{"id":1958,"date":"2026-07-03T13:17:17","date_gmt":"2026-07-03T13:17:17","guid":{"rendered":"https:\/\/endourolojibulteni.com\/en\/?p=1958"},"modified":"2026-07-03T13:17:17","modified_gmt":"2026-07-03T13:17:17","slug":"vol-18-issue-2","status":"publish","type":"post","link":"https:\/\/endourolojibulteni.com\/en\/vol-18-issue-2\/","title":{"rendered":"Vol 18 Issue 2"},"content":{"rendered":"\n

Editorial Board Message<\/h3>\n\n\n\n

Prof.Dr. R. G\u00f6khan ATI\u015e<\/p>\n\n\n

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Editorial Borad<\/h3>\n\n\n
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Arbitrators List<\/h3>\n\n\n
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Contents<\/h3>\n\n\n
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Original Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n

Awareness of Urologists Regarding Partner Education Following Penile
Prosthesis Implantation<\/h3>\n\n\n\n

Ali Erhan Eren, Baran Arslan, Mehmet Re\u015fat \u0130nal, Eren Erdi Aksaray, Mehmet Salih Bo\u011fa, Ekrem \u0130slamo\u011flu<\/p>\n\n\n

Abstract<\/span><\/summary>
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Objective:<\/strong> This multicenter study aimed to evaluate postoperative partner education practices among Turkish urologists performing penile prosthesis implantation (PPI) and to assess their attitudes toward combined device training and sexual counseling.<\/p>\n\n\n\n

Material <\/strong>and <\/strong>Methods:<\/strong> A cross-sectional electronic survey was distributed to 164 urologists across the seven geographical regions of T\u00fcrkiye, with 84 responses obtained (response rate: 51.2%). The 10-item questionnaire assessed: (i) demographic and procedural characteristics, (ii) current partner education practices, and (iii) discrepancies between beliefs and practices (using 5-point Likert scales).<\/p>\n\n\n\n

Results:<\/strong> The mean professional experience was 16 years (range: 2\u201335 years). Significant belief\u2013practice gaps were identified: Device training was considered necessary by 81% of respondents but implemented by only 31% (50.6-point gap), while sexual counseling was considered necessary by 83% but implemented by only 19% (64-point gap). Significant associations were observed for device training (OR = 2.1) and sexual counseling (OR = 3.4). Senior surgeons (>10 years of experience) were 3.2 times more likely to prioritize partner education (OR = 3.2, 95% CI: 1.8\u20135.7).<\/p>\n\n\n\n

Conclusion:<\/strong> Although 72% of urologists endorsed partner education as \u201cessential\u201d substantial barriers to implementation remain. Particularly in sexual counseling, only 15% had received formal training. Institutional protocols and standardized training programs are urgently needed to bridge these gaps in postoperative PPI care.<\/p>\n\n\n\n

Keywords:<\/strong> belief-practice gap, partner education, patient satisfaction, penile prosthesis, sexual counseling, surgical aftercare<\/p>\n\n<\/div><\/details><\/div>\n\n

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Original Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n

Occupational Health and Safety in Urological Surgeries: A Comparison of the Performance of Artificial Intelligence-Based Large Language Models (ChatGPT, Gemini, Perplexity, DeepSeek)<\/h3>\n\n\n\n

\u015eeyma Demir, Murat Demir<\/p>\n\n\n

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Objective:<\/strong> This study aims to comparatively evaluate the knowledge level, guideline compliance, scope, and consistency of responses provided by artificial intelligence-based large language models (ChatGPT, Gemini, Perplexity, DeepSeek) to questions related to occupational health and safety (OHS) in urological surgeries.<\/p>\n\n\n\n

Materials <\/strong>and <\/strong>Methods:<\/strong> Based on the literature and international guidelines (EAU, WHO, OSHA, etc.), 10 standardized questions covering biological, chemical, physical, ergonomic, environmental, and psychosocial risks were developed. These questions were presented to four different models on the same day and in the same format. The responses were blindly evaluated by three independent experts using DISCERN and Global Quality Score (GQS) criteria. Statistical analyses were performed using ANOVA\/Kruskal\u2013Wallis tests and Fleiss\u2019 kappa.<\/p>\n\n\n\n

