Türkmen, Nihat; Aykanli, Emre

Objective: Uroflowmetry is one of the most commonly used assessment tools in patients with lower urinary tract symptoms (LUTS). However, uroflowmetric parameters can be affected by various factors. In this study, we aimed to examine the effects of different voiding positions on uroflowmeter parameters. Material and Methods: 105 patients aged 40-80 years who applied to the urology outpatient clinic with the complaint of LUTS were included in the Our Prospective study. Uroflowmetry measurements were performed on each of the participants in standing and sitting positions, one day apart. After uroflowmetry, residual urine was measured by transab- dominal ultrasound in each patient. Qmax, Qave, voiding volume, voiding time and residual urine volumes of the patients in standing and sitting positions were compared. Results: The mean Qmax-Qave-voiding volume values of the patients were measured as 13. 8 mL/s-7 mL/s-336 mL in the sitting position and 11. 6 mL/s-6 mL/s-304 mL in the standing position respectivly. Q max, Qave values and voiding volume values were significantly higher in patients who voided in the sitting position (p<0.001). The residual urine amount of the patients after voiding was measured as 20 mL in the sitting position and 40 mL in the standing position, and it was observed that the amount of residual urine in the patients who voided while sitting position was significantly less (p<0.001). Conclusion: In our study, it was observed that voiding position had an effect on uroflowmetry parameters. Urinating, especially in a sitting position, has a positive effect on uroflowmetry parameters.

Keskin, Ercüment; Gul, Abdullah; Bozkurt, Aliseydi; Ekici, Ozgur; Emre; Doğan, Muhammet Emin; Balıkçı, Ayşenur

Objective: The aim of the study is to investigate the level of knowledge of emergency physicians about the clinical approach to testicular torsion. Material and Methods: A questionnaire with 10 questions was prepared to determine the level of knowledge about acute scrotum. 4 questions consisted of demographic data and 10 questions consisted of questions about clinical knowledge. Four of these questions were specifically measuring physical examination (PE) knowledge. The total scores of the answers given and the answers to the questions measuring PE knowledge were recorded separately, each question being one score. Total scores were compared according to gender, institution and degree. Results: A total of 99 emergency physicians were reached for the study. Mean age 27.6±4.6 years; male/female ratio was 55/44. The mean total score of all physicians was 6.13±1.63; The mean total score of the 4-question PE was 2.29±1.07. Physicians participating in the survey were separated according to their gender, institution, and degree, and their total scores were compared. No statistically significant difference was observed between the groups. While no statistically significant difference was observed in PE scores according to gender and the institutions they work at, there was a statistically significant difference between specialist physicians (3.09±1.04) and general practitioners (1.94±0.95) when compared according to their degrees (p: 0.009). Conclusion: It is important to increase the PE knowledge of the physicians working in the emergency department about testicular torsion through continuous education after graduation in order to prevent organ losses.

Keskin, Ercüment; Gul, Abdullah; Caglayan, Volkan; Bozkurt, Aliseydi; Ekici, Ozgur; Erdogan, Abdullah; Emre; Altunok, Vedat

Amaç: Bu çalışmada, fleksibl üreterorenoskopi (f-URS) s ıra- sında yaygın olarak kullanılan üreteral erişim kılıfının (ÜEK) postope- ratif enfektif komplikasyonlar ve böbrek fonksiyonları üzerine etkilerini araştırmayı amaçladık. Gereç ve Yöntemler: Retrospektif yöntem ile Ocak 2021-Temmuz 2023 tarihleri aras ında böbrek ya da proksimal üreter taşı nedeniyle f-URS yap ılmış olan hastaların verileri tarand ı. Hastaların ameliyat süreleri ve erişim kılıfı kullanım durumları, preo- peratif görüntüleri ve postoperatif ate ş, sepsis, üriner sistem enfeksi- yonu (ÜSE) durumları ve periferik kandan ve idrar tetkikinden bakılan inflamasyon belirteçleri kaydedildi. Hastaların kreatinin ve glomerüler filtrasyon hız (GFH) değişimleri ile taburcu olduktan sonra ilk 2 hafta- daki acil servis başvuruları kaydedildi. Hastalar ÜEK kullanılmayanlar ve kullanılanlar olarak 2 gruba ayrıldı. Gruplar arasında kaydedilen ve- riler kar şılaştırıldı. Bulgular: Çalışmaya toplamda 124 hasta dâhil edildi. Hastaların ortalama yaşı 48,15±17,06 yıl idi. Hastalar ÜEK kul- lanılmayan (Grup 1, n=70) ve kullanılan (Grup 2, n=54) olarak 2 gruba ayrıldı. Her iki grup arasında cinsiyet, taş tarafı, double J stent (DJS) ta- kılması, postoperatif sepsis, postoperatif ÜSE, postoperatif lökosit es- teraz pozitifli ği, postoperatif hematüri ve postoperatif acil servise başvuru açısından istatistiksel olarak anlaml ı farklılık izlenmedi. Po- stoperatif ateş, idrar tetkikinde nitrit pozitifliği, beyaz kan hücresi ve C- reaktif protein erişim kılıfı kullanılmayan hasta grubunda istatistiksel olarak anlamlı yüksek bulundu. Her iki grup aras ında ortalama ya ş, ameliyat süresi, postoperatif DJS çekim günü, kreatinin ve GFH deği- şimleri açısından istatistiksel olarak anlamlı farklılık izlenmedi. Sonuç: Böbrek taşı hastalarında erişim kılıfı kullanmanın böbrek fonksiyon- ları üzerinde koruyucu etkisi gözlenmemekle birlikte, postoperatif en- fektif komplikasyonları bir miktar azaltabilir.