Articles in Press-Grand Journal of Urology

Articles in Press

Original Article (7) Case Report (2) Editorial (1)

Original Article

Urolithiasis, Online First: 15 September 2025

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

Persistent Urine Culture Positivity Increases Hospital Stay Without Raising Sepsis Risk After Ureteroscopy

Hüseyin Aytaç Ateş, Muhammet Hilmi Enes Aracı, Yusuf Şahin, Uğur Yücetaş

Objective: We aimed to investigate whether ureteroscopy can be safely performed during antibiotherapy period in patients with urinary tract stones who have persistent positive or contaminated urine cultures preoperatively. Materials and Methods: A total of 325 patients who underwent ureteroscopy at our clinic between January 2019 and May 2024 were included in the study. Patients who had symptomatic infections, malignancy or hematological diseases were excluded from the study. Based on preoperative urine culture results, patients were divided into two groups: Group 1 (negative urine culture) and Group 2 (recurrent positive or contaminated urine cultures). Demographic, clinical, radiological and surgical data were retrospectively collected and statistically analyzed. Results: Among 325 patients, Group 1 consisted of 268 patients (82.5%), while Group 2 consisted of 57 patients (17.5%). The median age of patients in Group 2 was significantly higher (p = 0.021). The proportion of female patients was higher in Group 2 (52.6%) compared to Group 1 (25.4%) (p < 0.001). Diabetes mellitus, hypertension and chronic kidney disease were significantly more prevalent in Group 2 (p < 0.05). The frequency of postoperative fever and duration of hospital stay were significantly higher in Group 2 (p < 0.001). No cases of urosepsis or more severe than Clavien-Dindo grade 2 complications were observed in any patient. Conclusion: Our study showed that ureteroscopy may be performed safely under antibiotic treatment in patients with persistently positive urine cultures without causing serious complications. Thus, delaying surgery solely for urine sterilization may not be necessary under appropriate antibiotic treatment.

Andrology (Male Sexual Disfunction, Infertility), Online First: 05 September 2025

Grand J Urol 2025; DOI: 10.5505/GJU.2025.55706

Sexual Dysfunction One Year After the 2023 Türkiye Earthquake: A Comparative Assessment of Female and Male Survivors

Savaş Özgür Ağlamış, Selver Kübra Akkaya, Ahmet Asfuroğlu

Objective: This study aims to evaluate the sexual function of male and female individuals living in temporary accommodation conditions one year after the devastating earthquakes that struck southern and eastern Türkiye on February 6, 2023. Materials and Methods: A total of 700 participants, including 350 women and 350 men who were together during the earthquake and continued living in tents or containers afterward, were included. Female participants were assessed using the Female Sexual Function Index (FSFI), and male participants with the International Index of Erectile Function-5 (IIEF-5). Pre- and post-earthquake sexual function scores were compared. Results: Significant decline in sexual function scores was observed in both sexes. Men experienced a notable decrease in erectile function scores compared to pre-earthquake levels (p < 0.0001). Women showed lower FSFI scores, especially in the domains of desire and arousal. Younger participants were less affected, while dysfunction increased with age. Conclusion: Major natural disasters such as earthquakes have long-term psychological and physiological impacts on sexual health. Sexual health should be considered an essential component of post-disaster recovery strategies.

Functional Urology, Online First: 15 August 2025

Grand J Urol 2025; DOI: 10.5505/GJU.2025.81994

Psychiatric Comorbidity and Overactive Bladder in Fibromyalgia: A Cross-sectional Analysis

Duygu Kurtuluş, Selma Dağcı, Ferhat Yakup Suçeken, Zehra Özdil Arıkan

Objective: To evaluate the prevalence of overactive bladder (OAB) in women with fibromyalgia (FM) presenting with lower urinary tract symptoms, and to examine the relationship between psychiatric comorbidities and symptom severity in this population. Materials and Methods: This cross-sectional study included 240 women aged 18–65 years who met the 2016 American College of Rheumatology criteria for FM and reported lower urinary tract symptoms for at least three months. OAB was diagnosed based on International Continence Society criteria using the OAB-V8 questionnaire (cut-off ≥8) and a three-day bladder diary. Psychiatric symptoms were assessed using the Hospital Anxiety and Depression Scale (HADS). FM severity was measured using the Widespread Pain Index (WPI), Symptom Severity Scale (SSS), and General Symptom Score (GSS). Patients were divided into FM+OAB and FM−OAB groups. Statistical comparisons and correlation analyses were performed. Results: OAB was identified in 148 of 240 FM patients (61.7%). The FM+OAB group had significantly higher mean age (47.2 ± 7.4 vs. 41.5 ± 10.1 years, p < 0.001) and fibromyalgia diagnosis time (10.5 ± 8.7 vs. 6.3 ± 6.0 years, p < 0.001) compared to the FM−OAB group. Clinically significant anxiety and depression (HADS ≥8) were more prevalent in the FM+OAB group (52.1% vs. 27.3%, p = 0.006). FM+OAB patients also had higher scores for WPI, SSS, and GSS (all p < 0.001). HADS scores correlated positively with FM symptom severity and OAB-V8 scores (ρ = 0.30–0.42, p < 0.01). Conclusion: Overactive bladder is highly prevalent among women with fibromyalgia and is associated with greater psychiatric burden and symptom severity. These findings suggest a shared underlying mechanism driven by central sensitization and emotional dysregulation. Routine screening for OAB and psychological distress in FM patients may enhance diagnostic accuracy and guide comprehensive, multidisciplinary treatment strategies.