Results:<\/strong> ChatGPT and Gemini achieved the highest performance in both DISCERN and GQS scores. Perplexity demonstrated moderate performance, while DeepSeek showed the lowest quality and consistency. ChatGPT scored significantly higher than Perplexity and DeepSeek (p<0.01), and Gemini was also significantly superior to Perplexity and DeepSeek (p<0.05). No significant difference was found between ChatGPT and Gemini.<\/p>\n\n\n\n

Conclusion: <\/strong>AI-based large language models can provide supportive information on OHS in urological surgeries; however, there are notable quality differences among models. While ChatGPT and Gemini deliver more reliable and comprehensive content, the limitations of Perplexity and especially DeepSeek are evident. Therefore, AI tools should not be used as standalone decision-makers in clinical practice but should be supported by expert oversight and guideline-based validation.<\/p>\n\n\n\n

Keywords:<\/strong> artificial intelligence, ChatGPT, DeepSeek, Gemini, large language model, occupational health and safety, Perplexity, urological surgery<\/p>\n\n<\/div><\/details><\/div>\n\n

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Original Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n

Robot-Assisted Laparoscopic Pyeloplasty in Adult Ureteropelvic Junction Obstruction: Our Experience and Selective Near-Infrared Fluorescence Navigation<\/h3>\n\n\n\n

\u0130brahim Can Aykanat, \u015eevval Kanl\u0131 Me\u015fe, Tayfun Oktar, Yakup Kordan, Abdullah Erdem Canda<\/p>\n\n\n

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Objective: <\/strong>To evaluate the feasibility, perioperative outcomes, and short- to mid-term success of robot-assisted laparoscopic pyeloplasty (RALP) in adult patients with ureteropelvic junction (UPJ) obstruction.<\/p>\n\n\n\n

Materials <\/strong>and <\/strong>Methods:<\/strong> Adult patients who underwent RALP for primary UPJ obstruction at a single center between January 2019 and June 2025 were retrospectively analyzed. The diagnosis was functionally confirmed by evaluating drainage parameters (T\u00bd) on diuretic renography (DTPA or MAG-3), following the demonstration of anatomical findings consistent with ureteropelvic junction obstruction on CT or MR urography. All cases underwent transperitoneal RALP using the Anderson\u2013Hynes technique. In selected cases, intravenous indocyanine green (ICG) with near-infrared fluorescence (NIRF) was used for vascular\/perfusion assessment. Demographic, operative, and follow-up data were recorded.<\/p>\n\n\n\n

Results:<\/strong> Eighteen patients were included (age 38.9 \u00b1 15.9 years; female\/male = 9\/9). Obstruction was right-sided in 8 and left-sided in 10; 12 patients were symptomatic and 6 were diagnosed incidentally. A crossing aberrant vessel was identified in 7 patients; intraoperative ICG was used in 6. Mean operative time was 135.3 \u00b1 20.0 min (console 105.6 \u00b1 15.5), anastomosis time 18.2 \u00b1 3.4 min, estimated blood loss 24.2 \u00b1 9.6 mL, and length of stay 3.4 \u00b1 0.9 days. No statistically significant differences were observed between ICG-assisted and non-ICG patients in terms of operative time, length of hospital stay, or functional improvement. No conversions or transfusions were required; no Clavien\u2013Dindo \u2265II complications occurred. The Foley catheter was removed on postoperative day 1 and the drain on day 2. Over a mean follow-up of 30.6 \u00b1 21.4 months, postoperative T\u00bd values decreased to below 20 minutes in all patients, and no recurrence or need for re-intervention was observed.<\/p>\n\n\n\n

