ABSTRACT
Objective: To determine the potential utility of hematological parameters in the diagnosis of intra-abdominal hypertension [IAH]
Study Design: Cross-sectional descriptive study
Place and Duration of Study: Health Sciences University, Samsun Training and Research Hospital, Samsun, Turkey, from January 2016 to July 2017
Methodology: Forty-two patients who underwent transperitoneal laparoscopic urologic surgery were included. Blood samples were obtained during periods of pre-insufflation, insufflation, and desufflation to determine the effects of increased intraabdominal pressure [IAP] on hematological parameters, respectively
Results: Leukocyte and neutrophil median values changed with time [p<0.001]. The median pre-insufflation, insufflation, and desufflation values for leukocytes were 6.3 fL [4.2-7.8 fL], 7.2 fL [4.4-9.9 fL], and 8.1 fL [4.9-13.5 fL], respectively.In the pre-insufflation period, the median value for neutrophils was 3.7 x 10[3] MuL [2.0-6.2 x 10[3] MuL], increasing 5.1 x 10[3] MuL [2.1-9.7 x 10[3] MuL] during insufflation and 6.1 * 10[3] MuL [3.1-10.0 x 10[3] MuL] during desufflation. The median values obtained in pre-insufflation period were significantly lower than those recorded in the other periods. There was no difference between the median values obtained during insufflation and those obtained during desufflation. The mean platelet volume [MPV] values during pre-insufflation, insufflation, and desufflation were 8.2 fL [6.3-9.6 fL], 8.8 [6.2-10.3 fL], and 8.1 [6.6-10.6 fL], respectively. There was a statistically significant increase in MPV values during high IAP [p<0.001]
Conclusion: The rise in MPV during IAP rise indicated that this parameter may be used to detect IAH
ABSTRACT
Objective: To evaluate histopathological results of foreskin removed during circumcision in the pediatric age group and the relationship between these and the degree of phimosis
Study Design: Cross-sectional study
Place and Duration of Study: Department of Urology, Samsun Training and Research Hospital, Samsun, Turkey, from June to December 2014
Methodology: Male children undergoing planned circumcision were examined for the presence and degree of phimosis which was recorded before the operation. After circumcision, the preputial skin was dermatopathologically investigated. Pathological investigation carefully evaluated findings such as acute inflammation, chronic inflammation, increased pigmentation and atrophy in addition to findings of Lichen Sclerosus [LS] in all specimens. The pathological findings obtained were classified by degree of phimosis and evaluated
Results: The average age of the 140 children was 6.58 +/- 2.35 years. While 61 [43.6%] children did not have phimosis, 79 [56.4%] patients had different degrees of phimosis. Classic LS was not identified in any patient. In a total of 14 [10%] children, early period findings of LS were discovered. The frequency of LS with phimosis was 12.6%, without phimosis was 6.5% [p=0.39]. The incidence of histopathologically normal skin in non-phimosis and phimosis groups was 37.7% and 22.7%, respectively. In total, 41 [29.3%] of the 140 cases had totally normal foreskin
Conclusion: Important dermatoses such as LS may be observed in foreskin with or without phimosis. The presence of phimosis may be an aggravating factor in the incidence of these dermatoses
Subject(s)
Humans , Male , Child, Preschool , Child , Lichen Sclerosus et Atrophicus , Phimosis , Child , Cross-Sectional Studies , Circumcision, MaleABSTRACT
PURPOSE: This study aimed to verify the efficacy and safety of intravesical treatment with sodium chondroitin sulfate (CS) in patients with overactive bladder (OAB) who are refractory to previous antimuscarinic treatment. METHODS: This study was performed between June 2012 and January 2015 and included 31 consecutive women (mean age, 42.10+/-7.34 years) with OAB who had been previously treated with two types of antimuscarinic drugs. The results of gynecologic and cystoscopic examinations were normal, and OAB comorbidity was absent. Treatment with intravesical instillations containing 40 mL CS (0.2%; 2 mg/mL) was administered for 6 weeks; after weekly treatments, monthly treatments were administered. The OAB-validated 8 (OAB-V8) symptom scores, nocturia, frequency, urgency, urge incontinence, and urinary volumes measured by uroflowmetry were evaluated for all the patients. The values obtained before the treatment were statistically compared with those obtained six months after the treatment. RESULTS: The duration of the symptoms was 18.36+/-6.19 months. A statistically significant improvement of the patients' conditions was observed in terms of the OAB-V8 symptom scores, nocturia, frequency, urgency, urge incontinence, and urinary volumes measured by uroflowmetry after the treatment. CONCLUSIONS: Despite the limitations of this study, the outcomes confirmed that CS therapy is safe and effective for the treatment of OAB.