Pediatric Urology - Grand Journal of Urology

Pediatric Urology

Original Article

Grand J Urol 2024;4(2):047-052, DOI: 10.5505/GJU.2024.08370

Evaluation of Pyeloplasty Results in Pediatric Patients with Glomerular Filtration Rates Below 15 ml/min

Muharrem Baturu, Mehmet Öztürk, Haluk Şen, Görkem Durna, Ömer Bayrak

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

Grand J Urol 2022;2(2):058-063, DOI: 10.5505/GJU.2022.87596

The Relationship Between Primary Monosymptomatic Enuresis Nocturna and Chronotype: A Controlled Study

Esen Yildirim Demirdogen, Saban Oguz Demirdogen, Gulsum Yitik Tonkaz, Ibrahim Karabulut, Yilmaz Aksoy

Objective: In the present study, we aimed to investigate the relationship between primary monosymptomatic enuresis nocturna (MEN) and chronotypes in children. Materials and Methods: Fifty children diagnosed with primary MEN and 50 healthy children were included in the study. All participants underwent the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)-based psychiatric, and a semi-structured interview, the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version, K-SADS-PL. The information obtained from the socio-demographic data form and Children's Chronotype Questionnaire (CCTQ) for the patient and the control groups were recorded and statistical analyses were carried out. Results: Evening chronotype was significantly more often observed in the patient group (X2=6,225, SD=2, p=0.044). No difference was found between the groups with regard to morning and intermediate chronotypes. In the patient group, the time of going to bed, turning off the lights, the time to start sleeping and mid-sleep time were significantly delayed in free days (p=0.001, p=0.005, p=0.004, and p=0.004, respectively). The sleep duration and the time spent in bed were also significantly shorter in the patient group (p=0.029, p=0.004, respectively). Conclusion: Primary MEN is associated with circadian rhythm disorders and evening chronotype. As the mechanisms that lead to this condition is not clear yet, further studies with randomized controlled design and larger sample size are required to determine etiopathogenesis and treatment options, and also to reveal the association between MEN and chronotypes.

Grand J Urol 2021;1(2):62-65, DOI: 10.5222/GJU.2021.47956

Evaluation of Risk Factors in Children with Hypospadias

Eda Celebi Bitkin, Alper Bitkin, Ender Cem Bulut, Oguz Tuncer

Objective: Hypospadias is one of the most common congenital defects in boys. Multifactorial factors such as genetic predisposition and environmental factors play a role in the etiology of hypospadias. In this study, we investigated the risk factors of patients diagnosed with hypospadias. Materials and Methods: Thirty-six patients who applied to the pediatric endocrinology and urology outpatient clinics with the diagnosis of hypospadias were evaluated retrospectively. Risk factors were evaluated by recording the parental ages, exposure to environmental factors, the maternal BMI, history of pregnancy, drug use, and the father's fertility status. Results: The mean age of the patients was 3.5 ± 2 years. The patients had anterior (n:27 : 75%), middle (midshaft) (n:8 ; 22.2%), and posterior (n:1 ; 2.8%) hypospadias. The mean body mass index (BMI) of the mothers was 24 ± 4.1 kg/m2. Eight (22.2%) mothers were overweight and six (16.6%) mothers were obese. There was a history of hypospadias in the family of 4 (11%) patients. Conclusion: Although combinations of environmental and genetic factors play a role in the etiology of hypospadias, many unexplained factors are responsible for this disease.

Grand J Urol 2023;3(3):075-079, DOI: 10.5505/GJU.2023.72691

Absolute White Blood Cell Count and Neutrophil-Lymphocyte Ratio May Predict the Need for Double- J Stent Insertion in Ureteral Stones in Children: A Comparative Study

Serkan Arslan, Mustafa Azizoglu, Tahsin Onat Kamci, Erol Basuguy, Bahattin Aydogdu, Mehmet Hanifi Okur, Musemma Karabel, Abdurrahman Onen

Objective: Our goal was to determine whether or not a double-J (DJ) stent insertion is required in cases of ureteral stones based on the absolute white blood cell (WBC) counts, neutrophillymphocyte ratio (NLR), absolute monocyte counts, and other laboratory markers. Materials and Methods: The patients were divided into two groups as those who did (Group 1), and did not (Group 2) need DJ stent insertion. The age, symptoms, diagnosis, hemogram parameters, and treatment results of the patients were evaluated. Results: Forty-nine percent (n=44) of the patients were female and 51% (n=46) were male. The groups did not differ in terms of age and gender (p>0.05). A higher incidence of hematuria was observed in Group 1 (p

Grand J Urol 2023;3(3):090-096, DOI: 10.5505/GJU.2023.40427

The Relationship of Urological and Psychological Problems with Circumcision – A Cross-sectional Study

Emre Tokuc, Nazim Yildiz, Zulfu Sertkaya, Emrah Ozsoy, Ridvan Kayar, Fatih Ozkaya

Objective: Circumcision is one of the most common surgical procedures in the world which is performed for various reasons. The aim is to investigate whether people's satisfaction with circumcision, their perspectives on circumcision, and whether there is a connection between circumcision and psychological/urological problems. Materials and Methods: Between 21 March 2023- 10 April 2023, 1009 men aged between 18- 50 who volunteered to participate in the survey were included in the study. Demographic structures of the people (age, education, income status), age of circumcision, by whom, where and with what type of anesthesia; problems during circumcision, satisfaction with circumcision, any sexual and psychological problems and the relationship of this problem with circumcision were investigated. Results: Mean age of 1009 participants was 32.02±9.15 and mean age of circumcision was 6.18±3.10. 269 (26.7%) men stated that they experienced circumcision complications and 145 (14.4%) stated that they were not satisfied with circumcision. 267 men (26.5%) had sexual or urological problems, and 274 (27.2%) had psychological problems, but the relationship of both problems with circumcision was not significant. Both sexual/urological problems and psychological problems were found to be significantly higher in the group satisfied with circumcision (both p:0.000, p