Browsing by Author "Demir O."

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    Association between severity of lower urinary tract symptoms, erectile dysfunction and metabolic syndrome
    (2009) Demir O.; Akgul K.; Akar Z.; Cakmak O.; Ozdemir I.; Bolukbasi A.; Can E.; Gumus B.H.
    Introduction. The purpose of this study was to investigate the association between severity of lower urinary tract symptoms LUTS, erectile dysfunction ED and metabolic syndrome. Methods. Our study population included a consecutive series of 190 patients with LUTS International Prostate Symptom Score-IPSS >7 with or without manifestations of the metabolic syndrome. The diagnoses of diabetes mellitus and hypertension were obtained from the patient's medical history. Data on blood pressure, waist measure, body height and weight were collected and body mass index were calculated. Patients were assessed based on the International Index of Erectile Function IIEF for ED and IPSS and IPSS-Quality of Life for LUTS. Blood samples were drawn from fasting patients to determine, fasting blood glucose FBG, triglycerides, HDL-cholesterol and serum total testosterone levels. Results. In severe LUTS patient group, IIEF erectile function domain scores were significantly lower than moderate LUTS patient group p < 0.05. Multiple logistic regression analysis confirmed that presence of ED was the most predictor of severe LUTS. The prevalence of metabolic syndrome was higher in patients with severe LUTS 26vs. 46, p 0.009. The severe form of the LUTS was significantly correlated with waist circumference >102 cm p < 0.05, blood pressure ≥13085 mmHg p < 0.05 and FBG >110 mgdl p < 0.01. Conclusion. Obesity, high plasma level of FBG and hypertension constitute risk factors for the development of severe LUTS. Metabolic syndrome may play a key role in the pathogenesis in both ED and LUTS. Presence of ED is the most predictor of severe LUTS. © 2009 Informa UK Ltd.
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    Erectile function and late-onset hypogonadism symptoms related to lower urinary tract symptom severity in elderly men
    (2013) Bozkurt O.; Bolat D.; Demir O.; Ucer O.; Şahin A.; Ozcift B.; Pektaş A.; Turan T.; Gümüş B.H.; Can E.; Bolukbasi A.; Erol H.; Esen A.
    The aim of this study was to evaluate the relationship between lower urinary tract symptoms (LUTSs), erectile dysfunction (ED) and symptomatic late-onset hypogonadism (SLOH) in ageing men in the Aegean region of Turkey. Five hundred consecutive patients >40 years old who had been in a steady sexual relationship for the past 6 months and were admitted to one of six urology clinics were included in the study. Serum prostate-specific antigen and testosterone levels and urinary flow rates were measured. All patients filled out the International Prostate Symptom Score and Quality of Life (IPSS-QoL), International Index of Erectile Function (IIEF) and Aging Males' Symptoms (AMS) scale forms. Of the patients, 23.9% had mild LUTSs, 53.3% had moderate LUTSs and 22.8% had severe LUTSs. The total testosterone level did not differ between groups. Additionally, 69.6% had ED. The presence of impotence increased with increasing LUTS severity. Symptomatic late-onset hypogonadism (AMS >27) was observed in 71.2% of the patients. The prevalence of severe hypogonadism symptoms increased with the IPSS scores. A correlation analysis revealed that all three questionnaire scores were significantly correlated. In conclusion, LUTS severity is an age-independent risk factor for ED and SLOH. LUTS severity and SLOH symptoms appear to have a strong link that requires etiological and biological clarification in future studies. © 2013 AJA, SIMM & SJTU. All rights reserved.
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    The effect of SWL and URS on health-related quality of life in proximal ureteral stones
    (Taylor and Francis Ltd, 2018) Ceylan Y.; Ucer O.; Bozkurt O.; Gunlusoy B.; Mertoglu O.; Zumrutbas A.E.; Yildiz G.; Irer B.; Muezzinoglu T.; Demir O.
