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Article ; Online: Can Indirect Inflammatory Markers Differentiate Brucella Epididymo-Orchitis From Non-Brucella Epididymo-Orchitis? /

Polat, Salih / Erdoğan, Abdullah

Yeni Üroloji Dergisi, Vol 15, Iss 2, Pp 92-

2020 Volume 99

Abstract: Objective: This study aimed to evaluate the value of direct and indirect markers showing inflammation in the diagnosis of Brucella epididymo-orchitis (BEO) and its differentiation from non-Brucella epididymo-orchitis. Material and Methods: A total of 152 ...

Abstract	Objective: This study aimed to evaluate the value of direct and indirect markers showing inflammation in the diagnosis of Brucella epididymo-orchitis (BEO) and its differentiation from non-Brucella epididymo-orchitis. Material and Methods: A total of 152 patients that presented to our clinic with acute scrotal complaints and were diagnosed with epididymo-orchitis between January 2015 and January 2019 were retrospectively evaluated. Excluded from the study were 15 patients with a hematologic disease, coronary artery disease or malignant diagnosis, eight patients aged below 18 years, and 13 patients whose hemogram and C-reactive protein (CRP) values were not available in their medical records. The diagnosis of epididymo-orchitis was based on laboratory (leukocytosis, CRP elevation) and radiological findings. The diagnosis of BEO was defined as ≥1/160 titer value and/or positive blood culture in the standard tube agglutination (STA) test in addition to orchitis symptoms and signs. Results: The median WBC (p=0.033), neutrophil (p=0.013) and monocyte (p=0.006) counts and NL (p=0.014) and ML (p=0.002) ratios were statistically significantly lower in the BEO group. The ML ratio had the highest predictive value with an AUC of 0.725 (95% CI = 0.146-0.424; p=0.002), as well as high specificity (97.3%) and diagnostic accuracy (83.5%) in predicting a BEO diagnosis. No parameter was an independent factor in the differentiation of BEO and NBEO. Conclusions: Easy, fast and low-cost hemotological inflammatory markers provide diagnostic benefits complementing serological tests in distinguishing BEO from NBEO cases. In particular, MLR has a high diagnostic accuracy compared to other parameters
Keywords	brucella ; epididymo-orchitis ; infectious diseases ; monocyte/lymphocyte ratio ; Medicine ; R ; Specialties of internal medicine ; RC581-951 ; Diseases of the genitourinary system. Urology ; RC870-923
Subject code	610
Language	English
Publishing date	2020-06-01T00:00:00Z
Publisher	Ali İhsan Taşçı
Document type	Article ; Online
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Article ; Online: Assistant port is unnecessary for robotic-assisted laparoscopic pyeloplasty in children: a comparative cohort study.

Danacioglu, Yavuz Onur / Keser, Ferhat / Polat, Salih / Gunaydin, Bilal / Comez, Yusuf Ilker / Silay, Mesrur Selcuk

Pediatric surgery international

2022 Volume 38, Issue 9, Page(s) 1327–1334

Abstract: Objective: To compare the postoperative outcomes including the cosmetic results of robotic-assisted laparoscopic pyeloplasty (RALP) performed with and without assistant port in pediatric population.: Methods: 47 patients with ureteropelvic junction ... ...

