Grand Journal of Urology
E-ISSN : 2757-7163

Articles in Press
Original Article
General Urology, Online First: 06 March 2025
Grand J Urol 2024; DOI: 10.5505/GJU.2025.94824
Objectives: This study aims to develop and evaluate an AI-assisted system for detecting urological pathologies using cystoscopy images. Materials and Methods: A dataset comprising 500 pathological and 500 healthy cystoscopy images was collected from the urology clinic of training and research hospital. Images were obtained using three different endovision systems (Karl Storz [Germany], Stryker [USA], Richard Wolf [Germany]). The dataset was preprocessed, augmented, and used to train a Convolutional Neural Network (CNN) model to classify images as either normal or pathological. The model"s performance was evaluated on a test set comprising 100 pathological and 100 healthy images, using metrics such as accuracy, sensitivity, specificity, and F1-score. Statistical analyses were performed using IBM SPSS version 25.0, with a p-value of
Case Report
Reconstructive Urology, Online First: 17 March 2025
Grand J Urol 2024; DOI: 10.5505/GJU.2025.65487
Urethral stones are rare, accounting for less than 1% of all urinary system stones. These stones may present with obstructive symptoms or remain asymptomatic. Hair-bearing urethral diverticula, which can form after surgical interventions such as hypospadias repair, are an uncommon cause of urethral stone formation. However, urethral stones leading to infertility are extremely rare. A 38-year-old male patient presented to the urology outpatient clinic with complaints of infertility. Physical examination revealed a palpable mass in the penoscrotal region. Further evaluations and imaging identified this mass as a urethral stone within a hair-bearing urethral diverticulum. The patient"s history revealed a childhood hypospadias repair. Open surgery was performed for stone removal and diverticulectomy. Semen analysis at the six-month postoperative follow-up showed an improvement in semen volume from 1 mL preoperatively to 2.5 mL, reaching normal levels. Additionally, nine months after the procedure, the patient"s spouse was confirmed to be pregnant. Long-term follow-up revealed no postoperative complications. This case highlights the importance of considering urethral pathologies in infertile patients with a history of urethral surgery. Such conditions can be effectively treated with open surgery, potentially restoring fertility.