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Öğe Current laparoscopic practice patterns among urologists in Turkey(Aves, 2012) Altunoluk, Bulent; Soylemez, Haluk; Ozer, Ali; Efe, Erkan; Sancaktutar, Ahmet Ali; Resim, SefaObjective: Laparoscopic surgery has become increasingly popular in urology over the last decade. This survey was performed to evaluate the current practice patterns in laparoscopy among urologists in Turkey. Material and methods: A detailed questionnaire about urologic laparoscopic practice patterns was distributed to 1242 urologists who were working in Turkey. The questions pertained to age, practice demographics, and the amount and variety of laparoscopy performed. Results: Nearly half of the respondents (48.3%) already performed laparoscopy. Of the urologists in academic settings, including university hospitals and education and research hospitals, 69.6% and 59.4% performed laparoscopy, respectively. In state hospitals, the percentage of those who performed laparoscopy was lower (26.9%). The most important reasons mentioned for performing laparoscopy were shorter hospital stay, patient requests and greater flexibility of possible surgical techniques. The main laparoscopic procedures performed were nephrectomy (benign indication), 91%; renal cyst decortications, 90%; nephrectomy (malign indication), 65%; laparoscopic stone surgery, 47% and pyeloplasty, 38%. A large percentage (77.2%) of respondents intended to attend continuing education and to perform laparoscopy in the future. Conclusions: Our results show that laparoscopic practice steadily increases in frequency and that urologists are willing to substitute open surgery for laparoscopic surgery. The performance of laparoscopic surgery has become a goal for most urologists in Turkey to achieve in the near future.Öğe Temperament and Character Differences in Patients with Premature Ejaculation(Aves, 2013) Altunoluk, Bulent; Bagcioglu, Erman; Efe, Erkan; Bahceci, Bulent; Soylemez, HalukIntroduction: The debate on the etiology of premature ejaculation is still ongoing although there was huge amount of biological and psychological theories. We aimed to investigate the personality structure of patients with premature ejaculation via temperament and character inventory. Methods: Forty patients with premature ejaculation and a matched number of healthy people were included. Participants were asked to fill out a questionnaire booklet with separate sections for general demographic information and the temperament and character inventory. Results: Total novelty seeking scores and subscale 1 (exploration-excitability) scores in premature ejaculation patients were significantly higher than in control groups (p<0.05). Total harm avoidance scores and harm avoidance subscale 2 (fear of uncertainty) scores in premature ejaculation patients was found significantly lower than in control group (p<0.05). Beck depression score was significantly higher in patients with premature ejaculation than in control groups. Discussion: Men with premature ejaculation are more impulsive (excitant), more tempered, more excitable and less prone to harmful behavior. Current findings tend to reinforce premature ejaculation based upon combination of neurobiological and psychological reasons.Öğe Temperament and Character in Differences in inPremature Ejaculation Patients with(2013) Söylemez, Haluk; Efe, Erkan; Altunoluk, Bülent; Bahçeci, Bülent; Bağcıoğlu, ErmanGiriş: Prematür ejakülasyonun etiyolojisi ile ilgili çok miktarda biyolojik ve psikolojiteorilerin olmasına karşın tartışmalar hala sürmektedir. Mizaç ve karakter envanteile prematür ejakülasyonlu hastaların kişilik yapısını araştırmayı amaçladık. Yöntem: Kırk prematür ejakülasyonlu hasta, 40 sağlıklı kontrol grubuyla eşleştirildÇalışmaya katılanlardan mizac ve karakter envanteri ve genel demografik bilgi formunu doldurması istendi. Bulgular: Toplam yenilik arayışı ve alt ölçeği keşfetme ve heyacan duyma prematür ejakülasyonlu hastalarda kontrol grubuna göre anlamlı olarak yüksek(p<0,05). Toplam zarardan kaçınma ve alt ölçeği belirsizlik korkusu prematüejakülasyonlu hastalarda kontrol grubuna göre anlamlı olarak düşük bulund(p<0,05). Beck depresyon skorun da prematür ejakülasyonlu hastalar kontrol grubundan anlamlı olarak yüksekti. Sonuç: Prematür ejakülasyonlu kişiler daha dürtüsel (heyecanlı), daha öfkeldaha heyacanlı ve zararlı davranışlara daha az yatkındılar. Mevcut bulgular prematür ejakülasyonun nörobiyolojik ve psikolojik kökenli olduğununu desteklemeğilimindedir. (Nöropsikiyatri Arşivi 2012; 49: 332-336)