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Öğe Acute prostatitis after prostate biopsy under ciprofloxacin prophylaxis with or without ornidazole and pre-biopsy enema: analysis of 3.479 prostate biopsy cases(Brazilian Society of Urology, 2020) Balaban, Muhsin; Özkaptan, Orkunt; Sevinç, Cüneyd; Boz, Mustafa Yücel; Horuz, Rahim; Kafkaslı, Alper; Cangücen, ÖnderObjectives: To investigate the characteristics of cases of NIH category I acute prostatitis developed after transrectal prostate biopsy and clarifiy the risk factors and preventive factors. Materials and Methods: We retrospectively reviewed the medical records of 3.479 cases of transrectal ultrasound-guided needle biopsies performed with different prophylactic antibiotherapy regimens at two different institutions between January 2011 and February 2016. The patients of Group I have received ciprofloxacin (n=1.523, 500mg twice daily) and the patients of Group II have received ciprofloxacin plus ornidazole (n=1.956, 500mg twice daily) and cleansing enema combination as prophylactic antibiotherapy. The incidence, clinical features and other related microbiological and clinical data, were evaluated. Results: Mean age was 62.38 +/- 7.30 (47-75), and the mean prostate volume was 43.17 +/- 15.20 (21-100) mL. Of the 3.479 patients, 39 (1.1%) developed acute prostatitis after the prostate biopsy procedure. Of the 39 cases of acute prostatitis, 28/3.042 occurred after the first biopsy and 11/437 occurred after repeat biopsy (p=0.038). In Group I, 22 of 1.523 (1.4%) patients developed acute prostatitis. In Group II, 17 of 1.959 (0.8%) patients developed acute prostatitis. There was no statistical difference between the two groups according to acute prostatitis rates (X2=2.56, P=0.11). Further, hypertension or DM were not related to the development of acute prostatitis (P=0.76, X2=0.096 and P=0.83, X2=0.046, respectively). Conclusions: Repeat biopsy seems to increase the risk of acute prostatitis, while the use of antibiotics effective for anaerobic pathogens seems not to be essential yet.Öğe Cerrahi olarak tedavi edilen böbrek kitlelerinin histopatolojisi: 178 vakanın analizi(2014) Balaban, Muhsin; Horuz, Rahim; Akça, Oktay; Albayrak, SelamiAmaç: Malignite şüphesiyle cerrahi olarak tedavi edilen böbrek kitlelerinin patolojik değerlendirmesini yaparak serimizdeki benign lezyonların sıklığını ve uygulanan tedavi yöntemlerini tespit etmek. Gereç ve Yöntemler : Şubat 2005 ile Aralık 2010 arasında malignite şüphesi nedeniyle ameliyat edilen 188 böbrek kitleli hastanın (120 erkek,68 kadın hasta) kayıtları retrospektif olarak incelendi. Bulgular: Toplam 188 hastanın 178 inin kayıt bilgileri eksiksizdi. Bu hastalardan 142 sine radikal nefrektomi (% 79), 28 ine nefron koruyucu cerrahi (%15), 4 üne sadece böbrek biyopsisi (%3) ve 4 üne de nefroüreterektomi (%3) yapıldı. 178 tümörün 66 sının (37%) tanısı insidental olarak konuldu. İnsidental saptanan kitlelerin 43 ünün (%66) boyutu 7 cm den küçüktü. Patolojik değerlendirmede 156 (%88) hastada malignite saptanırken, 22 (%12) hastada benign patolojiler bulundu. Benign kitleler sırasıyla onkositom (n=11), anjiomiyolipom (n=6), kistik nefroma (n=2), ksantogranülomatöz pyelonefrit (n=2) ve metanefrik adenom (n=1) idi. 7 cm den küçük 91 böbrek kitlesinin 22 sinde (%24) benign patoloji saptandı. Benign kitlelerin hiçbiri 7 cm den büyük değildi. Sonuç: Preoperatif malign olarak şüphe edilen kitleler, radyolojik görüntüleme yöntemlerindeki teknolojik gelişmelere rağmen, benign çıkabilmektedir. İnsidental olarak saptanan ve boyutu 7 cm den küçük olan böbrek kitlelerinde nefron koruyucu cerrahi ön planda tutulmalıdır.Öğe Prostate metastasis of malignant melanoma(2013) Balaban, Muhsin; Selimoğlu, Ahmet; Horuz, Rahim; Akça, Oktay; Albayrak, SelamiMetastatic malignant melanoma of the prostate is extremely rare in clinical practice, and only one case has been reported in the English literature in the past 30 years. We report a case of malignant melanoma that metastasized to the prostate and review the current literature. A 50-year-old man with a history of malignant melanoma metastasis to the left axilla, which was excised 3 years ago, presented with lower urinary tract symptoms and gross hematuria. He underwent cystoscopy and transurethral resection of the prostate. The pathological examination showed metastatic malignant melanoma of the prostate gland. The patient died 6 months after the transurethral resection.Öğe The effects of retropubic and perineal radical prostatectomy techniques on postoperative urinary continence after surgery: Results of 196 patients(2013) Kafkaslı, Alper; Boz, Mustafa Yücel; Balaban, Muhsin; Horuz, Rahim; Selimo?lu, Ahmet; Albayrak, Selami; Cangüven, ÖnderObjective: The aim of this study was to examine the effects of the retropubic and perineal radical prostatectomy techniques on postoperative urinary continence. Material and methods: This study included patients who had undergone radical retropubic (RRP) (n=54) or radical perineal prostatectomies (RPP) (n=142) in our clinic between December 2006 and December 2010 with the indication of localized prostate cancer. Preoperative, and postoperative continence levels of the patients were evaluated on the day of catheter removal, and at 3., 6. or 12. months using University of California-Los Angeles (UCLA) prostate cancer index query forms completed by the patients themselves in outpatient clinics. Results: Mean ages of the perineal, and retropubic groups were 62.3 (48-77), and 62.5 (50-74) years, respectively. The absolute urinary control rates of the RPP patients on the first days, and the first, third, sixth, and twelfth months were 44.3, 63.6, 76.2, 79.5, and 86.1%, respectively. The same rates were 51.4, 75.7, 78.4, 89.2, and 91.9% for the RRP group, respectively. Conclusion: There was no significant difference between RRP groups as for the frequency of urinary incontinence
