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\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nSupine versus prone percutaneous nephrolithotomy: A comparison of efficacy and safety in obese patients<\/h3>\n\n\n\n
Taner Karg\u0131, Mithat Ek\u015fi, Ubeyd Sungur, Osman \u00d6zdemir, Serdar Karada\u011f, \u0130smail Evren, Ahmet Hac\u0131islamo\u011flu, Hakan Polat, Feyzi Arda Atar, Alper Bitkin, Ali \u0130hsan Ta\u015f\u00e7\u0131<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>To compare prone and supine percutaneous nephrolithotomy (PNL) in obese patients with respect to efficacy and safety.<\/p>\n\n\n\nMaterial and Methods:<\/strong> Individuals with kidney stones larger than 2 cm undergoing either prone or supine position PNL were included in the study based on the World Health Organization (WHO) classification of body mass index (BMI) \u226530 kg\/m2 between January 2011 and September 2020 retrospectively. Demographic characteristics, intraoperative, postoperative data, and complications according to Modified Clavien Grading System were listed. Patients were followed for 3 months, documenting their stone-free status.<\/p>\n\n\n\nResults: <\/strong>Out of the total 156 obese patients, 74(47.4%) underwent supine PNL (group 1), and 82 (52.6%) were prone to PNL (group 2). There was no statistically significant difference between the groups concerning hemoglobin drop, the number of pelvicalyceal access, blood transfusion, length of hospital stay, complications rates, and stone-free status (p>0.05). The location of pelvicalyceal access (upper, middle, lower calyces) was significantly different (18.9%, 32.4%, 42.6% in group 1, 3.2%, 19.3%, 77.5% in group 2, respectively) (p<0.001). Mean operative times were statistically different between the groups (97.2 \u00b1 18.1 minutes in group 1, 119.5 \u00b1 18.9 minutes in group 2, respectively) (p<0.001).<\/p>\n\n\n\nConclusion: <\/strong>In the prone or supine position, PNL is a safe and effective method for managing kidney stones in obese patients. Access through the upper calyx may be favored in the supine position considering to patient\u2019s characteristics. Additionally, the supine position has the greatest advantage over the prone position due to shorter operative times.<\/p>\n\n\n\nKeywords: <\/strong>percutaneous nephrolithotomy, obese, supine, prone<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation intelligibility of urology consent forms<\/h3>\n\n\n\n
Ali Erhan Eren, Selim Ta\u015f<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we investigated the understanding of the consent forms used for invasive procedures in the urology clinic by the patients. It was evaluated which age and education groups could comprehend the consent forms used in our clinic. <\/p>\n\n\n\nMaterial and Methods:<\/strong> In this investigation, we employed two intelligibility formulas proposed by Ate\u015fman and Bezirci-Ylmaz for Turkish. In the study, 69 separate consent forms were evaluated.<\/p>\n\n\n\nResults:<\/strong> An average of 62.02 points was obtained in the study after evaluating the consent forms using the Ate\u015fman intelligibility index. This value indicates that a person with a 9 and 10th education level will be able to comprehend the text. The Bezirci-Y\u0131lmaz index yielded an average of 11.13 points when the same forms were analyzed. This value indicates that consent forms can be understood by those with a 10 and 11th grade education grade.<\/p>\n\n\n\nConclusion: <\/strong>In our study, it was found that the informed consent forms given to the patients before the operation were insufficient to be understood by the patients. Similar findings were obtained in previous studies in the literature. Each country\u2019s own health literacy and education level should be taken into account when creating informed consent forms.<\/p>\n\n\n\nKeywords: <\/strong>urology consent forms, intelligibility, urology<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation of the effectiveness of vesical imaging-reporting and data system (VI-RADS) scoring in predicting muscle invasion of bladder cancer<\/h3>\n\n\n\n
Harun \u00d6zdemir, Merve \u015eam \u00d6zdemir, Metin Savun, Emin Taha Keskin, Abd\u00fclm\u00fcttalip \u015eim\u015fek, Halil Lutfi Canat<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective:<\/strong> In this study, we aimed to investigate the accuracy of the \u201cVesical Imaging Reporting and Data System\u201d (VI-RADS) scoring system in predicting preoperative muscle invasion of bladder cancer.<\/p>\n\n\n\nMaterial and Methods: <\/strong>Patients with bladder cancer who underwent pre-operative mp-MRI between August 2020 and March 2022 were included in the study. Bladder tumors were evaluated by an experienced uroradiologist using the VI-RADS scoring system. The VI-RADS score was compared with postoperative pathology to determine muscle invasion. Sensitivity, specificity, positive predictive value (PPD), negative predictive value (NPD), and accuracy were calculated for the VI-RADS \u22653 and VI-RADS \u22654 cut-off points.<\/p>\n\n\n\nResults: <\/strong>Benign pathology (cystitis cystica in three patients, nephrogenic adenoma in one patient) was found in four of 102 patients. The remaining 98 patients were included in the study. Muscle-invasive bladder cancer was detected in 38 patients and non-muscle-invasive bladder cancer in 60 patients. When the threshold value of the VI-RADS score was taken as 3 in determining muscle invasion, sensitivity, specificity, PPD, NPD value and accuracy were calculated as 92%, 85%, 94%, 80% and 88%, respectively. However, when the threshold value of the VI-RADS score was taken as 4, sensitivity, specificity, PPD, NPD value and accuracy were found to be 82%, 95%, 89%, 91% and 90%, respectively.<\/p>\n\n\n\nConclusion: <\/strong>In conclusion, bladder mp-MRI is a successful method in the detection of muscle-invasive bladder cancer with a VI-RADS threshold value of 3 or 4, accompanied by VI-RADS criteria, and may increase the diagnostic performance.<\/p>\n\n\n\nKeywords:<\/strong> bladder cancer, MRI, urogenital cancers, VI-RADS<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nFactors predicting biochemical recurrence following robot-assisted radical prostatectomy: single-center experience<\/h3>\n\n\n\n
Ferhat Yakup Su\u00e7eken, Ey\u00fcp Veli K\u00fc\u00e7\u00fck<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we aimed to investigate factors predicting the development of biochemical recurrence (BCR) in our clinical experience with patients over a long follow-up.<\/p>\n\n\n\nMaterial and Methods: <\/strong>The data of 758 patients who underwent robot-assisted radical prostatectomy (RARP) were retrospectively reviewed. In the postoperative period, the prostate-specific antigen (PSA) value is measured as 0.2 ng\/mL and above, regarded as biochemical recurrence (BCR). The non-BCR group was regarded as Group 1, and the BCR group as Group 2.<\/p>\n\n\n\nResults: <\/strong>The mean age was similar between the two groups. The PSA values were significantly higher in the group that developed BCR (p<0.001). The biopsy Gleason score (GS), risk classification, and specimen GS were significantly higher in this group (p=0.02, p<0.001, and p<0.001, respectively). The BCR group also had statistically significantly higher positive surgical margin (PSM), extraprostatic extension (EPE), seminal vesicle invasion (SVI), and lymph node invasion rates. According to the multivariate analyses, PSA, risk classification, specimen GS, PSM, SVI, and T stage were significant parameters in the prediction of BCR.<\/p>\n\n\n\nConclusion:<\/strong> The parameters that predict the development were determined as the PSA value, risk classification, specimen GS, PSM, SVI, and T stage. The widespread adoption of commonly accepted methods will help achieve better patient management and optimize patient expectations.<\/p>\n\n\n\n
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Editorial Borad<\/h3>\n\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n
