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Objectives: Depression unfortunately, remains an under-recognized and misdiagnosed condition, especially in the aging population. We aimed to research the relation of depression, LUTS and ED in elderly men. Methods: In this prospective study, 364 elder male patients were evaluated. For depression research in patients, Beck's Depression Index (BDI) was used. Lower urinary tract symptoms of patients were evaluated by International prostatic symptoms score (IPSS) examination form and Erection quality was evaluated with International Index of Erectile Function (IIEF 5-15) examination form. According to evaluation results, patients were assigned as Group 0: Mild LUTS and no ED (IPSS<7 - IIEF>26), Group 1: Patients describing only moderate and severe LUTS, Group 2: Patients describing only ED (IIEF<26), Group 3: Patients describing both LUTS and ED (IPSS>7 - IIEF<26). Results: A significant difference was observed between depression states of patients and their LUTS and IIEFs. Depression risk for the Group 3 was monitored to increase by 5.4 fold (p=0.012) according to the Group 0. Conclusions: ED, LUTS and depression are all common conditions that accompany aging and significantly negatively impact quality of life. So this patient group can be treated more successful by a multidisciplinary approach.
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Aims: Urachal cancer is an uncommon neoplasm associated with poor prognosis. No concensus has been reached regarding diagnostic criteria so far. The management of urachal carcinoma is controversial, too. In this case presentation, we reported a 47 year old female with urachal cancer and treatment approach discussed with published literature. Presentation of Case: A 47-year-old female patient was admitted with abdominal pain and hematuria. A soft mass was noticed under her navel. Computerized tomography revealed a tumor which is a cystic lesion arising from the urachus and a solid mass component at the urinary bladder dome. The tumor was removed by partial cycectomy. Histological examination showed urachal adenocarcinoma (colonic type and well differentiated), which had invaded the urinary bladder. The patient has been followed up without a recurrence for the next 6 months. Discussion: Urachal carcinoma is a rare type of, approximately 0.5 to 2%, bladder neoplasms. The pathogenesis of urachal tumours is not fully understood, so far. Currently, the most effective treatment of localized urachal cancer is cystectomy. It is unclear whether lymphadenectomy or chemotherapy is usefull for the patients with urachal carcinoma. Conclusion: Regarding the treatment of urachal cancer, surgery remains the mainstay of therapy. Moreover, the achievement of a complete urachectomy, including umbilectomy and negative surgical margins, is critical for low-stage, localized, welldifferentiated urachal cancer.