Recai Gurbuz

Partial priapism secondary to tamsulosin: a case report and review of the literature.

Partial priapism is also called partial segmental thrombosis of the corpus cavernosum. It is a rare pathology, and its aetiology, physiopathology and treatment are still not completely understood. To our knowledge, partial priapism due to alpha blockers has not been reported previously in the literature. In this study, a successfully treated case of partial priapism occurring after the usage of alpha blocker is presented and discussed in light of the related literature.

Management of a Colon Perforation During Pediatric Percutaneous Nephrolithotomy

Percutaneous nephrolithotomy (PCNL) is one of the most common treatment options in the management of kidney stones in children. While colon perforation during PCNL is reported as a rare complication in adults, there are scarce data regarding colon perforation during pediatric PCNL. We report the successful management of colon perforation occurring during PCNL and of a renal stone in a 6-year-old child. Moreover, we describe the procedure to be followed for colon perforation in children.

Primary hydatid cyst in adrenal gland: a case report.

The hydatid cyst of the adrenal gland is extremely rare pathology of the adrenal gland; here we report an adrenal hydatid cyst that presented as a solitary renal tumor.

Comparison of 50 μg and 25 μg doses of intrathecal morphine on postoperative analgesic requirements in patients undergoing transurethral resection of the prostate with intrathecal anesthesia

STUDY OBJECTIVE To compare the efficacy of 50 mug and 25 mug doses of intrathecal morphine on postoperative pain in patients undergoing transurethral resection of the prostate (TURP) with low-dose bupivacaine. DESIGN Randomized, double-blinded study. SETTING Konya Hospital. PATIENTS 70 ASA physical status I, II, and III patients. INTERVENTIONS Patients were randomized to two groups: Group A patients received 5 mg of 0.5% hyperbaric bupivacaine (one mL) and 50 mug of morphine (0.5 mL). Group B patients received 5 mg of 0.5% hyperbaric bupivacaine (one mL) and 25 mug of morphine (0.5 mL). MEASUREMENTS Postoperative pain scores, patient and surgeon satisfaction, and side effects such as emesis, pruritus, and respiratory depression, were recorded. MAIN RESULTS Postoperative pain characteristics were similar between the two groups. Frequency of emesis was similar between the groups, while pruritus was significantly higher in Group A. No antipruritic medication was required in any patient. Patient and surgeon satisfaction was evaluated as good or excellent in both groups. CONCLUSIONS Intrathecal morphine at a dose of 25 mug provides similar postoperative analgesia and less pruritus than the 50 mug dose in patients undergoing TURP.

Complete treatment with partial cystectomy in giant xanthogranulomatous cystitis case imitating bladder tumor

Xanthogranulomatous cystitis (XC) is a very rare chronic benign inflammatory disease of the bladder. It may cause local invasion although it is not a malign lesion and may occur together with malign lesions. It has a clinical importance as the distinction from malign lesions is difficult clinically and pathologically. Sharing a 37-year-old female case with giant XC imitating bladder tumor referring to the hospital with hematuria and stomach ache, together with current literature, we wanted to present that the disease can be treated with bladder-preserving approaches instead of radical approaches even though the mass is big in these cases. Application of basic excision and partial resection for small masses and radical cystectomy for large masses was reported in literature. We think that our case may provide a contribution to literature in treatment approach since we provided surgical cure with partial resection in a big mass with dimensions of 9 cm × 8 cm which is different from the present literature. Even though XC is a rare disease, it should be considered in prediagnosis for especially big dimensioned masses, and treatment should be planned according to the pathology result after together with cystoscopy in suitable patients.

Endoscopic Injection Techniques for the Treatment of Vesicoureteral Reflux in Children

Yaz›şma Adresi / Address for Correspondance: Yard. Doç. Dr. Mehmet Mesut Pişkin, Selçuk Üniversitesi Meram Tıp Fakultesi, Üroloji Anabilim Dalı, Meram, 42080, Konya, Türkiye Tel: 0332 223 65 59 Faks: 0332 223 61 81 E-posta: drmesutpiskin@yahoo.com doi:10.5152/tus.2011.49 Giriş Vezikoüreteral reflü (VUR) çocukluk çağında en sık görülen üriner sistem anomalilerinin başında gelir. Pediatrik popülasyonda prevelansı %0.4-%1.8 olduğu düşünülmektedir.(1) VUR benign karakterli bir durum olmakla beraber tanısı konulup tedavi edilmediği taktirde pyelonefrit, renal hasar, hipertansiyon ve son dönem böbrek yetmezliği gibi ağır morbiditeye de sebep olabilecek bir patolojidir.(2-4) Bu geniş morbidite spektrumu reflüye eşlik eden üriner sistem enfeksiyonların varlığı, tanı anındaki hasta yaşı, hastanın cinsiyeti, vezikoüreteral reflünün derecesi, beraberinde işeme disfonksiyonu bulunması gibi pek çok değişik faktörden etkilenmektedir.(5, 6) VUR tanısı sonrasında başlanılan medikal tedavi ile yakın gözlem altında takip süreci içerisinde ile reflü olgularının önemli bir kısmı spotan olarak düzelse de, cerrahi tedavi bir kısım hasta grubu için gerekli olan tedavi seçeneğidir. Vezikoüreteral reflünün açık cerrahi tedavisinde eksravezikal ve intravezikal pek çok teknik tanımlanmıştır. Bu tekniklerin temel prensipleri şu şekilde sıralanabilir: a) Yeterli üreteral mobilizasyon, b) Çok dikkatli yapılacak üreteral disekyon c) Valf mekanizması oluşturmaya yetecek uzunlukta bir subüreteral tünel oluşturulması.(7) Uzun yıllar boyu uygulanan açık cerrahi girişimlerin başarı oranları son derece yüksek öte yandan komplikasyon oranları düşük olmasına karşın; açık cerrahi girişmelere bağlı morbiditeyi azaltmak amacı ile minimal invazif girişimlere yönelim artmıştır. Günümüz AUA ve EAU kılavuzlarında özellikle düşük dereceli reflülerin tedavisinde endoskopik tedavinin açık cerrahiye bir alternatif olabileceği belirtilmiştir.