Articles in Press-Grand Journal of Urology

Articles in Press

Original Article (4) Case Report (1) Clinical Image (1)

Original Article

Andrology (Male Sexual Disfunction, Infertility), Online First: 27 April 2026

Impact of Circumcision Performed Under Local or General Anesthesia During the Phallic Stage on Adult Male Genital Self-Image

Kenan Yalçın, Vildan Kölükçü

Objective: The optimal timing of circumcision during childhood and the preferred method of anesthesia remain subjects of ongoing debate. This study aimed to investigate the long-term potential effects of local versus general anesthesia administered during circumcision performed in the phallic stage on adult male genital self-image scores. Materials and Methods: A total of 84 male individuals who had undergone circumcision during the phallic stage were included in the study. Participants were divided into two groups based on the anesthesia type administered during the procedure: Group 1 received general anesthesia, while Group 2 received local anesthesia. Sociodemographic characteristics, including age, marital status, and educational background, were recorded. Additionally, body mass index (BMI), age at circumcision, indications for the procedure, and post-circumcision complications were analyzed. Each participant was assessed using the Beck Depression Inventory (BDI), the International Index of Erectile Function (IIEF-15), and the Male Genital Self-Image Scale (MGSIS-7). Results: The mean age of participants did not differ significantly between groups (p> 0.05). Similarly, there were no significant intergroup differences in terms of circumcision age, BMI, indication for the procedure, or complication rates (p> 0.05). Moreover, IIEF-15 and BDI scores also showed no statistical differences between the two groups (p> 0.05). However, the mean MGSIS-7 score was significantly lower in the local anesthesia group compared to the general anesthesia group (p

Urologic Oncology, Online First: 17 April 2026

Prognostic Value of Computed Tomography Urography Contrast Enhancement in Predicting Grade and Muscle Invasion in Bladder Cancer

Gökhan Şahin, Arif Kol, Mustafa Tıpırdamaz, Mustafa Gök

Objective: This study aimed to investigate the relationship between contrast enhancement on computed tomography (CT) urography and tumor grade, recurrence, and muscle invasion in patients who underwent CT urography for hematuria and were found to have bladder tumors. Materials and Methods: A total of 70 patients diagnosed with bladder cancer between February 2022 and February 2023 were prospectively included in the study. Preoperative CT urography was performed in all patients. Hounsfield unit (HU) measurements were obtained from the tumor in both non-contrast and nephrographic phases. The difference between these values was defined as the contrast enhancement level. The association between contrast enhancement and tumor grade, recurrence, and muscle invasion was statistically analyzed. Results: High-grade bladder tumors were identified in 46 patients, while 24 had low-grade tumors. The contrast enhancement values were significantly higher in high-grade tumors compared to low-grade tumors (28.9 ± 11.8 HU vs. 17 ± 10.3 HU, p

Andrology (Male Sexual Disfunction, Infertility), Online First: 10 February 2026

Grand J Urol 2025; DOI: 10.5505/GJU.2026.47550

How Do Urologists Approach Hematospermia? A Cross-Sectional Study Among Specialists and Residents

Rıdvan Kayar, Kemal Kayar, İlker Artuk, Samet Demir, Recep Çıkrıkcı, Emre Tokuç, Metin İshak Öztürk

Objective: To investigate the diagnostic, therapeutic, and clinical attitudes of urology residents and specialists in Türkiye toward hematospermia. Materials and Methods: A cross-sectional electronic survey was conducted between July 17 and August 17, 2025, among urology specialist and residents actively practicing in Türkiye. The questionnaire assessed participants" demographic characteristics, frequency of hematospermia (HS) cases, diagnostic and treatment preferences, and perceptions regarding the condition"s psychosocial impact. Descriptive statistics were used, and group comparisons were performed using Pearson"s chi-square or Fisher"s exact test. Results: A total of 101 urologists (56 specialists and 45 residents) participated. While 57.4% had managed over 10 HS cases, 68.3% reported most patients were between 30–50 years old. Physical examination was routinely performed by over half of both groups. Residents were more likely than specialists to order urine cultures (86.7% vs. 57.1%, p=0.003). Recurrent HS and urinary symptoms were common triggers for further diagnostic evaluation. Quinolones were the most preferred antibiotics, significantly more so among specialists (81.8% vs. 40.0%, p

General Urology, Online First: 10 February 2026

Grand J Urol 2025; DOI: 10.5505/GJU.2026.35682

Reliability and Quality Analysis of Kidney Cyst Videos on YouTube

Burak Köseoğlu, Mücahit Çaviş

Objective: This study aimed to systematically evaluate the content, quality, and reliability of kidney cyst-related videos on YouTube, using expert assessments and validated scoring tools. Materials and Methods: A YouTube search was performed on August 1, 2024, using the keywords "kidney cysts" and "renal cysts." The first 200 videos sorted by relevance were screened, and 147 eligible videos were included. Two independent urologists evaluated the videos using three validated tools: the Global Quality Scale (GQS), the modified DISCERN tool, and the Journal of the American Medical Association (JAMA) benchmark criteria. Videos were categorized by content type and source of upload. Descriptive statistics were reported, and appropriate tests were used to assess associations between video characteristics and quality scores. Results: Of the 147 videos analyzed, 71.4% were uploaded by professional sources, and "symptoms and diagnostic methods" was the most common content type. The median scores were 3 for GQS, 2 for modified DISCERN, and 2 for JAMA. According to the modified DISCERN tool, 57.2% of the videos were classified as poor quality, 33.3% as moderate, and only 9.5% as good quality. Videos from professional sources had significantly higher quality scores across all three systems. Longer videos and those with higher numbers of likes and comments tended to score better. A strong correlation was observed among the three scoring systems. Conclusion: Despite many videos being produced by professional sources, the overall quality and reliability of YouTube content on kidney cysts remain limited. Given YouTube"s widespread use for health information, healthcare professionals should guide patients toward trustworthy resources. Future studies should focus on interventions to improve the accuracy and educational value of YouTube content.