Papers by Rifat Burak Ergül
Scottish Medical Journal, May 9, 2022
Objective To evaluate retrograde intrarenal surgery (RIRS) outcomes and to determine the effect o... more Objective To evaluate retrograde intrarenal surgery (RIRS) outcomes and to determine the effect of operative time on complications of RIRS. Methods Patients undergoing RIRS for renal stones were evaluated. These patients were divided into two groups according to the operation time (Group 1<60 minutes and Group 2>60 minutes). Peroperative outcomes such as fluoroscopy time, stone-free rates, complications and duration of hospitalization were compared. Results Group 1 consisted of 264 patients and Group 2 consisted of 297 patients. SFR rates, duration of hospitalization, and postoperative urinary tract infection rates were similar in both groups. Fluoroscopy time was 7.8±7.3 (0-49) sec in group 1 and 13.1±9.8 (0-81) sec in group 2. Complications according to modified Clavien–Dindo classification system (MCDCS) were 13 and 32 patients (Grade 1), 31 and 63 patients (Grade 2), 1 and 1 patient (Grade 3) in group 1 and 2, respectively. There was statistical difference between the two groups in terms of duration of fluoroscopy time and the MCDCS. Although duration of hospitalization and UTI rates were higher in group 2, no statistical significance was observed among groups. Conclusion Limiting the operation time to 60 minutes in RIRS seems to be important in reducing postoperative complications.
Urology, Dec 1, 2020
OBJECTIVE To describe the prevalence of Y-chromosome deletions in patients with a sperm concentra... more OBJECTIVE To describe the prevalence of Y-chromosome deletions in patients with a sperm concentration of less than 5 million/mL. To also determine a new sperm threshold for Y-chromosome analysis in men with infertility. METHODS A total of 3023 patients who had a semen concentration of less than 5 million/mL included in this retrospective study. All of these patients had a genetic evaluation, hormonal evaluation, and 2 abnormal semen analyses. RESULTS Y-chromosome deletions were present in 116 (3.8 %) patients with sperm concentration <5 million/mL. The frequency of a Y-chromosome deletions was 6.8%, 1.0%, 0.15% in azoospermic men, in men with sperm concentrations of 0-1 million /mL, in men with sperm concentrations of 1-5 million/mL. Patients were divided into 2 groups regarding the determined new sperm threshold. The sensitivity and specificity of the Y-chromosome deletions test were 92.2.7% and 49.3 %, 99.1%, and 22.1% in patients with azoospermia and sperm concentrations <1 million/mL, respectively. If the sperm concentration thresholds of azoospermia or <1 million/mL, are applied, the number of tests decreased to 50.5% (1442 tests) and 23.1% (643 tests), respectively. Approximately $108,150 and $48,225 would be saved if the sperm thresholds were azoospermia and <1 million/mL, respectively CONCLUSION The current threshold of sperm concentration for Y-chromosome deletions is controversial. The new proposed sperm threshold for genetic testing of 1 million/mL would increase sensitivity and more cost-effective compared to the current threshold. UROLOGY 00: 1−5, 2020.
Prague Medical Report
Al-Ghorab procedure is known as open distal shunt for the treatment of ischemic priapism. In the ... more Al-Ghorab procedure is known as open distal shunt for the treatment of ischemic priapism. In the literature, no information in terms of complications is available in three of fourteen studies. In the remaining eleven studies, complications occurred in five studies only. Here we present a case report describing successful treatment of detachment of the incision after Al-Ghorab procedure.
Andrology
BackgroundThe COVID‐19 is an ongoing health problem with millions of cases and deaths worldwide. ... more BackgroundThe COVID‐19 is an ongoing health problem with millions of cases and deaths worldwide. Although the virus is transmitted with droplets through the respiratory system, the involvement of different organs has been reported.ObjectivesThe pandemic caused urological procedures to be postponed when patient is infected with SARS‐CoV‐2. However, the reliability of 1 month postpone period and long‐term complications of the virus, such as a possible erectile dysfunction (ED) is not clarified. We aimed to compare the corpus cavernosum of patients 1 and 7 months after COVID‐19 infection with control patients who had not COVID‐19 and search for SARS‐CoV‐2 in tissues using immunohistochemistry and electron microscopy.Materials and methodsThree groups of subjects underwent penile prosthesis implantation and Nesbit procedure for Peyronie's disease 1 and 7 months after COVID‐19 infection and control group without previous COVID‐19 infection. We searched for SARS‐CoV‐2 in penile tissue ...
International Urology and Nephrology
Urology journal, 2020
INTRODUCTION: Novel coronavirus Disease (Covid-19) has emerged in Wuhan, China in December 2019 ... more INTRODUCTION: Novel coronavirus Disease (Covid-19) has emerged in Wuhan, China in December 2019 and became a pandemic in a few weeks. In this review, we aimed to summarize the current urologic practice trends worldwide to help urologist in decision making in disasters particularly in Covid-19 pandemic. MATERIAL AND METHOD: We have performed a PubMed and Internet search by using the keywords: 'Covid', 'new coronavirus', 'coronavirus urology, 'covid urology' without a date restriction. Results: All elective surgeries for benign urological conditions such as urinary tract stone disease that not caused complicated obstruction, benign prostate enlargement, infertility, incontinence and genitourinary prolapse, erectile dysfunction undescendent testis, vesico-ureteral reflux should be postponed till the lasting of Covid-19 outbreak. In obstructing ureteral stone both nephrostomy tube and double-J stent insertion are valid management options. However, one mu...
International Journal of Clinical Practice, 2021
Bladder cancer (BC) is one of the most commonly diagnosed cancers, especially in men, with an est... more Bladder cancer (BC) is one of the most commonly diagnosed cancers, especially in men, with an estimated 81 400 new patients and 17 980 deaths in 2020 in the United States. 1 In newly diagnosed patients with BC, approximately 75% of patients have non-muscle-invasive bladder cancer (NMIBC) (Ta, T1 or carcinoma in situ [CIS]). 2 Despite lower morbidity and mortality rates compared with muscle-invasive bladder cancer (MIBC), NMIBC has a high probability of recurrence and progression. It is known that NMIBC has up to 78% recurrence rate and 45% progression rate at the 5-year follow-up. 3 After transurethral resection of the bladder tumour (TUR-BT) and histological
Current Urology Reports
Purpose of Review Robotic surgery in urology has already been widely employed in robotic-assisted... more Purpose of Review Robotic surgery in urology has already been widely employed in robotic-assisted laparoscopic surgery for minimally invasive procedures (MIS). We wanted to analyse rapidly developing robotic ureteroscopy (RoboURS) for the treatment of renal stone disease. Recent Findings A comprehensive literature review was performed for technical aspects and clinical outcomes of RoboURS. RoboURS has made significant breakthroughs with each model proving that this technology improves ergonomics and supports surgeon and instrument longevity while minimising musculoskeletal issues in retrograde intra-renal surgery (RIRS). Further randomised controlled trials are required to compare the efficacy of RoboURS vs manual flexible ureteroscopy (FURS). The cost-effectiveness will also need to be assessed prior to widespread acceptance into urological infrastructure and mainstream practice. Summary RoboURS continues to evolve despite the limitations of infrastructure and cost-effectiveness. It holds the promise of a better future for surgeon longevity, reduced peri-operative morbidity and better workplace environment.
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Papers by Rifat Burak Ergül