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\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nSupine versus prone percutaneous nephrolithotomy: A comparison of efficacy and safety in obese patients<\/h3>\n\n\n\n
Taner Karg\u0131, Mithat Ek\u015fi, Ubeyd Sungur, Osman \u00d6zdemir, Serdar Karada\u011f, \u0130smail Evren, Ahmet Hac\u0131islamo\u011flu, Hakan Polat, Feyzi Arda Atar, Alper Bitkin, Ali \u0130hsan Ta\u015f\u00e7\u0131<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>To compare prone and supine percutaneous nephrolithotomy (PNL) in obese patients with respect to efficacy and safety.<\/p>\n\n\n\nMaterial and Methods:<\/strong> Individuals with kidney stones larger than 2 cm undergoing either prone or supine position PNL were included in the study based on the World Health Organization (WHO) classification of body mass index (BMI) \u226530 kg\/m2 between January 2011 and September 2020 retrospectively. Demographic characteristics, intraoperative, postoperative data, and complications according to Modified Clavien Grading System were listed. Patients were followed for 3 months, documenting their stone-free status.<\/p>\n\n\n\nResults: <\/strong>Out of the total 156 obese patients, 74(47.4%) underwent supine PNL (group 1), and 82 (52.6%) were prone to PNL (group 2). There was no statistically significant difference between the groups concerning hemoglobin drop, the number of pelvicalyceal access, blood transfusion, length of hospital stay, complications rates, and stone-free status (p>0.05). The location of pelvicalyceal access (upper, middle, lower calyces) was significantly different (18.9%, 32.4%, 42.6% in group 1, 3.2%, 19.3%, 77.5% in group 2, respectively) (p<0.001). Mean operative times were statistically different between the groups (97.2 \u00b1 18.1 minutes in group 1, 119.5 \u00b1 18.9 minutes in group 2, respectively) (p<0.001).<\/p>\n\n\n\nConclusion: <\/strong>In the prone or supine position, PNL is a safe and effective method for managing kidney stones in obese patients. Access through the upper calyx may be favored in the supine position considering to patient\u2019s characteristics. Additionally, the supine position has the greatest advantage over the prone position due to shorter operative times.<\/p>\n\n\n\nKeywords: <\/strong>percutaneous nephrolithotomy, obese, supine, prone<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation intelligibility of urology consent forms<\/h3>\n\n\n\n
Ali Erhan Eren, Selim Ta\u015f<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we investigated the understanding of the consent forms used for invasive procedures in the urology clinic by the patients. It was evaluated which age and education groups could comprehend the consent forms used in our clinic. <\/p>\n\n\n\nMaterial and Methods:<\/strong> In this investigation, we employed two intelligibility formulas proposed by Ate\u015fman and Bezirci-Ylmaz for Turkish. In the study, 69 separate consent forms were evaluated.<\/p>\n\n\n\nResults:<\/strong> An average of 62.02 points was obtained in the study after evaluating the consent forms using the Ate\u015fman intelligibility index. This value indicates that a person with a 9 and 10th education level will be able to comprehend the text. The Bezirci-Y\u0131lmaz index yielded an average of 11.13 points when the same forms were analyzed. This value indicates that consent forms can be understood by those with a 10 and 11th grade education grade.<\/p>\n\n\n\nConclusion: <\/strong>In our study, it was found that the informed consent forms given to the patients before the operation were insufficient to be understood by the patients. Similar findings were obtained in previous studies in the literature. Each country\u2019s own health literacy and education level should be taken into account when creating informed consent forms.<\/p>\n\n\n\nKeywords: <\/strong>urology consent forms, intelligibility, urology<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation of the effectiveness of vesical imaging-reporting and data system (VI-RADS) scoring in predicting muscle invasion of bladder cancer<\/h3>\n\n\n\n
Harun \u00d6zdemir, Merve \u015eam \u00d6zdemir, Metin Savun, Emin Taha Keskin, Abd\u00fclm\u00fcttalip \u015eim\u015fek, Halil Lutfi Canat<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective:<\/strong> In this study, we aimed to investigate the accuracy of the \u201cVesical Imaging Reporting and Data System\u201d (VI-RADS) scoring system in predicting preoperative muscle invasion of bladder cancer.<\/p>\n\n\n\nMaterial and Methods: <\/strong>Patients with bladder cancer who underwent pre-operative mp-MRI between August 2020 and March 2022 were included in the study. Bladder tumors were evaluated by an experienced uroradiologist using the VI-RADS scoring system. The VI-RADS score was compared with postoperative pathology to determine muscle invasion. Sensitivity, specificity, positive predictive value (PPD), negative predictive value (NPD), and accuracy were calculated for the VI-RADS \u22653 and VI-RADS \u22654 cut-off points.<\/p>\n\n\n\nResults: <\/strong>Benign pathology (cystitis cystica in three patients, nephrogenic adenoma in one patient) was found in four of 102 patients. The remaining 98 patients were included in the study. Muscle-invasive bladder cancer was detected in 38 patients and non-muscle-invasive bladder cancer in 60 patients. When the threshold value of the VI-RADS score was taken as 3 in determining muscle invasion, sensitivity, specificity, PPD, NPD value and accuracy were calculated as 92%, 85%, 94%, 80% and 88%, respectively. However, when the threshold value of the VI-RADS score was taken as 4, sensitivity, specificity, PPD, NPD value and accuracy were found to be 82%, 95%, 89%, 91% and 90%, respectively.<\/p>\n\n\n\nConclusion: <\/strong>In conclusion, bladder mp-MRI is a successful method in the detection of muscle-invasive bladder cancer with a VI-RADS threshold value of 3 or 4, accompanied by VI-RADS criteria, and may increase the diagnostic performance.<\/p>\n\n\n\nKeywords:<\/strong> bladder cancer, MRI, urogenital cancers, VI-RADS<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nFactors predicting biochemical recurrence following robot-assisted radical prostatectomy: single-center experience<\/h3>\n\n\n\n
Ferhat Yakup Su\u00e7eken, Ey\u00fcp Veli K\u00fc\u00e7\u00fck<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we aimed to investigate factors predicting the development of biochemical recurrence (BCR) in our clinical experience with patients over a long follow-up.<\/p>\n\n\n\nMaterial and Methods: <\/strong>The data of 758 patients who underwent robot-assisted radical prostatectomy (RARP) were retrospectively reviewed. In the postoperative period, the prostate-specific antigen (PSA) value is measured as 0.2 ng\/mL and above, regarded as biochemical recurrence (BCR). The non-BCR group was regarded as Group 1, and the BCR group as Group 2.<\/p>\n\n\n\nResults: <\/strong>The mean age was similar between the two groups. The PSA values were significantly higher in the group that developed BCR (p<0.001). The biopsy Gleason score (GS), risk classification, and specimen GS were significantly higher in this group (p=0.02, p<0.001, and p<0.001, respectively). The BCR group also had statistically significantly higher positive surgical margin (PSM), extraprostatic extension (EPE), seminal vesicle invasion (SVI), and lymph node invasion rates. According to the multivariate analyses, PSA, risk classification, specimen GS, PSM, SVI, and T stage were significant parameters in the prediction of BCR.<\/p>\n\n\n\nConclusion:<\/strong> The parameters that predict the development were determined as the PSA value, risk classification, specimen GS, PSM, SVI, and T stage. The widespread adoption of commonly accepted methods will help achieve better patient management and optimize patient expectations.<\/p>\n\n\n\n
PDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n
\n\n\n\nArbitrators List<\/h3>\n\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n