Abstract	Objective: To compare the postoperative outcomes including the cosmetic results of robotic-assisted laparoscopic pyeloplasty (RALP) performed with and without assistant port in pediatric population. Methods: 47 patients with ureteropelvic junction obstruction consecutively underwent RALP were stratified as: three-port (Group 1, n = 26) and four-port (Group 2, n = 21). In Group 1, no assistant port was placed and double-J stent was introduced with the aid of an angiocatheter via the percutaneous route. In group 2, an assistant port was placed. The Patient and Observer Scar Assessment Scale (POSAS), the Vancouver Scar Scale(VSS), Satava, Clavien classification systems, and success rates were compared. Results: We found similar success rates for both groups (group 1:96.2%, group 2:100%). Two groups were similar in terms of improvement in the postoperative anteroposterior diameter of the renal pelvis and parenchymal thickness. There was no difference in terms of perioperative and postoperative complication rates (group 1:19.2%, group 2:9.5%). The total PSAS was significantly lower in Group 1 (p < 0.008). No difference was observed for VSS and OSAS. Conclusions: Using an assistant port does not improve the success or complications of RALP, while the cosmetic outcomes are inferior to three-port RALP in children. We suggest avoiding the use of assistant port during RALP in children.
MeSH term(s)	Child ; Cicatrix ; Cohort Studies ; Humans ; Kidney Pelvis/surgery ; Laparoscopy/methods ; Retrospective Studies ; Robotic Surgical Procedures/methods ; Treatment Outcome ; Ureteral Obstruction/surgery ; Urologic Surgical Procedures/methods
Language	English
Publishing date	2022-07-18
Publishing country	Germany
Document type	Journal Article
ZDB-ID	632773-4
ISSN	1437-9813 ; 0179-0358
ISSN (online)	1437-9813
ISSN	0179-0358
DOI	10.1007/s00383-022-05158-3
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Article: The Predictive Factors of Renal Loss After Iatrogenic Ureteral Avulsion in the Medicolegal Perspective.

Tasci, Ali Ihsan / Danacioglu, Yavuz Onur / Akkas, Fatih / Polat, Salih / Arikan, Yusuf / Guner, Ekrem / Atar, Feyzi Arda / Buyuk, Yalcin

Sisli Etfal Hastanesi tip bulteni

2023 Volume 57, Issue 1, Page(s) 92–98

Abstract: Objectives: As an effective and minimally invasive technique, ureteroscopy has some potential intraoperative complications. Ureteral avulsion is among these complications, although rare. This study aimed to determine factors predicting nephrectomy by ... ...

Abstract	Objectives: As an effective and minimally invasive technique, ureteroscopy has some potential intraoperative complications. Ureteral avulsion is among these complications, although rare. This study aimed to determine factors predicting nephrectomy by considering ureteral avulsion from a medicolegal perspective for the 1st time in the literature. Methods: A total of 33 patients with ureteral avulsion during ureteroscopic surgery, who presented to various hospitals in Turkey between September 2004 and April 2019 and whose cases were being reviewed at the Institution of Forensic Medicine with regard to malpractice, were evaluated retrospectively. The patients who underwent nephrectomy after ureteral avulsion were evaluated as Group 1, and those who underwent reconstructive surgery as Group 2. Results: The mean age of the patients was 39.5±12.1 years. Seventeen (51.5%) patients had partial and 16 (48.4%) had complete ureteral avulsion. Nephrectomy was performed in 14 (42.4%) patients, and ureteral reconstruction in 19 (57.5%) patients. It was determined that the patients in Group 1 had more proximal stones and a higher degree of hydronephrosis compared to Group 2. Complete avulsion developed in 71.4% of the patients in Group 1 and in 31.6% of those in Group 2. After avulsion, 78.6% of the patients in Group 1 were treated in a state hospital, and 63.2% of those in Group 2 were treated in a tertiary referral hospital. The increase in the degree of hydronephrosis, presence of complete avulsion, and intervention at a state hospital were determined as independent predictive factors for nephrectomy. Conclusion: This is the first study with the largest cohort in the literature to medicolegally evaluate ureteral avulsion and determine predictive factors for nephrectomy. Although each patient should be treated with different methods in the presence of ureteral avulsion, our study aimed to provide a common approach to this catastrophic complication.
Language	English
Publishing date	2023-03-21
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	3026862-X
ISSN	1308-5123 ; 1302-7123
ISSN (online)	1308-5123
ISSN	1302-7123
DOI	10.14744/SEMB.2022.92603
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Article ; Online: Is prostate volume better than PSA density and free/total PSA ratio in predicting prostate cancer in patients with PSA 2.5-10 ng/mL and 10.1-30 ng/mL?

Erdogan, Abdullah / Polat, Salih / Keskin, Ercument / Turan, Abdullah

The aging male : the official journal of the International Society for the Study of the Aging Male

2019 Volume 23, Issue 1, Page(s) 59–65

Abstract: Objective: ...

