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    Can Frequency of Nocturnal Enuresis in Bladder Diary Predict the Efficacy of Urotherapy?
    (Derman Medical Publ, 2015) Yazıcı, Cenk Murat; Doğan, Çağrı; Nalbantoğlu, Burçin; Malkoç, Ercan
    Aim: Nocturnal enuresis is one of the most common urinary system disorders of childhood. Urotherapy(behavioral therapy) is the primary method for treatment of nocturnal enuresis. In this study, we aimed to evaluate the efficacy of nocturnal enuresis frequency during 3 days bladder diary for estimating the success of urotherapy. Material and Method: Patients with monosymptomatic nocturnal enuresis in an age group of 5 to 18 years were prospectively included to study. They were given a 3 days bladder diary and re-evaluated 1 week later and urotherapy strategies were told to both patients and parents. They were evaluated after 3 months later and success rate of urotherapy was compared with the nocturnal enuresis frequency in 3 days bladder diary. Results: A total of 66 patients were evaluated. There were 26(39.4%) patients with nocturnal enuresis in >3 nights/ week and 40(60.6%) patients with nocturnal enuresis in every night. At the end of the third month of urotherapy, 50(75.7%) patients had >%50 decrease in clinical nocturnal enuresis frequency, whereas 16(24.3%) had no clinical improvement. Among the patients who did not have enuresis during bladder diary, 21(91.3%) had improvement with urotherapy. All of the patients with 1 day nocturnal enuresis in bladder diary had improved by conservative strategies, whereas 53.3% with 2 days enuresis and 22.2% with 3 days enuresis was able to improve by urotherapy. Discussions: We observed a direct relation between nocturnal enuresis frequency in bladder diary and urotherapy success. Clinician may predict urotherapy success by an attentive bladder diary evaluation.
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    Preculture Antiseptic Cleaning in Women Patients; is it a Myth or a Scientific Fact?
    (Derman Medical Publ, 2014) Yazıcı, Cenk Murat; Gülen, Dumrul; Doğan, Çağrı; Kaya, Ayşe Demet; Malkoç, Ercan
    Aim: Urine culture is one of the most common labaratory test in urology clinics. Contamination of urine cultures is a challenging problem that causes extra efforts for both clinical and economical aspects. Perineal antiseptic cleaning was thought to be an effective method to reduce contamination rates. In this prospective study, we tried to evaluate if antiseptic usage during perineal cleaning was able to decrease contamination rates in scientific manner or is it a myth of urology. Material and Method: A total of 150 female patients over 18 years old with the symptom of dysuria and/or frequency and had a minimum one positive leukocyte at urine dipstick test, were prospectively enrolled to the study. Two midstream clean-catch urine samples were given by the same patient at 6 hour intervals, one with sterile saline and other with antiseptic usage for perineal cleaning. All samples were incubated in microbiology laboratory for urine culture evaluation. Results: Median age of study population was 45.0 +/- 22 years old. Culture reports of the first urine samples were; 96(64%) sterile, 32(21,3%) contaminated and 22(14.7%) with significant bacterial growth. These results were 101(67.3%), 27(18%) and 22(14.7%) at cultures with antiseptic cleaning, respectively (p=0.62). Mean colony count of contaminated cultures in saline group was 88.8 +/- 63.9 whereas it was 50.7 +/- 37.6 in antiseptic group (p=0.02). Discussion: Perineal antiseptic cleaning did not significantly affect culture results. Significant bacterial growth and contamination rates did not differ between groups indicating that, antiseptic usage for perineal cleaning may not be warrant.
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    Varicocoele and saphenofemoral reflux: are they coincidentally related?
    (Wiley-Blackwell, 2012) Yazıcı, Cenk Murat; Kayhan, Arda; Malkoç, Ercan; Verim, Samet
    OBJECTIVE To determine whether a relation between varicocoele and venous insufficiency at the level of the saphenofemoral junction (SFJ) is present. PATIENTS AND METHODS A total of 100 patients with varicocoele and 50 age-matched controls seen in the outpatient urology clinic were included in our prospectively designed survey. Patients with a history of scrotal, inguinal or vascular surgery were excluded from the study. Following a physical examination by the same urologist, coloured Doppler ultrasonography of the pampiniform plexus and the SFJ were performed by the same radiologist. Patients who had spermatic veins greater than 3.0 mm in diameter and reversed blood flow in Doppler ultrasonography were included in the study group. The competence of the SFJ was evaluated and retrograde venous flow for longer than 0.5 s was noted as positive for saphenofemoral incompetence. RESULTS The mean age of varicocoele patients and the control group was 22.9 and 23.7 years, respectively. There were 83 patients with left varicocoele, five patients with right varicocoele and 12 patients with bilateral varicocoele. In the varicocoele group, 36 (36%) patients had saphenofemoral reflux while 64 (64%) had no reflux, whereas corresponding figures for the control group were 13 (26%) and 37 (74%) respectively (P= 0.32). There were 39 (46.9%) patients with a maximal vein diameter less than 3.6 mm (median 3.1 +/- 0.3 mm) while there were 44 (53.1%) patients with a maximal vein diameter over 3.6 mm (median 4.1 +/- 0.37 mm) (P= 0.20). CONCLUSION There is no statistically significant relation between varicocoele and SFJ insufficiency. Varicocoele may not be attributable to a systemic vascular insufficiency; however, further comprehensive series with larger populations are required