\n\n\n\nContents<\/h3>\n\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nSupine versus prone percutaneous nephrolithotomy: A comparison of efficacy and safety in obese patients<\/h3>\n\n\n\n
Taner Karg\u0131, Mithat Ek\u015fi, Ubeyd Sungur, Osman \u00d6zdemir, Serdar Karada\u011f, \u0130smail Evren, Ahmet Hac\u0131islamo\u011flu, Hakan Polat, Feyzi Arda Atar, Alper Bitkin, Ali \u0130hsan Ta\u015f\u00e7\u0131<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>To compare prone and supine percutaneous nephrolithotomy (PNL) in obese patients with respect to efficacy and safety.<\/p>\n\n\n\nMaterial and Methods:<\/strong> Individuals with kidney stones larger than 2 cm undergoing either prone or supine position PNL were included in the study based on the World Health Organization (WHO) classification of body mass index (BMI) \u226530 kg\/m2 between January 2011 and September 2020 retrospectively. Demographic characteristics, intraoperative, postoperative data, and complications according to Modified Clavien Grading System were listed. Patients were followed for 3 months, documenting their stone-free status.<\/p>\n\n\n\nResults: <\/strong>Out of the total 156 obese patients, 74(47.4%) underwent supine PNL (group 1), and 82 (52.6%) were prone to PNL (group 2). There was no statistically significant difference between the groups concerning hemoglobin drop, the number of pelvicalyceal access, blood transfusion, length of hospital stay, complications rates, and stone-free status (p>0.05). The location of pelvicalyceal access (upper, middle, lower calyces) was significantly different (18.9%, 32.4%, 42.6% in group 1, 3.2%, 19.3%, 77.5% in group 2, respectively) (p<0.001). Mean operative times were statistically different between the groups (97.2 \u00b1 18.1 minutes in group 1, 119.5 \u00b1 18.9 minutes in group 2, respectively) (p<0.001).<\/p>\n\n\n\nConclusion: <\/strong>In the prone or supine position, PNL is a safe and effective method for managing kidney stones in obese patients. Access through the upper calyx may be favored in the supine position considering to patient\u2019s characteristics. Additionally, the supine position has the greatest advantage over the prone position due to shorter operative times.<\/p>\n\n\n\nKeywords: <\/strong>percutaneous nephrolithotomy, obese, supine, prone<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation intelligibility of urology consent forms<\/h3>\n\n\n\n
Ali Erhan Eren, Selim Ta\u015f<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we investigated the understanding of the consent forms used for invasive procedures in the urology clinic by the patients. It was evaluated which age and education groups could comprehend the consent forms used in our clinic. <\/p>\n\n\n\nMaterial and Methods:<\/strong> In this investigation, we employed two intelligibility formulas proposed by Ate\u015fman and Bezirci-Ylmaz for Turkish. In the study, 69 separate consent forms were evaluated.<\/p>\n\n\n\nResults:<\/strong> An average of 62.02 points was obtained in the study after evaluating the consent forms using the Ate\u015fman intelligibility index. This value indicates that a person with a 9 and 10th education level will be able to comprehend the text. The Bezirci-Y\u0131lmaz index yielded an average of 11.13 points when the same forms were analyzed. This value indicates that consent forms can be understood by those with a 10 and 11th grade education grade.<\/p>\n\n\n\nConclusion: <\/strong>In our study, it was found that the informed consent forms given to the patients before the operation were insufficient to be understood by the patients. Similar findings were obtained in previous studies in the literature. Each country\u2019s own health literacy and education level should be taken into account when creating informed consent forms.<\/p>\n\n\n\nKeywords: <\/strong>urology consent forms, intelligibility, urology<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation of the effectiveness of vesical imaging-reporting and data system (VI-RADS) scoring in predicting muscle invasion of bladder cancer<\/h3>\n\n\n\n
Harun \u00d6zdemir, Merve \u015eam \u00d6zdemir, Metin Savun, Emin Taha Keskin, Abd\u00fclm\u00fcttalip \u015eim\u015fek, Halil Lutfi Canat<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective:<\/strong> In this study, we aimed to investigate the accuracy of the \u201cVesical Imaging Reporting and Data System\u201d (VI-RADS) scoring system in predicting preoperative muscle invasion of bladder cancer.<\/p>\n\n\n\nMaterial and Methods: <\/strong>Patients with bladder cancer who underwent pre-operative mp-MRI between August 2020 and March 2022 were included in the study. Bladder tumors were evaluated by an experienced uroradiologist using the VI-RADS scoring system. The VI-RADS score was compared with postoperative pathology to determine muscle invasion. Sensitivity, specificity, positive predictive value (PPD), negative predictive value (NPD), and accuracy were calculated for the VI-RADS \u22653 and VI-RADS \u22654 cut-off points.<\/p>\n\n\n\nResults: <\/strong>Benign pathology (cystitis cystica in three patients, nephrogenic adenoma in one patient) was found in four of 102 patients. The remaining 98 patients were included in the study. Muscle-invasive bladder cancer was detected in 38 patients and non-muscle-invasive bladder cancer in 60 patients. When the threshold value of the VI-RADS score was taken as 3 in determining muscle invasion, sensitivity, specificity, PPD, NPD value and accuracy were calculated as 92%, 85%, 94%, 80% and 88%, respectively. However, when the threshold value of the VI-RADS score was taken as 4, sensitivity, specificity, PPD, NPD value and accuracy were found to be 82%, 95%, 89%, 91% and 90%, respectively.<\/p>\n\n\n\nConclusion: <\/strong>In conclusion, bladder mp-MRI is a successful method in the detection of muscle-invasive bladder cancer with a VI-RADS threshold value of 3 or 4, accompanied by VI-RADS criteria, and may increase the diagnostic performance.<\/p>\n\n\n\nKeywords:<\/strong> bladder cancer, MRI, urogenital cancers, VI-RADS<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nFactors predicting biochemical recurrence following robot-assisted radical prostatectomy: single-center experience<\/h3>\n\n\n\n
Ferhat Yakup Su\u00e7eken, Ey\u00fcp Veli K\u00fc\u00e7\u00fck<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we aimed to investigate factors predicting the development of biochemical recurrence (BCR) in our clinical experience with patients over a long follow-up.<\/p>\n\n\n\nMaterial and Methods: <\/strong>The data of 758 patients who underwent robot-assisted radical prostatectomy (RARP) were retrospectively reviewed. In the postoperative period, the prostate-specific antigen (PSA) value is measured as 0.2 ng\/mL and above, regarded as biochemical recurrence (BCR). The non-BCR group was regarded as Group 1, and the BCR group as Group 2.<\/p>\n\n\n\nResults: <\/strong>The mean age was similar between the two groups. The PSA values were significantly higher in the group that developed BCR (p<0.001). The biopsy Gleason score (GS), risk classification, and specimen GS were significantly higher in this group (p=0.02, p<0.001, and p<0.001, respectively). The BCR group also had statistically significantly higher positive surgical margin (PSM), extraprostatic extension (EPE), seminal vesicle invasion (SVI), and lymph node invasion rates. According to the multivariate analyses, PSA, risk classification, specimen GS, PSM, SVI, and T stage were significant parameters in the prediction of BCR.<\/p>\n\n\n\nConclusion:<\/strong> The parameters that predict the development were determined as the PSA value, risk classification, specimen GS, PSM, SVI, and T stage. The widespread adoption of commonly accepted methods will help achieve better patient management and optimize patient expectations.<\/p>\n\n\n\n
<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n\n\n\n\n
Arbitrators List<\/h3>\n\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n