Conclusions:<\/strong> RALP is a safe, effective, and highly feasible option for primary UPJ obstruction in adults. Low morbidity, absence of conversion, and consistent functional\/anatomic improvement support its clinical value when performed by experienced teams with appropriate patient selection. Selective use of NIRF-ICG may aid intraoperative decision-making\u2014particularly for vascular anatomy and anastomosis\/perfusion assessment\u2014and potentially enhance procedural safety.<\/p>\n\n\n\n

Keywords:<\/strong> adults, indocyanine green, minimally invasive surgery, robotic pyeloplasty, ureteropelvic junction obstruction<\/p>\n\n<\/div><\/details><\/div>\n\n

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Original Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n

Impact of pT1a\u2013pT1b Substaging on Recurrence and Progression in High-Grade T1 Bladder Cancer<\/h3>\n\n\n\n

M\u00fccahit Gelmi\u015f, Ali Ayten, Mehmet \u00d6zalevli, Hakan Ceylan, Kanan Maharramov, Burak Arslan, Sibel Bekta\u015f<\/p>\n\n\n

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Objective:<\/strong> To evaluate the prognostic impact of pT1a\u2013pT1b substaging on recurrence and progression in patients with high-grade T1 bladder cancer and to determine whether substaging serves as an independent predictor when assessed alongside established clinical and pathological risk factors.<\/p>\n\n\n\n

Materials <\/strong>and <\/strong>Methods:<\/strong> This retrospective, single-center cohort study included patients diagnosed with high-grade pT1 urothelial carcinoma who underwent transurethral resection of a bladder tumor (TURBT) between January 2017 and March 2025. Cases with \u2265pT2 disease, other malignancies, the Bacillus Calmette-Gu\u00e9rin (BCG) contraindications, treatment non-compliance, incomplete follow-up, or trigonal tumors with unreliable muscularis mucosa assessment were excluded. Demographic, clinical, pathological, and follow-up data were extracted from institutional records. Recurrence and progression were defined according to standard criteria. Substaging was performed by experienced uropathologists. Survival outcomes were analyzed using the Kaplan\u2013Meier method, and independent predictors were identified by multivariate Cox regression.<\/p>\n\n\n\n

Results: <\/strong>Of 152 patients, 110 (72.4%) were classified as pT1a and 42 (27.6%) as pT1b. Carcinoma in situ (CIS) and tumor size \u22653 cm were significantly more frequent in pT1b cases. In multivariate analysis, CIS and tumor size \u22653 cm were independent predictors of both recurrence and progression. Although pT1b substaging was associated with worse recurrence-free survival on Kaplan\u2013Meier analysis, it was not an independent predictor of recurrence in the Cox model; however, it independently predicted progression (HR=3.38). Kaplan\u2013Meier analyses also demonstrated significantly worse progression-free survival in the pT1b group.<\/p>\n\n\n\n

Conclusion:<\/strong> pT1 substaging, particularly the identification of pT1b disease, provides meaningful prognostic information for progression in high-grade T1 bladder cancer. Integrating substaging with key pathological factors such as CIS and tumor size may improve individualized risk stratification and support early risk-adapted treatment decisions.<\/p>\n\n\n\n

Keywords:<\/strong>bladder cancer, carcinoma in situ, progression, pT1 substaging, recurrence<\/p>\n\n<\/div><\/details><\/div>\n\n

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Original Article<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n

An Investigation into the Daily Preferences and Individual Experiences of Urologists Performing Endoscopic Prostate Surgery<\/h3>\n\n\n\n

Muhammet \u00c7i\u00e7ek, Ayberk Iplik\u00e7i, R\u0131dvan Kayar, Emrah K\u0131z\u0131lay, \u0130lkin Hamid-zada, Ender Akdemir<\/p>\n\n\n

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Objective: <\/strong>This study aimed to evaluate contemporary practice patterns, surgical preferences, and perioperative management strategies among urologists performing endoscopic prostate surgery for benign prostatic hyperplasia (BPH) in T\u00fcrkiye.<\/p>\n\n\n\n