Abstract	Objective:
MeSH term(s)	Adult ; Aged ; Biomarkers/metabolism ; Biopsy ; Humans ; Male ; Middle Aged ; Neoplasm Grading ; Organ Size ; Predictive Value of Tests ; Prostate-Specific Antigen/metabolism ; Prostatic Hyperplasia/metabolism ; Prostatic Neoplasms/metabolism ; Retrospective Studies ; Sensitivity and Specificity
Chemical Substances	Biomarkers ; Prostate-Specific Antigen (EC 3.4.21.77)
Language	English
Publishing date	2019-03-12
Publishing country	England
Document type	Journal Article ; Video-Audio Media
ZDB-ID	2108146-3
ISSN	1473-0790 ; 1368-5538
ISSN (online)	1473-0790
ISSN	1368-5538
DOI	10.1080/13685538.2019.1578741
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Article ; Online: The comparison of perioperative outcomes between percutaneous nephrolithotomy and retrograde intrarenal surgery in elderly patients.

Yarimoglu, Serkan / Sahan, Murat / Polat, Salih / Koras, Omer / Erdemoglu, Onur / Degirmenci, Tansu

International journal of clinical practice

2021 Volume 75, Issue 7, Page(s) e14221

Abstract: Objectives: In this study, we aimed to compare the outcomes and complication rates of percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS) in elderly patients.: Materials and methods: Between April 2011 and January 2020, ... ...

Abstract	Objectives: In this study, we aimed to compare the outcomes and complication rates of percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS) in elderly patients. Materials and methods: Between April 2011 and January 2020, patients who underwent PCNL and RIRS for renal stone in elderly patients were retrospectively evaluated. The two groups' perioperative values, stone-free rates and complication rates were compared. Post-operative complications were noted according to the Clavien scoring system. Results: There were 89 and 72 patients in the PCNL and RIRS group respectively. The median age was 67 years in both the groups (P = .192). The stone size were 22.2 ± 3.5 mm and 19.9 ± 7.1 mm in the PCNL and RIRS group, respectively (P = .082). Stone-free rates were significantly higher in PCNL group (P = .021, P = .034). Also we found that overall complication and major complication rates were significantly higher in PCNL group (P = .016, P = .029). Conclusion: Despite there was higher stone clearance in PCNL, the complication rates were higher compared with RIRS. So RIRS might be a safe alternative treatment method to PCNL in older patients.
Language	English
Publishing date	2021-04-25
Publishing country	England
Document type	Journal Article
ZDB-ID	1386246-7
ISSN	1742-1241 ; 1368-5031
ISSN (online)	1742-1241
ISSN	1368-5031
DOI	10.1111/ijcp.14221
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Article ; Online: Development of a Novel Nomogram and a Simple Scoring System Using Ureteral Jet Flow to Predict Impacted Ureteral Stone.

Erdogan, Abdullah / Keskin, Ercument / Sambel, Murat / Polat, Salih / Kocak, Mehmet / Kilinc, Ozkan

Journal of endourology

2021 Volume 35, Issue 11, Page(s) 1701–1709

Abstract: Purpose: ...

Abstract	Purpose:
MeSH term(s)	Angiography ; Humans ; Hydronephrosis/diagnostic imaging ; Nomograms ; Retrospective Studies ; Ureter/diagnostic imaging ; Ureteral Calculi/diagnostic imaging
Language	English
Publishing date	2021-05-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	356931-7
ISSN	1557-900X ; 0892-7790
ISSN (online)	1557-900X
ISSN	0892-7790
DOI	10.1089/end.2021.0168
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Article ; Online: Should Peritoneal Re-Approximation Be Performed After Transperitoneal Robot-Assisted Radical Prostatectomy?

Tas, Selim / Eren, Ali Erhan / İslamoğlu, Ekrem / Polat, Salih / Ateş, Mutlu / Savaş, Murat

Journal of laparoendoscopic & advanced surgical techniques. Part A

2021 Volume 32, Issue 3, Page(s) 265–269

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Humans ; Male ; Peritoneum/surgery ; Prostate/pathology ; Prostatectomy/methods ; Prostatic Neoplasms/surgery ; Robotic Surgical Procedures/methods ; Robotics
Language	English
Publishing date	2021-03-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	1381909-4
ISSN	1557-9034 ; 1092-6429
ISSN (online)	1557-9034
ISSN	1092-6429
DOI	10.1089/lap.2021.0046
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Article ; Online: Does Access Location Influence Outcome of Percutaneous Nephrolithotomy in Staghorn Stones?