\n\n\n\nContents<\/h3>\n\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nSupine versus prone percutaneous nephrolithotomy: A comparison of efficacy and safety in obese patients<\/h3>\n\n\n\n
Taner Karg\u0131, Mithat Ek\u015fi, Ubeyd Sungur, Osman \u00d6zdemir, Serdar Karada\u011f, \u0130smail Evren, Ahmet Hac\u0131islamo\u011flu, Hakan Polat, Feyzi Arda Atar, Alper Bitkin, Ali \u0130hsan Ta\u015f\u00e7\u0131<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>To compare prone and supine percutaneous nephrolithotomy (PNL) in obese patients with respect to efficacy and safety.<\/p>\n\n\n\nMaterial and Methods:<\/strong> Individuals with kidney stones larger than 2 cm undergoing either prone or supine position PNL were included in the study based on the World Health Organization (WHO) classification of body mass index (BMI) \u226530 kg\/m2 between January 2011 and September 2020 retrospectively. Demographic characteristics, intraoperative, postoperative data, and complications according to Modified Clavien Grading System were listed. Patients were followed for 3 months, documenting their stone-free status.<\/p>\n\n\n\nResults: <\/strong>Out of the total 156 obese patients, 74(47.4%) underwent supine PNL (group 1), and 82 (52.6%) were prone to PNL (group 2). There was no statistically significant difference between the groups concerning hemoglobin drop, the number of pelvicalyceal access, blood transfusion, length of hospital stay, complications rates, and stone-free status (p>0.05). The location of pelvicalyceal access (upper, middle, lower calyces) was significantly different (18.9%, 32.4%, 42.6% in group 1, 3.2%, 19.3%, 77.5% in group 2, respectively) (p<0.001). Mean operative times were statistically different between the groups (97.2 \u00b1 18.1 minutes in group 1, 119.5 \u00b1 18.9 minutes in group 2, respectively) (p<0.001).<\/p>\n\n\n\nConclusion: <\/strong>In the prone or supine position, PNL is a safe and effective method for managing kidney stones in obese patients. Access through the upper calyx may be favored in the supine position considering to patient\u2019s characteristics. Additionally, the supine position has the greatest advantage over the prone position due to shorter operative times.<\/p>\n\n\n\nKeywords: <\/strong>percutaneous nephrolithotomy, obese, supine, prone<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation intelligibility of urology consent forms<\/h3>\n\n\n\n
Ali Erhan Eren, Selim Ta\u015f<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we investigated the understanding of the consent forms used for invasive procedures in the urology clinic by the patients. It was evaluated which age and education groups could comprehend the consent forms used in our clinic. <\/p>\n\n\n\nMaterial and Methods:<\/strong> In this investigation, we employed two intelligibility formulas proposed by Ate\u015fman and Bezirci-Ylmaz for Turkish. In the study, 69 separate consent forms were evaluated.<\/p>\n\n\n\nResults:<\/strong> An average of 62.02 points was obtained in the study after evaluating the consent forms using the Ate\u015fman intelligibility index. This value indicates that a person with a 9 and 10th education level will be able to comprehend the text. The Bezirci-Y\u0131lmaz index yielded an average of 11.13 points when the same forms were analyzed. This value indicates that consent forms can be understood by those with a 10 and 11th grade education grade.<\/p>\n\n\n\nConclusion: <\/strong>In our study, it was found that the informed consent forms given to the patients before the operation were insufficient to be understood by the patients. Similar findings were obtained in previous studies in the literature. Each country\u2019s own health literacy and education level should be taken into account when creating informed consent forms.<\/p>\n\n\n\nKeywords: <\/strong>urology consent forms, intelligibility, urology<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation of the effectiveness of vesical imaging-reporting and data system (VI-RADS) scoring in predicting muscle invasion of bladder cancer<\/h3>\n\n\n\n
Harun \u00d6zdemir, Merve \u015eam \u00d6zdemir, Metin Savun, Emin Taha Keskin, Abd\u00fclm\u00fcttalip \u015eim\u015fek, Halil Lutfi Canat<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective:<\/strong> In this study, we aimed to investigate the accuracy of the \u201cVesical Imaging Reporting and Data System\u201d (VI-RADS) scoring system in predicting preoperative muscle invasion of bladder cancer.<\/p>\n\n\n\nMaterial and Methods: <\/strong>Patients with bladder cancer who underwent pre-operative mp-MRI between August 2020 and March 2022 were included in the study. Bladder tumors were evaluated by an experienced uroradiologist using the VI-RADS scoring system. The VI-RADS score was compared with postoperative pathology to determine muscle invasion. Sensitivity, specificity, positive predictive value (PPD), negative predictive value (NPD), and accuracy were calculated for the VI-RADS \u22653 and VI-RADS \u22654 cut-off points.<\/p>\n\n\n\nResults: <\/strong>Benign pathology (cystitis cystica in three patients, nephrogenic adenoma in one patient) was found in four of 102 patients. The remaining 98 patients were included in the study. Muscle-invasive bladder cancer was detected in 38 patients and non-muscle-invasive bladder cancer in 60 patients. When the threshold value of the VI-RADS score was taken as 3 in determining muscle invasion, sensitivity, specificity, PPD, NPD value and accuracy were calculated as 92%, 85%, 94%, 80% and 88%, respectively. However, when the threshold value of the VI-RADS score was taken as 4, sensitivity, specificity, PPD, NPD value and accuracy were found to be 82%, 95%, 89%, 91% and 90%, respectively.<\/p>\n\n\n\nConclusion: <\/strong>In conclusion, bladder mp-MRI is a successful method in the detection of muscle-invasive bladder cancer with a VI-RADS threshold value of 3 or 4, accompanied by VI-RADS criteria, and may increase the diagnostic performance.<\/p>\n\n\n\nKeywords:<\/strong> bladder cancer, MRI, urogenital cancers, VI-RADS<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nFactors predicting biochemical recurrence following robot-assisted radical prostatectomy: single-center experience<\/h3>\n\n\n\n
Ferhat Yakup Su\u00e7eken, Ey\u00fcp Veli K\u00fc\u00e7\u00fck<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we aimed to investigate factors predicting the development of biochemical recurrence (BCR) in our clinical experience with patients over a long follow-up.<\/p>\n\n\n\nMaterial and Methods: <\/strong>The data of 758 patients who underwent robot-assisted radical prostatectomy (RARP) were retrospectively reviewed. In the postoperative period, the prostate-specific antigen (PSA) value is measured as 0.2 ng\/mL and above, regarded as biochemical recurrence (BCR). The non-BCR group was regarded as Group 1, and the BCR group as Group 2.<\/p>\n\n\n\nResults: <\/strong>The mean age was similar between the two groups. The PSA values were significantly higher in the group that developed BCR (p<0.001). The biopsy Gleason score (GS), risk classification, and specimen GS were significantly higher in this group (p=0.02, p<0.001, and p<0.001, respectively). The BCR group also had statistically significantly higher positive surgical margin (PSM), extraprostatic extension (EPE), seminal vesicle invasion (SVI), and lymph node invasion rates. According to the multivariate analyses, PSA, risk classification, specimen GS, PSM, SVI, and T stage were significant parameters in the prediction of BCR.<\/p>\n\n\n\nConclusion:<\/strong> The parameters that predict the development were determined as the PSA value, risk classification, specimen GS, PSM, SVI, and T stage. The widespread adoption of commonly accepted methods will help achieve better patient management and optimize patient expectations.<\/p>\n\n\n\n
PDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n