    Objectives: We aimed to compare the effect of shock wave lithotripsy (SWL) and ureteroscopic lithotripsy (URS) on health-related quality of life (HRQoL) for the treatment of proximal ureteral stones. Material and methods: Between April 2014 and July 2015, patients with proximal ureteral stones who were successfully treated with URS or SWL in seven different centers were included. Patients were divided into two groups according to stone size: stones ≤10 mm and >10 mm. HRQoL subscales which were evaluated by the Medical Outcome Study Short-Form 36-item survey (SF-36) Turkish version were compared for URS and SWL in these two groups one month after the performed procedure. Results: A total of 273 patients were included in the study. While 116 (52.5%) patients were treated with ureteroscopic lithotripsy, SWL was used for 105 (47.5%) patients. Fifty-two patients were excluded from the study. In proximal ureteral stones ≤10 mm, there were no statistically significant differences for any of the eight subscales of the SF-36 questionnaire. Regarding stones >10 mm, it was found that the three subscales of the SF-36 questionnaire–role limitations because of physical health problems (RP), bodily pain (BP), and general health perception (GH)–were significantly lower in the SWL group compared with the URS group. Conclusions: Patients with proximal ureteral stones >10 mm who were treated with URS generally may have a more favorable HRQoL than those treated with SWL in short-term follow-up. © 2017 Society of Medical Innovation and Technology.
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    Nation-wide analysis of the impact of Covid-19 pandemic on daily urology practice in Turkey
    (Blackwell Publishing Ltd, 2021) Bozkurt O.; Sen V.; Irer B.; Sagnak L.; Onal B.; Tanidir Y.; Karabay E.; Kaya C.; Ceyhan E.; Baser A.; Duran M.B.; Suer E.; Celen I.; Selvi I.; Ucer O.; Karakoc S.; Sarikaya E.; Ozden E.; Deger D.; Egriboyun S.; Ongun S.; Gurboga O.; Asutay M.K.; Kazaz I.O.; Yilmaz I.O.; Kisa E.; Demirkiran E.D.; Horsanali O.; Akarken I.; Kizer O.; Eren H.; Ucar M.; Cebeci O.O.; Kizilay F.; Comez K.; Mercimek M.N.; Ozkent M.S.; Izol V.; Gudeloglu A.; Ozturk B.; Akbaba K.T.; Polat S.; Gucuk A.; Ziyan A.; Selcuk B.; Akdeniz F.; Turgut H.; Sabuncu K.; Kaygisiz O.; Ersahin V.; Kahraman H.I.; Guzelsoy M.; Demir O.
    Objective: To present a nation-wide analysis of the workload of urology departments in Turkey week-by-week during Covid-19 pandemic. Methodology: The centres participating in the study were divided into three groups as tertiary referral centres, state hospitals and private practice hospitals. The number of outpatients, inpatients, daily interventions and urological surgeries were recorded prospectively between 9-March-2020 and 31-May-2020. All these variables were recorded for the same time interval of 2019 as well. The weekly change of the workload of urology during pandemic period was evaluated, also the workload of urology and the distributions of certain urological surgeries were compared between the pandemic period and the same time interval of the year 2019. Results: A total of 51 centres participated in the study. The number of outpatients, inpatients, urological surgeries and daily interventions were found to be dramatically decreased by the 3rd week of pandemics in state hospitals and tertiary referral centres; however, the daily urological practice were similar in private practice hospitals throughout the pandemic period. When the workload of urology in pandemic period and the same time interval of the year 2019 were compared, a huge decrease was observed in all variables during pandemic period. However, temporary measures like ureteral stenting, nephrostomy placement and percutaneous cystostomy have been found to increase during Covid-19 pandemic compared with normal life. Conclusions: Covid-19 pandemic significantly affected the routine daily urological practice likewise other subspecialties and priority was given to emergent and non-deferrable surgeries by urologists in concordance with published clinical guidelines. © 2020 John Wiley & Sons Ltd