Yarimoglu, Serkan / Sahan, Murat / Polat, Salih / Cesur, Gurkan / Koras, Omer / Degirmenci, Tansu

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

2021 Volume 31, Issue 9, Page(s) 1075–1080

Abstract: Objective: To assess the effect of lower and middle calyceal accesses on the outcomes of percutaneous nephrolithotomy (PCNL) in staghorn stones.: Study design: Observational study.: Place and duration of study: Department of Urology, University of ...

Abstract	Objective: To assess the effect of lower and middle calyceal accesses on the outcomes of percutaneous nephrolithotomy (PCNL) in staghorn stones. Study design: Observational study. Place and duration of study: Department of Urology, University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Turkey, from April 2012 to January 2019. Methodology: Patients who underwent PCNL for staghorn stones were retrospectively analysed. The patients were grouped as Group-1 (middle calyceal access) and Group-2 (lower calyceal access). Demographic and stone characteristics (size, density), perioperative and postoperative data, and stone-free rates were compared between these two groups. Postoperative detection of > 4 mm stones was defined as residual stones. Results: There were 249 patients in the study; 108 in middle calyceal access group and 141 in lower calyceal access group. The mean stone burden was 765 (524-1322) and 777 (490-1445) mm2 in group-1 and group-2, respectively (p=0.876). The number of stone-free patients was 50 (46.3%) in middle calyceal access group and 93 (66.0%) in lower calyceal access group. The rate of stone-free status was significantly higher in lower calyceal access group (p=0.002). The overall complication rate was similar between the groups (p=0.132). The binary analysis showed that stone burden, and calyx of entry were predictive factors for success. Conclusion: Although the choice of the calyx to be entered does not affect the complication rate in staghorn stones, the stone-free rate is significantly higher in lower calyceal access. Key Words: Percutaneous nephrolithotomy, Staghorn stones, Clavien scoring system, Calyx, Access.
MeSH term(s)	Humans ; Kidney Calculi/surgery ; Nephrolithotomy, Percutaneous/adverse effects ; Nephrostomy, Percutaneous/adverse effects ; Postoperative Period ; Retrospective Studies ; Staghorn Calculi/surgery ; Treatment Outcome
Language	English
Publishing date	2021-09-06
Publishing country	Pakistan
Document type	Journal Article ; Observational Study
ZDB-ID	2276646-7
ISSN	1681-7168 ; 1022-386X
ISSN (online)	1681-7168
ISSN	1022-386X
DOI	10.29271/jcpsp.2021.09.1075
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Article ; Online: Safety and Efficacy of Flexible Ureterorenoscopy Surgery in Different Age Groups.

Koras, Omer / Bozkurt, Ibrahim Halil / Karakoyunlu, Ahmet Nihat / Polat, Salih / Yarimoglu, Serkan / Degirmenci, Tansu

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

2021 Volume 31, Issue 6, Page(s) 679–685

Abstract: Objective: To comparatively investigate the efficacy, safety and complications of flexible ureterorenoscopy (f-URS) in the treatment of patients of different age groups (<60, 60-74 and ≥75 years) with proximal ureteral and kidney stones.: Study design! ...