\n\n\n\nContents<\/h3>\n\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nSupine versus prone percutaneous nephrolithotomy: A comparison of efficacy and safety in obese patients<\/h3>\n\n\n\n
Taner Karg\u0131, Mithat Ek\u015fi, Ubeyd Sungur, Osman \u00d6zdemir, Serdar Karada\u011f, \u0130smail Evren, Ahmet Hac\u0131islamo\u011flu, Hakan Polat, Feyzi Arda Atar, Alper Bitkin, Ali \u0130hsan Ta\u015f\u00e7\u0131<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>To compare prone and supine percutaneous nephrolithotomy (PNL) in obese patients with respect to efficacy and safety.<\/p>\n\n\n\nMaterial and Methods:<\/strong> Individuals with kidney stones larger than 2 cm undergoing either prone or supine position PNL were included in the study based on the World Health Organization (WHO) classification of body mass index (BMI) \u226530 kg\/m2 between January 2011 and September 2020 retrospectively. Demographic characteristics, intraoperative, postoperative data, and complications according to Modified Clavien Grading System were listed. Patients were followed for 3 months, documenting their stone-free status.<\/p>\n\n\n\nResults: <\/strong>Out of the total 156 obese patients, 74(47.4%) underwent supine PNL (group 1), and 82 (52.6%) were prone to PNL (group 2). There was no statistically significant difference between the groups concerning hemoglobin drop, the number of pelvicalyceal access, blood transfusion, length of hospital stay, complications rates, and stone-free status (p>0.05). The location of pelvicalyceal access (upper, middle, lower calyces) was significantly different (18.9%, 32.4%, 42.6% in group 1, 3.2%, 19.3%, 77.5% in group 2, respectively) (p<0.001). Mean operative times were statistically different between the groups (97.2 \u00b1 18.1 minutes in group 1, 119.5 \u00b1 18.9 minutes in group 2, respectively) (p<0.001).<\/p>\n\n\n\nConclusion: <\/strong>In the prone or supine position, PNL is a safe and effective method for managing kidney stones in obese patients. Access through the upper calyx may be favored in the supine position considering to patient\u2019s characteristics. Additionally, the supine position has the greatest advantage over the prone position due to shorter operative times.<\/p>\n\n\n\nKeywords: <\/strong>percutaneous nephrolithotomy, obese, supine, prone<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation intelligibility of urology consent forms<\/h3>\n\n\n\n
Ali Erhan Eren, Selim Ta\u015f<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we investigated the understanding of the consent forms used for invasive procedures in the urology clinic by the patients. It was evaluated which age and education groups could comprehend the consent forms used in our clinic. <\/p>\n\n\n\nMaterial and Methods:<\/strong> In this investigation, we employed two intelligibility formulas proposed by Ate\u015fman and Bezirci-Ylmaz for Turkish. In the study, 69 separate consent forms were evaluated.<\/p>\n\n\n\nResults:<\/strong> An average of 62.02 points was obtained in the study after evaluating the consent forms using the Ate\u015fman intelligibility index. This value indicates that a person with a 9 and 10th education level will be able to comprehend the text. The Bezirci-Y\u0131lmaz index yielded an average of 11.13 points when the same forms were analyzed. This value indicates that consent forms can be understood by those with a 10 and 11th grade education grade.<\/p>\n\n\n\nConclusion: <\/strong>In our study, it was found that the informed consent forms given to the patients before the operation were insufficient to be understood by the patients. Similar findings were obtained in previous studies in the literature. Each country\u2019s own health literacy and education level should be taken into account when creating informed consent forms.<\/p>\n\n\n\nKeywords: <\/strong>urology consent forms, intelligibility, urology<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation of the effectiveness of vesical imaging-reporting and data system (VI-RADS) scoring in predicting muscle invasion of bladder cancer<\/h3>\n\n\n\n
Harun \u00d6zdemir, Merve \u015eam \u00d6zdemir, Metin Savun, Emin Taha Keskin, Abd\u00fclm\u00fcttalip \u015eim\u015fek, Halil Lutfi Canat<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective:<\/strong> In this study, we aimed to investigate the accuracy of the \u201cVesical Imaging Reporting and Data System\u201d (VI-RADS) scoring system in predicting preoperative muscle invasion of bladder cancer.<\/p>\n\n\n\nMaterial and Methods: <\/strong>Patients with bladder cancer who underwent pre-operative mp-MRI between August 2020 and March 2022 were included in the study. Bladder tumors were evaluated by an experienced uroradiologist using the VI-RADS scoring system. The VI-RADS score was compared with postoperative pathology to determine muscle invasion. Sensitivity, specificity, positive predictive value (PPD), negative predictive value (NPD), and accuracy were calculated for the VI-RADS \u22653 and VI-RADS \u22654 cut-off points.<\/p>\n\n\n\nResults: <\/strong>Benign pathology (cystitis cystica in three patients, nephrogenic adenoma in one patient) was found in four of 102 patients. The remaining 98 patients were included in the study. Muscle-invasive bladder cancer was detected in 38 patients and non-muscle-invasive bladder cancer in 60 patients. When the threshold value of the VI-RADS score was taken as 3 in determining muscle invasion, sensitivity, specificity, PPD, NPD value and accuracy were calculated as 92%, 85%, 94%, 80% and 88%, respectively. However, when the threshold value of the VI-RADS score was taken as 4, sensitivity, specificity, PPD, NPD value and accuracy were found to be 82%, 95%, 89%, 91% and 90%, respectively.<\/p>\n\n\n\nConclusion: <\/strong>In conclusion, bladder mp-MRI is a successful method in the detection of muscle-invasive bladder cancer with a VI-RADS threshold value of 3 or 4, accompanied by VI-RADS criteria, and may increase the diagnostic performance.<\/p>\n\n\n\nKeywords:<\/strong> bladder cancer, MRI, urogenital cancers, VI-RADS<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nFactors predicting biochemical recurrence following robot-assisted radical prostatectomy: single-center experience<\/h3>\n\n\n\n
Ferhat Yakup Su\u00e7eken, Ey\u00fcp Veli K\u00fc\u00e7\u00fck<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we aimed to investigate factors predicting the development of biochemical recurrence (BCR) in our clinical experience with patients over a long follow-up.<\/p>\n\n\n\nMaterial and Methods: <\/strong>The data of 758 patients who underwent robot-assisted radical prostatectomy (RARP) were retrospectively reviewed. In the postoperative period, the prostate-specific antigen (PSA) value is measured as 0.2 ng\/mL and above, regarded as biochemical recurrence (BCR). The non-BCR group was regarded as Group 1, and the BCR group as Group 2.<\/p>\n\n\n\nResults: <\/strong>The mean age was similar between the two groups. The PSA values were significantly higher in the group that developed BCR (p<0.001). The biopsy Gleason score (GS), risk classification, and specimen GS were significantly higher in this group (p=0.02, p<0.001, and p<0.001, respectively). The BCR group also had statistically significantly higher positive surgical margin (PSM), extraprostatic extension (EPE), seminal vesicle invasion (SVI), and lymph node invasion rates. According to the multivariate analyses, PSA, risk classification, specimen GS, PSM, SVI, and T stage were significant parameters in the prediction of BCR.<\/p>\n\n\n\nConclusion:<\/strong> The parameters that predict the development were determined as the PSA value, risk classification, specimen GS, PSM, SVI, and T stage. The widespread adoption of commonly accepted methods will help achieve better patient management and optimize patient expectations.<\/p>\n\n\n\n
<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n\n\n\n\n
Contents<\/h3>\n\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nSupine versus prone percutaneous nephrolithotomy: A comparison of efficacy and safety in obese patients<\/h3>\n\n\n\n