Andrology (Male Sexual Disfunction, Infertility), Online First: 13 August 2025

Grand J Urol 2025; DOI: 10.5505/GJU.2025.29981

Penile Prosthesis Implantation Revision Surgery: Feasibility and Safety

Yunus Çolakoğlu, Ali Emre Fakir, Ali Ayten, Ahmet Eren Sağır, Mehmet Şahin, Çağrı Şevik, Halil Lütfi Canat

Objective: This study aims to evaluate the feasibility and safety of penile prosthesis implantation (PPI) revision surgery in a high-volume center. Materials and Methods: We retrospectively analyzed data from 30 patients undergoing PPI revision between January 2021 and September 2024, performed by two experienced andrology-trained surgeons at two centers. Patient demographics, comorbidities, surgical details, and complications were recorded. Quality of life was assessed at three months using the Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire. Complications were classified using the Clavien-Dindo system. Results: Revision indications included non-functioning prostheses (33.3%), visible deformity (16.7%), inadequate inflation (20%), conversion from malleable to inflatable penile prosthesis (IPP) (13.3%), and infection (16.7%). Infrapubic (40%) or penoscrotal (60%) approaches were used. Mean operative time was 101.8 minutes, hospital stay was 2.1 days, and follow-up was 9 months. Complications (Clavien-Dindo Grade I-II) included orchitis (10%), wound infection (6.7%), and scrotal/perineal ecchymosis (13.3%), all resolved conservatively. Staphylococcus epidermidis was the most common pathogen in infections. Patients transitioning to IPPs reported high QoLSPP scores. Conclusion: PPI revision surgery, when performed by skilled surgeons, is safe and effective, with high patient satisfaction, particularly for IPP transitions. Larger studies with longer follow-up are needed to assess long-term outcomes.

Pediatric Urology, Online First: 11 August 2025

Grand J Urol 2025; DOI: 10.5505/GJU.2025.19870

A Comparative Analysis of Heineke-Mikulicz and V-Y Scrotoplasty Techniques in the Surgical Correction of Congenital Penoscrotal Webbing

Kenan Yalçın, Engin Kölükçü

Objective: The penoscrotal web is a congenital cutaneous anomaly in which scrotal skin extends onto the ventral surface of the penis, potentially leading to deformity and, in adulthood, sexual dysfunction. This study aimed to compare the clinical outcomes of two commonly used techniques—Heineke-Mikulicz and V-Y scrotoplasty—in the surgical management of penoscrotal webbing. Materials and Methods: A retrospective analysis was conducted on 87 pediatric patients (aged 6 months to 6 years) diagnosed with penoscrotal webbing during circumcision consultations between 2018 and 2022. The patients underwent web correction simultaneously with circumcision. Group 1 included 49 patients treated with Heineke-Mikulicz scrotoplasty, and Group 2 consisted of 38 patients treated with V-Y scrotoplasty. Postoperatively, the cases were evaluated for scrotal and penile edema, hematoma, recurrent web, wound contracture and cosmetic results. Results: There was no statistically significant difference between the two groups in terms of age or body weight (p>0.05). When the two groups were compared in terms of mean operation time, statistical significance was observed (p

Pediatric Urology, Online First: 02 June 2025

Grand J Urol 2025; DOI: 10.5505/GJU.2025.26818

Low Grade Urothelial Bladder Neoplasms in Pure Pediatric Population and Long-Term Fallow-up Data

Muzaffer Tansel Kılınç, Ali Sezer, Mehmet Serkan Özkent, Mehmet Mesut Pişkin

Objective: Urothelial carcinomas (UC) of the bladder in the pediatric population are rare and differ from adult papillary neoplasms in terms of clinical, pathological outcomes, and prognoses. Therefore, standardized recommendations have not been clearly defined for their management. In this study, we aimed to report our experience and long-term follow-up data with low-grade urothelial bladder neoplasms in pediatric patients. Materials and Methods: The data of patients treated for bladder tumors in two tertiary centers between December 2018 and December 2024 were analyzed retrospectively. Patients who were younger than 18 years of age at the time of diagnosis and whose pathology was reported as UC were included in the study. Transurethral resection of the bladder tumors was carried out on all patients. Age, gender, presentation symptoms, tobacco use or exposure, imaging method, number of tumors, tumor size, histological findings, hospitalization time, complications, tumor recurrence, and follow-up data were examined. Results: Four female and three male patients were included in the study. The mean age of the patients was 14.8 ± 2.1 (12–17) years. The most common symptom was hematuria. Mean tumor size was 20.5 ± 9.8 (14–40) mm, and all were low-grade. No recurrence was detected at a mean of 58 ± 13.8 (44–76) months after resection. Conclusion: Urothelial carcinoma of the bladder is rare in the pediatric population. These neoplasms are usually low grade, and recurrence is rare. The most common recurrences are seen in the first year. Strict follow-up is essential in this period. Less invasive tools can be used for follow-up after the first year on low-grade neoplasms.