Abstract	Objective: To comparatively investigate the efficacy, safety and complications of flexible ureterorenoscopy (f-URS) in the treatment of patients of different age groups (<60, 60-74 and ≥75 years) with proximal ureteral and kidney stones. Study design: Descriptive study. Place and duration of study: Department of Urology, HSU Izmir Bozyaka Training and Research Hospital, HSU Ankara Diskapi Training, Research Hospital, and Mustafa Kemal University Faculty of Medicine, between March 2014 and June 2020. Methodology: Nine hundred and fifty-six patients, who underwent f-URS due to proximal ureteral and kidney stones, were divided into three age groups as <60 years (Group 1), 60-74 years (Group 2) and ≥75 year (Group 3). The patients' American Society of Anesthesiologists (ASA) score, Charlson Comorbidity Index (CCI), anticoagulant use, stone-free rates and surgical and medical complication rates were examined for each group. Results: There were 688 patients in Group 1, 230 in Group 2, and 38 in Group 3. A significant difference was observed between the age groups in terms of CCI and anticoagulant use (p<0.001 for both). The highest rate of medical complications was observed in Group 3 at 42.1%, followed by Group 2 at 17.8%, while the lowest rate was observed in Group 1 at 2.3% (p<0.001). As a result of the multivariate analysis, receiving anticoagulant treatment (p=0.002) and having a high CCI (p=0.005) were independent predictors of medical complication development. Conclusion: It was clearly demonstrated that f-URS could be used as a safe and effective alternative for the treatment of moderate-size kidney stones in all age groups. Key Words: Elderly, Geriatric patients, RIRS, Holmium laser lithotripsy, Urolithiasis, Safety, Efficacy.
MeSH term(s)	Aged ; Humans ; Kidney Calculi/surgery ; Lithotripsy ; Lithotripsy, Laser ; Middle Aged ; Retrospective Studies ; Treatment Outcome ; Ureteral Calculi/surgery ; Ureteroscopy/adverse effects
Language	English
Publishing date	2021-06-02
Publishing country	Pakistan
Document type	Journal Article
ZDB-ID	2276646-7
ISSN	1681-7168 ; 1022-386X
ISSN (online)	1681-7168
ISSN	1022-386X
DOI	10.29271/jcpsp.2021.06.679
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Article ; Online: A novel nomogram and a simple scoring system for urinary leakage after percutaneous nephrolithotomy.

Sahan, Murat / Yarimoglu, Serkan / Polat, Salih / Nart, Bilal / Koras, Omer / Bozkurt, Ibrahim Halil / Degirmenci, Tansu

International braz j urol : official journal of the Brazilian Society of Urology

2022 Volume 48, Issue 5, Page(s) 817–827

Abstract: Introduction: The present study aimed to investigate the factors of prolonged urinary leakage (PUL) after percutaneous nephrolithotomy (PCNL) and develop a new and simple scoring system to predict it.: Patients and methods: We retrospectively ... ...

Abstract	Introduction: The present study aimed to investigate the factors of prolonged urinary leakage (PUL) after percutaneous nephrolithotomy (PCNL) and develop a new and simple scoring system to predict it. Patients and methods: We retrospectively reviewed patients with renal stones who underwent PCNL at the University of Health Sciences Izmir Bozyaka Training and Research Hospital between April 2011 and January 2020. The patients were divided into two groups according to the presence of PUL, and their preoperative and perioperative data were compared. A multivariate regression analysis was applied to examine the relationship between perioperative descriptors and PUL, and a nomogram was developed using significant predictors. Then, the individual components of the nomogram were assigned points to form a scoring system. Results: There were 92 and 840 patients in the groups with and without PUL, respectively. The results of the univariate logistic regression analysis showed that hydronephrosis grade, parenchymal thickness, duration of nephroscopy, and duration of nephrostomy catheter were significantly associated with PUL. Subsequently, a multivariate regression analysis was carried out with these four factors as possible independent risk factors of PUL after PCNL. Based on the results of this analysis, a nomogram prediction model was developed with an area under the curve value of 0.811, which was consequently used to develop a new simple score system consisting of three characteristics: parenchymal thickness (1-5 points), duration of nephroscopy (1-3 points), and hydronephrosis grade (1-3 points). Conclusion: A novel scoring system is a useful tool for predicting PUL in patients who have undergone percutaneous nephrolithotomy.
MeSH term(s)	Humans ; Hydronephrosis/etiology ; Kidney Calculi/etiology ; Nephrolithotomy, Percutaneous/adverse effects ; Nephrostomy, Percutaneous/adverse effects ; Nephrostomy, Percutaneous/methods ; Nomograms ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2022-06-27
Publishing country	Brazil
Document type	Journal Article
ZDB-ID	2206649-4
ISSN	1677-6119 ; 1677-5538
ISSN (online)	1677-6119
ISSN	1677-5538
DOI	10.1590/S1677-5538.IBJU.2022.0091
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