Taner Karg\u0131, Mithat Ek\u015fi, Ubeyd Sungur, Osman \u00d6zdemir, Serdar Karada\u011f, \u0130smail Evren, Ahmet Hac\u0131islamo\u011flu, Hakan Polat, Feyzi Arda Atar, Alper Bitkin, Ali \u0130hsan Ta\u015f\u00e7\u0131<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>To compare prone and supine percutaneous nephrolithotomy (PNL) in obese patients with respect to efficacy and safety.<\/p>\n\n\n\nMaterial and Methods:<\/strong> Individuals with kidney stones larger than 2 cm undergoing either prone or supine position PNL were included in the study based on the World Health Organization (WHO) classification of body mass index (BMI) \u226530 kg\/m2 between January 2011 and September 2020 retrospectively. Demographic characteristics, intraoperative, postoperative data, and complications according to Modified Clavien Grading System were listed. Patients were followed for 3 months, documenting their stone-free status.<\/p>\n\n\n\nResults: <\/strong>Out of the total 156 obese patients, 74(47.4%) underwent supine PNL (group 1), and 82 (52.6%) were prone to PNL (group 2). There was no statistically significant difference between the groups concerning hemoglobin drop, the number of pelvicalyceal access, blood transfusion, length of hospital stay, complications rates, and stone-free status (p>0.05). The location of pelvicalyceal access (upper, middle, lower calyces) was significantly different (18.9%, 32.4%, 42.6% in group 1, 3.2%, 19.3%, 77.5% in group 2, respectively) (p<0.001). Mean operative times were statistically different between the groups (97.2 \u00b1 18.1 minutes in group 1, 119.5 \u00b1 18.9 minutes in group 2, respectively) (p<0.001).<\/p>\n\n\n\nConclusion: <\/strong>In the prone or supine position, PNL is a safe and effective method for managing kidney stones in obese patients. Access through the upper calyx may be favored in the supine position considering to patient\u2019s characteristics. Additionally, the supine position has the greatest advantage over the prone position due to shorter operative times.<\/p>\n\n\n\nKeywords: <\/strong>percutaneous nephrolithotomy, obese, supine, prone<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation intelligibility of urology consent forms<\/h3>\n\n\n\n
Ali Erhan Eren, Selim Ta\u015f<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we investigated the understanding of the consent forms used for invasive procedures in the urology clinic by the patients. It was evaluated which age and education groups could comprehend the consent forms used in our clinic. <\/p>\n\n\n\nMaterial and Methods:<\/strong> In this investigation, we employed two intelligibility formulas proposed by Ate\u015fman and Bezirci-Ylmaz for Turkish. In the study, 69 separate consent forms were evaluated.<\/p>\n\n\n\nResults:<\/strong> An average of 62.02 points was obtained in the study after evaluating the consent forms using the Ate\u015fman intelligibility index. This value indicates that a person with a 9 and 10th education level will be able to comprehend the text. The Bezirci-Y\u0131lmaz index yielded an average of 11.13 points when the same forms were analyzed. This value indicates that consent forms can be understood by those with a 10 and 11th grade education grade.<\/p>\n\n\n\nConclusion: <\/strong>In our study, it was found that the informed consent forms given to the patients before the operation were insufficient to be understood by the patients. Similar findings were obtained in previous studies in the literature. Each country\u2019s own health literacy and education level should be taken into account when creating informed consent forms.<\/p>\n\n\n\nKeywords: <\/strong>urology consent forms, intelligibility, urology<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation of the effectiveness of vesical imaging-reporting and data system (VI-RADS) scoring in predicting muscle invasion of bladder cancer<\/h3>\n\n\n\n
Harun \u00d6zdemir, Merve \u015eam \u00d6zdemir, Metin Savun, Emin Taha Keskin, Abd\u00fclm\u00fcttalip \u015eim\u015fek, Halil Lutfi Canat<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective:<\/strong> In this study, we aimed to investigate the accuracy of the \u201cVesical Imaging Reporting and Data System\u201d (VI-RADS) scoring system in predicting preoperative muscle invasion of bladder cancer.<\/p>\n\n\n\nMaterial and Methods: <\/strong>Patients with bladder cancer who underwent pre-operative mp-MRI between August 2020 and March 2022 were included in the study. Bladder tumors were evaluated by an experienced uroradiologist using the VI-RADS scoring system. The VI-RADS score was compared with postoperative pathology to determine muscle invasion. Sensitivity, specificity, positive predictive value (PPD), negative predictive value (NPD), and accuracy were calculated for the VI-RADS \u22653 and VI-RADS \u22654 cut-off points.<\/p>\n\n\n\nResults: <\/strong>Benign pathology (cystitis cystica in three patients, nephrogenic adenoma in one patient) was found in four of 102 patients. The remaining 98 patients were included in the study. Muscle-invasive bladder cancer was detected in 38 patients and non-muscle-invasive bladder cancer in 60 patients. When the threshold value of the VI-RADS score was taken as 3 in determining muscle invasion, sensitivity, specificity, PPD, NPD value and accuracy were calculated as 92%, 85%, 94%, 80% and 88%, respectively. However, when the threshold value of the VI-RADS score was taken as 4, sensitivity, specificity, PPD, NPD value and accuracy were found to be 82%, 95%, 89%, 91% and 90%, respectively.<\/p>\n\n\n\nConclusion: <\/strong>In conclusion, bladder mp-MRI is a successful method in the detection of muscle-invasive bladder cancer with a VI-RADS threshold value of 3 or 4, accompanied by VI-RADS criteria, and may increase the diagnostic performance.<\/p>\n\n\n\nKeywords:<\/strong> bladder cancer, MRI, urogenital cancers, VI-RADS<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nFactors predicting biochemical recurrence following robot-assisted radical prostatectomy: single-center experience<\/h3>\n\n\n\n
Ferhat Yakup Su\u00e7eken, Ey\u00fcp Veli K\u00fc\u00e7\u00fck<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we aimed to investigate factors predicting the development of biochemical recurrence (BCR) in our clinical experience with patients over a long follow-up.<\/p>\n\n\n\nMaterial and Methods: <\/strong>The data of 758 patients who underwent robot-assisted radical prostatectomy (RARP) were retrospectively reviewed. In the postoperative period, the prostate-specific antigen (PSA) value is measured as 0.2 ng\/mL and above, regarded as biochemical recurrence (BCR). The non-BCR group was regarded as Group 1, and the BCR group as Group 2.<\/p>\n\n\n\nResults: <\/strong>The mean age was similar between the two groups. The PSA values were significantly higher in the group that developed BCR (p<0.001). The biopsy Gleason score (GS), risk classification, and specimen GS were significantly higher in this group (p=0.02, p<0.001, and p<0.001, respectively). The BCR group also had statistically significantly higher positive surgical margin (PSM), extraprostatic extension (EPE), seminal vesicle invasion (SVI), and lymph node invasion rates. According to the multivariate analyses, PSA, risk classification, specimen GS, PSM, SVI, and T stage were significant parameters in the prediction of BCR.<\/p>\n\n\n\nConclusion:<\/strong> The parameters that predict the development were determined as the PSA value, risk classification, specimen GS, PSM, SVI, and T stage. The widespread adoption of commonly accepted methods will help achieve better patient management and optimize patient expectations.<\/p>\n\n\n\n
PDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nSupine versus prone percutaneous nephrolithotomy: A comparison of efficacy and safety in obese patients<\/h3>\n\n\n\n
