Failed Salvage - Orchiectomy: 23 patients). Demographic data, clinical features, laboratory tests and radiological examinations were evaluated. Results: The mean age was 13.7 ± 3.3 years (Group 1: 13.50 ± 3.84, Group 2: 14.47 ± 1.64 years). The duration of symptoms was significantly higher in Group 2 (5.12 ± 2.54 vs. 15.08 ± 6.30 hours, p
Endourology, Online First: 24 December 2024
Grand J Urol 2025;5(1):013-017, DOI: 10.5505/GJU.2025.47450
Objective: Double J (DJ) stents are frequently used, especially in urological surgeries, to relieve obstruction and provide urine flow from the kidney to the bladder, to heal the ureter, and to prevent complications. In the literature, it was determined that up to 12% of patients with ureteral stents have forgotten ureteral stents. In this study, we aimed to present our 10-year experience of forgotten uretereal stents (FUS) treatment. Materials and Methods: The medical records of patients treated with the diagnosis of FUS (those with stents for >6 months) between January 2014 and June 2024 were retrospectively reviewed. The reasons for the DJ stent placement, the center where the stent was placed (those placed in our own clinic and forgotten or those placed in an external center and forgotten and referred to us), duration of the stent, symptoms at presentation, and treatments performed were noted. Results: The study included 79 patients. The mean age of the patients was 49.4±21.3 years, with a range of 25-90 years. Of patients, 60.8% were unaware of the presence of a stent. The mean stent duration was 24±39.4 months (range 6-300 months) and 52 (65.8%) patients had encrustation. There were 4 (5.1%) patients with solitary kidneys. The mean postoperative hospitalization time was 5.6±4.5 days. The majority of patients underwent DJ stent placement after ureteroscopic lithotripsy (34.2%) and due to obstructed ureteral stones (31.5%). The most common symptoms at presentation were storage lower urinary tract symptoms (22.8%), dysuria (21.5%), recurrent urinary tract infection (16.5%) and flank pain (15.2%). Three (3.8%) patients underwent open nephrectomy due to non-functioning kidney. All remaining patients were treated endoscopically. Conclusion: FUS often causes more morbidity than treatment of the primary disease. Although it can be successfully treated with endourological surgeries, the main goal should be to prevent the development of this complication.
Objective: To compare the efficacy and safety of polyacrylamide hydrogel (PAHG) injections with trans-obturatuar tape (TOT) surgery for managing stress urinary incontinence (SUI) in women and to assess treatment outcomes. Materials and Methods: This retrospective cohort study involved 61 women diagnosed with SUI from 2022 to 2024. The study divided the patients into two groups: one comprising 32 patients who underwent TOT surgery and another comprising 29 patients who received PAHG injections. The key variables analyzed included demographic data, operation time, hospital stay, and patient satisfaction measured using the visual analog scale (VAS). Complications were recorded using the Clavien-Dindo classification. Statistical analyses were performed to identify the factors influencing the outcomes, including independent sample t-tests and regression models. Results: The TOT group showed a higher treatment success rate, with 93.75% of patients having a resolution of SUI symptoms than the PAHG group (82.76%). PAHG demonstrated advantages in shorter operation times (mean difference, 8.31 minutes, p
Case Report
Andrology (Male Sexual Disfunction, Infertility), Online First: 13 September 2024
Grand J Urol 2025;5(1):024-029, DOI: 10.5505/GJU.2025.98704
Penile strangulation by foreign bodies is a true urological emergency causing varied outcomes based on the degree and duration of the strangulation. Irrespective of the presenting age and cause, disruption of blood flow to the penile tissues is the consequence leading to outcomes ranging from simple penile oedema to total penile gangrene. We hereby report five cases of adult penile strangulation, all of them presenting in the emergency department with variable intervals of strangulation after foreign body application. Three patients were managed by cutting the metallic rings by a motorized metal cutting device borrowed from the hospital electrical maintenance department as a desperate measure while one was managed with the thread unwinding method. The last case being plastic bottle neck strangulation was managed with disruption by heavy scissors.
Urological Oncology, Online First: 16 September 2024
Grand J Urol 2025;5(1):030-032, DOI: 10.5505/GJU.2025.24008
Upper urinary tract urothelial tumors are rarely seen. Only 5% of all transitional cell carcinomas (TCCs) originate from the upper urinary tract. Although skin metastases in urinary tumors are quite rare, the incidence of skin metastases in upper urinary tract TCCs is not exactly known due to the lack of published research on this subject. In this article, we aimed to present a lesion consistent with TCC metastasis in the left inguinal region of a patient who was operated on for a renal pelvic mass. A 61-year-old male patient underwent left laparoscopic nephrectomy because of a mass reported as renal cell carcinoma (RCC) in the upper pole of the left kidney. After the pathology result reported the presence of left renal TCC, the patient underwent left ureterectomy plus cuff resection in an another medical center. After this second operation, the skin lesion developing at the trocar entry site on the left inguinal region of the patient was reported as an abscess on imaging. The histopathology of the excised abscess was reported as TCC metastasis. There is no consensus on the treatment regimen for skin metastases of urothelial carcinomas, and these metastases have a relatively poor prognosis. One -year survival rate is generally 35%. The patient in our case received gemcitabine and cisplatin treatment and has been under oncology follow-up for twelve months.
Urological Oncology, Online First: 20 December 2024
Grand J Urol 2025;5(1):033-036, DOI: 10.5505/GJU.2025.54376
Primary signet ring cell carcinoma of the urinary bladder is a very rare tumor. At the time of diagnosis, patients are usually in an advanced stage and have a poor prognosis. It is a very rare tumor, case report presentations are important in the management of these patients. We report to a 41-year-old patient who presented with painless gross hematuria and abdominal pain for three months and was diagnosed with a bladder tumor. The patient was considered to have advanced stage disease due to the presence of liver metastasis at the time of diagnosis and was followed up with chemotherapy. After medical treatment, the patient died after a survival of more than 30 months.