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Purpose@#This study was conducted to determine the effect of listening to the sound of running water during urodynamics on the patient’s anxiety and parameters in the pressure-flow study. @*Methods@#The population of the study, which was planned in the nonrandomized experimental study design, consisted of patients who will undergo urodynamics in the Urology Department of a city hospital in Istanbul between September 2022 and January 2023, and the sample consisted of 60 patients, 30 of which were in the experimental group and 30 in the control group. During the pressure-flow study, the patients in the experimental group listened to the sound of running water from a smartphone, while the patients in the control group did not undergo any intervention during urodynamics. The level of anxiety in both groups before, during and after urodynamics was evaluated with the visual analogue scale. During the pressure-flow study, it was evaluated whether the patients emptied on command, and the maximum flow rate (Qmax) and the detrusor pressure at the maximum flow rate (PdetQmax) were measured. Bladder outlet obstruction index (PdetQmax–2Qmax) and bladder contractility index (Pdetqmax+5Qmax) were calculated using these values. @*Results@#During the pressure-flow study, in the experimental group patients who listened to the sound of running water from a smartphone; anxiety level mean scores during and after urodynamics were found to be statistically significantly lower than the control group patients (P < 0.001). The mean bladder contractility index score in the experimental group patients was statistically significantly higher than the control group patients (P < 0.001), and the cases of urinating with a catheter during the pressure-flow study were statistically significantly higher than the control group patients (P < 0.001). @*Conclusions@#Listening to the sound of running water during urodynamics had a positive effect on reducing anxiety in patients and micturating during pressure-flow study.
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Purpose@#The aim of this study was to assess the clean intermittent catheterization (CIC) training and education videos on YouTube. @*Methods@#This study was conducted in English language in descriptive type to evaluate the content, reliability, and quality of Internet videos related to CIC training. The search was performed by using term “clean intermittent catheterization” and “intermittent self catheterization” on YouTube in August 2019. The content of the selected videos was analyzed by 2 independent experts in the field. The DISCERN questionnaire was used to analyze the reliability of the video and the global quality score (GQS) was used for the quality of the video. @*Results@#When the contents of the 64 videos included in the study were examined, it was found that 41 of them contained useful information and 23 of them contained misleading information. DISCERN scores, video coverage scores, and GQS of videos with useful information were found to be statistically higher than those with misleading information (P<0.001). When the sources of the videos were examined, it was seen that 78.05% of the videos containing useful information were published by medical advertisement/for-profit companies (P<0.001). The reliability scores, coverage scores, and GQS of the videos from medical advertisement/for-profit companies were significantly higher than the other sources (P<0.001). @*Conclusions@#In this study, it was seen that the majority of YouTube CIC training videos examined within the scope of the research were published by medical advertisement/for-profit companies and most of these videos contain useful information.
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Objective: To compare the effectiveness of laser lithotripsy [LL] and pneumatic lithotripters [PL] in calcium oxalate [CaOx] and calcium phosphate [CaP] stones and assess whether these stone compositions affect the outcomes of LL and PL
Study Design: Comparative, descriptive study
Place and Duration of Study: Istanbul Training and Research Hospital, Turkey, from August 2010 to August 2015
Methodology: A total of 114 patients underwent ureteroscopy using LL and PL. Fifty-eight [50.9%] had CaOx stones and 56 [49.1%] had CaP stones. The lithotripters were compared in stone composition groups, and stone compositions were compared in lithotripter groups. Patient characteristics, perioperative parameters, and postoperative complications were compared
Results: The baseline patient and stone characteristics were similar in all groups. The operation time of the PL and LL for the patients with CaP stones [68.75 +/- 32.88 and 44.48 +/- 34.37 minutes, respectively] was significantly shorter than the operation time of the PL and LL for the patients with CaOx stones [91.56 +/- 30.54 and 65.75 +/- 37.74 minutes, [p=0.012 and p=0.009, respectively]. Moreover, the patients with CaOx or CaP treated with LL [65.75 +/- 37.74 and 44.48 +/- 34.37 minutes, respectively] had significant shorter operation time than the PL [91.56 +/- 30.54 and 68.75 +/- 32.88 minutes, [p=0.046 and p=0.01, respectively]. Stone-free rates were similar in all groups. The PL for the patients with CaP stones caused more postoperative fever and infection than the other groups [p=0.050]
Conclusion: Though both PL and LL are effective in the treatment of CaOx and CaP stones, LL had a significantly shorter operation and hospitalization time and complication rates in patients with CaOx and CaP stones. So LL is a more feasible and safer modality in the treatment of recurrent CaP stones