Taner Karg\u0131, Mithat Ek\u015fi, Ubeyd Sungur, Osman \u00d6zdemir, Serdar Karada\u011f, \u0130smail Evren, Ahmet Hac\u0131islamo\u011flu, Hakan Polat, Feyzi Arda Atar, Alper Bitkin, Ali \u0130hsan Ta\u015f\u00e7\u0131<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>To compare prone and supine percutaneous nephrolithotomy (PNL) in obese patients with respect to efficacy and safety.<\/p>\n\n\n\nMaterial and Methods:<\/strong> Individuals with kidney stones larger than 2 cm undergoing either prone or supine position PNL were included in the study based on the World Health Organization (WHO) classification of body mass index (BMI) \u226530 kg\/m2 between January 2011 and September 2020 retrospectively. Demographic characteristics, intraoperative, postoperative data, and complications according to Modified Clavien Grading System were listed. Patients were followed for 3 months, documenting their stone-free status.<\/p>\n\n\n\nResults: <\/strong>Out of the total 156 obese patients, 74(47.4%) underwent supine PNL (group 1), and 82 (52.6%) were prone to PNL (group 2). There was no statistically significant difference between the groups concerning hemoglobin drop, the number of pelvicalyceal access, blood transfusion, length of hospital stay, complications rates, and stone-free status (p>0.05). The location of pelvicalyceal access (upper, middle, lower calyces) was significantly different (18.9%, 32.4%, 42.6% in group 1, 3.2%, 19.3%, 77.5% in group 2, respectively) (p<0.001). Mean operative times were statistically different between the groups (97.2 \u00b1 18.1 minutes in group 1, 119.5 \u00b1 18.9 minutes in group 2, respectively) (p<0.001).<\/p>\n\n\n\nConclusion: <\/strong>In the prone or supine position, PNL is a safe and effective method for managing kidney stones in obese patients. Access through the upper calyx may be favored in the supine position considering to patient\u2019s characteristics. Additionally, the supine position has the greatest advantage over the prone position due to shorter operative times.<\/p>\n\n\n\nKeywords: <\/strong>percutaneous nephrolithotomy, obese, supine, prone<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation intelligibility of urology consent forms<\/h3>\n\n\n\n
Ali Erhan Eren, Selim Ta\u015f<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we investigated the understanding of the consent forms used for invasive procedures in the urology clinic by the patients. It was evaluated which age and education groups could comprehend the consent forms used in our clinic. <\/p>\n\n\n\nMaterial and Methods:<\/strong> In this investigation, we employed two intelligibility formulas proposed by Ate\u015fman and Bezirci-Ylmaz for Turkish. In the study, 69 separate consent forms were evaluated.<\/p>\n\n\n\nResults:<\/strong> An average of 62.02 points was obtained in the study after evaluating the consent forms using the Ate\u015fman intelligibility index. This value indicates that a person with a 9 and 10th education level will be able to comprehend the text. The Bezirci-Y\u0131lmaz index yielded an average of 11.13 points when the same forms were analyzed. This value indicates that consent forms can be understood by those with a 10 and 11th grade education grade.<\/p>\n\n\n\nConclusion: <\/strong>In our study, it was found that the informed consent forms given to the patients before the operation were insufficient to be understood by the patients. Similar findings were obtained in previous studies in the literature. Each country\u2019s own health literacy and education level should be taken into account when creating informed consent forms.<\/p>\n\n\n\nKeywords: <\/strong>urology consent forms, intelligibility, urology<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nEvaluation of the effectiveness of vesical imaging-reporting and data system (VI-RADS) scoring in predicting muscle invasion of bladder cancer<\/h3>\n\n\n\n
Harun \u00d6zdemir, Merve \u015eam \u00d6zdemir, Metin Savun, Emin Taha Keskin, Abd\u00fclm\u00fcttalip \u015eim\u015fek, Halil Lutfi Canat<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective:<\/strong> In this study, we aimed to investigate the accuracy of the \u201cVesical Imaging Reporting and Data System\u201d (VI-RADS) scoring system in predicting preoperative muscle invasion of bladder cancer.<\/p>\n\n\n\nMaterial and Methods: <\/strong>Patients with bladder cancer who underwent pre-operative mp-MRI between August 2020 and March 2022 were included in the study. Bladder tumors were evaluated by an experienced uroradiologist using the VI-RADS scoring system. The VI-RADS score was compared with postoperative pathology to determine muscle invasion. Sensitivity, specificity, positive predictive value (PPD), negative predictive value (NPD), and accuracy were calculated for the VI-RADS \u22653 and VI-RADS \u22654 cut-off points.<\/p>\n\n\n\nResults: <\/strong>Benign pathology (cystitis cystica in three patients, nephrogenic adenoma in one patient) was found in four of 102 patients. The remaining 98 patients were included in the study. Muscle-invasive bladder cancer was detected in 38 patients and non-muscle-invasive bladder cancer in 60 patients. When the threshold value of the VI-RADS score was taken as 3 in determining muscle invasion, sensitivity, specificity, PPD, NPD value and accuracy were calculated as 92%, 85%, 94%, 80% and 88%, respectively. However, when the threshold value of the VI-RADS score was taken as 4, sensitivity, specificity, PPD, NPD value and accuracy were found to be 82%, 95%, 89%, 91% and 90%, respectively.<\/p>\n\n\n\nConclusion: <\/strong>In conclusion, bladder mp-MRI is a successful method in the detection of muscle-invasive bladder cancer with a VI-RADS threshold value of 3 or 4, accompanied by VI-RADS criteria, and may increase the diagnostic performance.<\/p>\n\n\n\nKeywords:<\/strong> bladder cancer, MRI, urogenital cancers, VI-RADS<\/p>\n\n<\/div><\/details><\/div>\n\nPDF<\/span><\/summary>\n\n<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n\nOriginal Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\nFactors predicting biochemical recurrence following robot-assisted radical prostatectomy: single-center experience<\/h3>\n\n\n\n
Ferhat Yakup Su\u00e7eken, Ey\u00fcp Veli K\u00fc\u00e7\u00fck<\/p>\n\n\n
Abstract<\/span><\/summary>\n\nObjective: <\/strong>In this study, we aimed to investigate factors predicting the development of biochemical recurrence (BCR) in our clinical experience with patients over a long follow-up.<\/p>\n\n\n\nMaterial and Methods: <\/strong>The data of 758 patients who underwent robot-assisted radical prostatectomy (RARP) were retrospectively reviewed. In the postoperative period, the prostate-specific antigen (PSA) value is measured as 0.2 ng\/mL and above, regarded as biochemical recurrence (BCR). The non-BCR group was regarded as Group 1, and the BCR group as Group 2.<\/p>\n\n\n\nResults: <\/strong>The mean age was similar between the two groups. The PSA values were significantly higher in the group that developed BCR (p<0.001). The biopsy Gleason score (GS), risk classification, and specimen GS were significantly higher in this group (p=0.02, p<0.001, and p<0.001, respectively). The BCR group also had statistically significantly higher positive surgical margin (PSM), extraprostatic extension (EPE), seminal vesicle invasion (SVI), and lymph node invasion rates. According to the multivariate analyses, PSA, risk classification, specimen GS, PSM, SVI, and T stage were significant parameters in the prediction of BCR.<\/p>\n\n\n\nConclusion:<\/strong> The parameters that predict the development were determined as the PSA value, risk classification, specimen GS, PSM, SVI, and T stage. The widespread adoption of commonly accepted methods will help achieve better patient management and optimize patient expectations.<\/p>\n\n\n\n
<\/a><\/figure>\n\n<\/div><\/details><\/div>\n\n\n\n\n\n\n
