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    Hydronephrosis during pregnancy: How to make a decision about the time of intervention?
    (Medical Association of Zenica-Doboj Canton, 2014) Bodakci M.N.; Hatipoglu N.K.; Ozler A.; Turgut A.; Hamidi C.; Hatipoglu N.; Alan B.
    Aim To evaluate the role of doppler ultrasonographorin managing hydronephrosis during pregnancy. Methods The study included 27 pregnant patients with unilateral symptomatic persistent hydronephrosis (group 1) and 38 pregnant patients with physiological hydronephrosis of pregnancy (group 2). All pregnant patients underwent Doppler Ultrasonography to determine the Resistive Index (RI) and the difference between the RI of the corresponding and contralateral kidney (Delta Resistive Index = ?RI). Results There were no statistical differences between the two groups in terms of age, mean gestational period, or number of pregnancies. The mean renal RI of the hydronephrosis side was 0.68±0.05 in group 1 and 0.60±0.05 in group 2 (p<0.001). The mean ?RI of group 1 was significantly higher than the mean ?RI of group 2 (0.07±0.03 versus 0.02±0.01, respectively, p<0.001). The RI and ?RI were considered positive with values of ?0.70 and ?0.04, respectively, and the RI was sensitive in 44.4% and specific in 92.1% for intervention treatment. The corresponding values for ?RI were 88.9% and 89.5%. The positive predictive value and negative predictive value of ?RI for intervention were 85.7% and 91.9%, respectively. Conclusion It is much better to consider ?RI than RI when deciding on interventional treatment in hydronephrosis during pregnancy.
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    Tubularized incised plate repair in circumcised adults
    (2013) Hatipoglu N.K.; Bodakci M.N.; Soylemez H.; Sancaktutar, Ahmet Ali; Atar M.; Penbegul N.; Cakmakci S.
    Aim In this study, the experience of tubularized incised plate repair in circumcised adults in terms of functional, cosmetic, and satisfactory results is reported. Methods Tubularized incised plate repair urethroplasty (TIPU) was performed to 27 circumcised adult patients between 2008- 2010; 19 (70.4%) had distal penile hypospadias and eight (29.6%) had midshaft hypospadias. All patients were operated by a single surgeon and were asked to fill out a questionnaire to asses functional and cosmetic results of the surgery. Results The mean age of patients was 22.0 years. All patients were controlled in urology office seven days after the removal of urethral catheter. They were controlled in the 3rd, 6th, and 12th month after the operation and they filled out the questionnaire in the 6th month after the operation in the TIP. The mean follow up was 13 months. Three (11.1%) patients had meatus stenosis and two (7.4%) urethral fistula as a complication. Twenty-four (88.8%) patients reported that they were satisfied about penile length, 26 (96.2%) about the appearance of the meatus, 25 (92.5%) about the appearance of the glans penis, 22 (81.4%) about the appearance of the foreskin, 23 (85.1%) about the straightness of the penis with erection, and 24 (88.8%) about the overall appearance of the penis. All patients were satisfied about the urinary flow and seven (100%) patients who were sexually active reported that they were satisfied with vaginal penetration and sexual satisfaction. Conclusion Tubularized incised plate repair technique reveals good functional and cosmetic results even in adults who were circumcised.
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    Which treatment method should be used in pregnant patients with ureteral calculi? Two center comparative study
    (Iniestares, S.A., 2015) Bayar G.; Bozkurt Y.; Acinikli H.; Dagguli M.; Cakmak S.; Bodakci M.N.; Hatipoglu N.K.
    OBJECTIVES: We aimed to compare ureterolithotripsy and inserting only ureteral-j stent in terms of efficiency, safety and patient comfort in treatment of ureteral calculi in pregnant patients. METHODS: Seventy patients who developed hydronephrosis due to ureteral calculi during pregnancy, and on whom endoscopic intervention was performed were included in the study. In a center, the stones were broken up by ureteroscopy, and then ureteral stents (JJ) were placed if needed. In the other center, nothing was performed on the stones, and only ureteral stents (JJ) was placed. For the statistical analysis, Pearson's chisquared test and the Mann-Whitney U tests were used and the significance level was determined as p < 0.05. RESULTS: The average age of the patients was 26.2 years (18-39) and the average gestational week was 23.4 weeks (8-36). While no significant difference was found between the two groups in terms of the frequency of complications (p=0.381) and post-operative pyelonephritis (p=0.2), the need for additional intervention in the group on whom ureteroscopy was performed was found to be less (9.7% vs. 31%; p=0.032). Moderate or severe LUTS or flank pain during the period between the procedure and the birth was found to be significantly less in the group in which ureterolithotripsy was performed (14% vs. 55%; p=0.036). CONCLUSIONS: Ureterolithotripsy is a safe and more comfortable procedure than only ureteral double-j insertion on pregnant patients with ureterolithiasis.