Materials <\/strong>and <\/strong>Methods:<\/strong> A cross-sectional, nationwide survey was conducted using a structured online questionnaire distributed to practicing urologists who perform endoscopic prostate surgery. The survey assessed demographic characteristics, surgical experience, preferred endoscopic techniques, postoperative catheter management, use of intraoperative voiding tests, and antibiotic prophylaxis practices. Data were analyzed using descriptive statistics.<\/p>\n\n\n\n

Results:<\/strong> A total of 112 urologists completed the survey. Transurethral resection of the prostate (TURP) constituted the majority of BPH surgeries for most respondents, with 57.1% reporting that TURP accounted for 76\u2013100% of their procedures. Bipolar TURP was the preferred energy source in 81.2% of cases. Postoperative catheter removal was most commonly performed at 48\u201372 hours (61.6%), whereas only 0.9% preferred removal within 24 hours. Intraoperative voiding tests were routinely performed by 86.6% of respondents, and 64.3% considered them predictive of postoperative success. Nearly half of participants (48.2%) reported extending antibiotic prophylaxis beyond a single preoperative dose.<\/p>\n\n\n\n

Conclusions:<\/strong> Endoscopic prostate surgery practices in T\u00fcrkiye demonstrate substantial variability, particularly regarding catheter management, antibiotic use, and intraoperative voiding assessment. While bipolar TURP remains the dominant modality, discrepancies between evidence-based recommendations and real-world practice highlight the need for further research and potential standardization of perioperative care.<\/p>\n\n\n\n

Keywords:<\/strong> lower urinary tract symptoms, prostatic hyperplasia, transurethral prostatectomy<\/p>\n\n<\/div><\/details><\/div>\n\n

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Case Report<\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n

Ileal Ureteral Transposition in Iatrogenic Ureteral Injuries: A Report of 5 Cases and Systematic Review of the Literature<\/h3>\n\n\n\n

Giray Ergin, Hikmat Jabrayilov, Jeyhun Hasanov, Mustafa K\u0131ra\u00e7, Mehmet L\u00fctf\u00fc Tahmaz, Yusuf Kibar<\/p>\n\n\n

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Ileal ureteral transposition is an effective surgical option for selected cases of iatrogenic complete ureteral injuries where primary repair or simpler reconstructive techniques are precluded. In the 3-month follow-up of five patients who underwent this procedure between 2017 and 2023, all patients maintained good function of both the ileal segment and the kidney. No vesico-ureteral reflux or major complications were observed. When performed with proper technique, this procedure is highly effective.<\/p>\n\n\n\n

Keywords:<\/strong> ileum, intraoperativecomplications, reconstructivesurgicalprocedures, ureteraldiseases, ureterorenoscopy<\/p>\n\n<\/div><\/details><\/div>\n\n

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<\/p>\n","protected":false},"excerpt":{"rendered":"

Editorial Board Message Prof.Dr. R. G\u00f6khan ATI\u015e Editorial Borad Arbitrators List Contents Original Article Awareness of Urologists Regarding Partner Education Following PenileProsthesis Implantation Ali Erhan Eren, Baran Arslan, Mehmet Re\u015fat \u0130nal, Eren Erdi Aksaray, Mehmet Salih Bo\u011fa, Ekrem \u0130slamo\u011flu Original Article Occupational Health and Safety in Urological Surgeries: A Comparison of the Performance of Artificial […]<\/p>\n","protected":false},"author":1,"featured_media":1927,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,2,8],"tags":[],"class_list":["post-1958","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-archive","category-endourology-bulletin","category-home-page"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/posts\/1958","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/comments?post=1958"}],"version-history":[{"count":13,"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/posts\/1958\/revisions"}],"predecessor-version":[{"id":1971,"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/posts\/1958\/revisions\/1971"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/media\/1927"}],"wp:attachment":[{"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/media?parent=1958"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/categories?post=1958"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endourolojibulteni.com\/en\/wp-json\/wp\/v2\/tags?post=1958"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}