Original Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n Taner Karg\u0131, Mithat Ek\u015fi, Ubeyd Sungur, Osman \u00d6zdemir, Serdar Karada\u011f, \u0130smail Evren, Ahmet Hac\u0131islamo\u011flu, Hakan Polat, Feyzi Arda Atar, Alper Bitkin, Ali \u0130hsan Ta\u015f\u00e7\u0131<\/p>\n\n\n Objective: <\/strong>To compare prone and supine percutaneous nephrolithotomy (PNL) in obese patients with respect to efficacy and safety.<\/p>\n\n\n\n Material and Methods:<\/strong> Individuals with kidney stones larger than 2 cm undergoing either prone or supine position PNL were included in the study based on the World Health Organization (WHO) classification of body mass index (BMI) \u226530 kg\/m2 between January 2011 and September 2020 retrospectively. Demographic characteristics, intraoperative, postoperative data, and complications according to Modified Clavien Grading System were listed. Patients were followed for 3 months, documenting their stone-free status.<\/p>\n\n\n\n Results: <\/strong>Out of the total 156 obese patients, 74(47.4%) underwent supine PNL (group 1), and 82 (52.6%) were prone to PNL (group 2). There was no statistically significant difference between the groups concerning hemoglobin drop, the number of pelvicalyceal access, blood transfusion, length of hospital stay, complications rates, and stone-free status (p>0.05). The location of pelvicalyceal access (upper, middle, lower calyces) was significantly different (18.9%, 32.4%, 42.6% in group 1, 3.2%, 19.3%, 77.5% in group 2, respectively) (p<0.001). Mean operative times were statistically different between the groups (97.2 \u00b1 18.1 minutes in group 1, 119.5 \u00b1 18.9 minutes in group 2, respectively) (p<0.001).<\/p>\n\n\n\n Conclusion: <\/strong>In the prone or supine position, PNL is a safe and effective method for managing kidney stones in obese patients. Access through the upper calyx may be favored in the supine position considering to patient\u2019s characteristics. Additionally, the supine position has the greatest advantage over the prone position due to shorter operative times.<\/p>\n\n\n\n Keywords: <\/strong>percutaneous nephrolithotomy, obese, supine, prone<\/p>\n\n<\/div><\/details><\/div>\n\n Original Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n Ali Erhan Eren, Selim Ta\u015f<\/p>\n\n\n Objective: <\/strong>In this study, we investigated the understanding of the consent forms used for invasive procedures in the urology clinic by the patients. It was evaluated which age and education groups could comprehend the consent forms used in our clinic. <\/p>\n\n\n\n Material and Methods:<\/strong> In this investigation, we employed two intelligibility formulas proposed by Ate\u015fman and Bezirci-Ylmaz for Turkish. In the study, 69 separate consent forms were evaluated.<\/p>\n\n\n\n Results:<\/strong> An average of 62.02 points was obtained in the study after evaluating the consent forms using the Ate\u015fman intelligibility index. This value indicates that a person with a 9 and 10th education level will be able to comprehend the text. The Bezirci-Y\u0131lmaz index yielded an average of 11.13 points when the same forms were analyzed. This value indicates that consent forms can be understood by those with a 10 and 11th grade education grade.<\/p>\n\n\n\n Conclusion: <\/strong>In our study, it was found that the informed consent forms given to the patients before the operation were insufficient to be understood by the patients. Similar findings were obtained in previous studies in the literature. Each country\u2019s own health literacy and education level should be taken into account when creating informed consent forms.<\/p>\n\n\n\n Keywords: <\/strong>urology consent forms, intelligibility, urology<\/p>\n\n<\/div><\/details><\/div>\n\n Original Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n Harun \u00d6zdemir, Merve \u015eam \u00d6zdemir, Metin Savun, Emin Taha Keskin, Abd\u00fclm\u00fcttalip \u015eim\u015fek, Halil Lutfi Canat<\/p>\n\n\n Objective:<\/strong> In this study, we aimed to investigate the accuracy of the \u201cVesical Imaging Reporting and Data System\u201d (VI-RADS) scoring system in predicting preoperative muscle invasion of bladder cancer.<\/p>\n\n\n\n Material and Methods: <\/strong>Patients with bladder cancer who underwent pre-operative mp-MRI between August 2020 and March 2022 were included in the study. Bladder tumors were evaluated by an experienced uroradiologist using the VI-RADS scoring system. The VI-RADS score was compared with postoperative pathology to determine muscle invasion. Sensitivity, specificity, positive predictive value (PPD), negative predictive value (NPD), and accuracy were calculated for the VI-RADS \u22653 and VI-RADS \u22654 cut-off points.<\/p>\n\n\n\n Results: <\/strong>Benign pathology (cystitis cystica in three patients, nephrogenic adenoma in one patient) was found in four of 102 patients. The remaining 98 patients were included in the study. Muscle-invasive bladder cancer was detected in 38 patients and non-muscle-invasive bladder cancer in 60 patients. When the threshold value of the VI-RADS score was taken as 3 in determining muscle invasion, sensitivity, specificity, PPD, NPD value and accuracy were calculated as 92%, 85%, 94%, 80% and 88%, respectively. However, when the threshold value of the VI-RADS score was taken as 4, sensitivity, specificity, PPD, NPD value and accuracy were found to be 82%, 95%, 89%, 91% and 90%, respectively.<\/p>\n\n\n\n Conclusion: <\/strong>In conclusion, bladder mp-MRI is a successful method in the detection of muscle-invasive bladder cancer with a VI-RADS threshold value of 3 or 4, accompanied by VI-RADS criteria, and may increase the diagnostic performance.<\/p>\n\n\n\n Keywords:<\/strong> bladder cancer, MRI, urogenital cancers, VI-RADS<\/p>\n\n<\/div><\/details><\/div>\n\n Original Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n Ferhat Yakup Su\u00e7eken, Ey\u00fcp Veli K\u00fc\u00e7\u00fck<\/p>\n\n\n Objective: <\/strong>In this study, we aimed to investigate factors predicting the development of biochemical recurrence (BCR) in our clinical experience with patients over a long follow-up.<\/p>\n\n\n\n Material and Methods: <\/strong>The data of 758 patients who underwent robot-assisted radical prostatectomy (RARP) were retrospectively reviewed. In the postoperative period, the prostate-specific antigen (PSA) value is measured as 0.2 ng\/mL and above, regarded as biochemical recurrence (BCR). The non-BCR group was regarded as Group 1, and the BCR group as Group 2.<\/p>\n\n\n\n Results: <\/strong>The mean age was similar between the two groups. The PSA values were significantly higher in the group that developed BCR (p<0.001). The biopsy Gleason score (GS), risk classification, and specimen GS were significantly higher in this group (p=0.02, p<0.001, and p<0.001, respectively). The BCR group also had statistically significantly higher positive surgical margin (PSM), extraprostatic extension (EPE), seminal vesicle invasion (SVI), and lymph node invasion rates. According to the multivariate analyses, PSA, risk classification, specimen GS, PSM, SVI, and T stage were significant parameters in the prediction of BCR.<\/p>\n\n\n\n Conclusion:<\/strong> The parameters that predict the development were determined as the PSA value, risk classification, specimen GS, PSM, SVI, and T stage. The widespread adoption of commonly accepted methods will help achieve better patient management and optimize patient expectations.<\/p>\n\n\n\nSupine versus prone percutaneous nephrolithotomy: A comparison of efficacy and safety in obese patients<\/h3>\n\n\n\n
Abstract<\/span><\/summary>
PDF<\/span><\/summary>
<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\nEvaluation intelligibility of urology consent forms<\/h3>\n\n\n\n
Abstract<\/span><\/summary>
PDF<\/span><\/summary>
<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\n
\n\n\n\nEvaluation of the effectiveness of vesical imaging-reporting and data system (VI-RADS) scoring in predicting muscle invasion of bladder cancer<\/h3>\n\n\n\n
Abstract<\/span><\/summary>
PDF<\/span><\/summary>
<\/a><\/figure>\n\n<\/div><\/details><\/div><\/div><\/div>\n\n\n\nFactors predicting biochemical recurrence following robot-assisted radical prostatectomy: single-center experience<\/h3>\n\n\n\n
Abstract<\/span><\/summary>