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    Management of War-related Genitourinary Injuries
    (Galenos Yayincilik, 2021) Aydin, Arif; Ozbay, Engin; Durmus, Emrullah; Oncel, Halil Ferat; Karlidag, Ismail; Salar, Remzi; Sonmez, Mehmet Giray
    Objective: This study aimed to share the diagnosis and treatment results of patients who received genitourinary system interventions or surgeries for injuries sustained during the Syrian Civil War. Materials and Methods: Patients who underwent surgery for firearm injury-related urological trauma and other system injuries accompanied by urological trauma in a border city hospital urology department between October 2012 and May 2016 were evaluated. In addition, patients were classified according to trauma area and presence of accompanying non-genitourinary trauma. Results: Isolated genitourinary injuries were present in 7 of 37 patients (18.9%) who were brought to the emergency service due to war injuries. The most common accompanying damage to the genitourinary system was abdominal injury (56.7%), and 15 (40.5%) patients had intervention after intraoperative consultation. When urological injuries were classified, there were 19 (51.3%) major renal injuries, 3 (8.1%) ureteral injuries, 7 (18.9%) bladder injuries, 4 (10.9%) posterior urethral injuries, 3 (8.1%) testicular injuries, and 3 (8.1%) external genital organ injuries. The most common urological surgical procedure was nephrectomy, and the second was bladder perforation repair. Conclusion: This study demonstrates the necessity of a multidisciplinary approach especially for patients with war-related injuries. Moreover, important information is given about the classification and type of genitourinary system injuries.
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    A rare complication of penile prosthesis: Migration to the posterior gluteal groove
    (2019) Özbay, Engin; Salar, Remzi; Durmuş, Emrullah; Aydın, Arif; Öncel, Halil Ferat; Karlıdağ, İsmail
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    The Use of Tubularized Incised Plate Urethroplasty to Repair Distal Hypospadias in A Peripheral State Hospital
    (Galenos Yayincilik, 2019) Aydin, Arif; Sonmez, Mehmet Giray; Buyukserbetci, Mehmet; Salar, Remzi; Ozca, Serkan N.; Goger, Yunus Emre; Balasar, Mehmet
    Objective: Hypospadias is a congenital anomaly of the male urethra that is becoming increasingly prevalent. In this paper, we share the results of our series of 45 distal hypospadias cases treated with tubularized incised plate urethroplasty (TIPU) at a single center in Sanliurfa, Turkiye. Materials and Methods: Hypospadias repairs were made by two urologists who had completed their urology residencies at the same clinic in a state hospital. The TIPU technique was used for all 45 patients. To prevent bladder contractions and reduce anal itching during hospitalization, the patients were administered low-dose oxybutynin and 2 mg/mL hydroxyzine hydrochloride; they were also followed up postoperatively for a mean duration of 9.3 (6-12) months. Results: The average age of the patients was 9.5 +/- 0.5 (2-24) years. Ten patients had been circumcised previously, preoperative skin chordee was observed in 35, and none experienced preoperative complications. Postoperative catheterization lasted seven days. Postoperatively, one patient developed a fistula and two developed meatal strictures. No other complications were observed in the other patients. Conclusion: Hypospadias is an anomaly frequently seen in pediatric urology practice and requires considerable attention and experience. TIPU is an ideal technique for correcting hypospadias, especially distal hypospadias, due to its low complication rate and favorable cosmetic results. Although hypospadias surgery requires experience, it can be done quite easily in peripheral hospitals by surgeons who have trained in clinics experienced in this field, provided that they follow the rules pertaining to surgery.