Amaç: Çalışmanın amacı SARS-CoV-2'nin neden olduğu yeni korona virüs hastalığı (COVID-19) tanısı alan ve sezeryan ile doğum yapmış olan iki olguda kaygı durumlarını belirlemektir. Olgu 1: Otuz sekiz yaşında, 38+1 gebelik haftasında olan ve COVID-19 tanısı alan gebe kliniğimize yatırıldı. COVID-19 tedavisi ve sezeryan operasyonu gerçekleştirilen hastaya postoperatif dönem tedavisi uygulandı ve bakımı yapıldı. Annenin 14 gün izolasyon sonunda bebeği ile teması sağlandı. Doğum sonrasında bebek yenidoğan yoğun bakım ünitesinde izole edilerek anne ile teması önlendi. Annenin ‘Durumluluk ve Sürekli Kaygı Envanteri’ ile kaygı düzeyi belirlendi. Hastanın durumluluk kaygı durumu orta düzey ve sürekli kaygı düzeyi ise yüksek olarak saptandı. Olgu 2: Yirmi iki yaşında, 39+5 gebelik haftasında olan hasta, öksürük ve ateş şikayetleri ile hastanemize başvuru yaptı. PCR test sonucu pozitif çıkan hasta COVID-19 tanısı ile kliniğimize yatırıldı. Sezeryan olan hastaya postoperatif dönem tedavisi uygulandı ve bakımı yapıldı. 1. olguda olduğu gibi bebek yenidoğan yoğun bakım ünitesinde 14 gün izole edildi. Hastanın durumluluk kaygı düzeyi düşük ve sürekli kaygı düzeyi ise orta düzey olarak saptandı. Sonuç: COVID-19’un maternal ve fetal etkileri için kanıtlar halen yetersizdir. Çalışmada da bilinmezlik durumu, annenin bebeğini görememesi, emzirememesi, dokunamaması gibi durumlar postpartum dönemde kadınların kaygılarını artırmaktadır. Sağlık profesyonellerinin bu dönemde anneye destek olmaları (annenin bebeğini görmesini ve bebeğinin beslenmesine katılmasını sağlama, kaygı durumu yüksek olanlara psikolojik destek sağlama gibi faktörler) önemlidir.

Overactive bladder (OAB) is a common urological condition affecting millions of people worldwide, significantly reducing their quality of life. Patient com

To systematically assess the effectiveness and safety of retrograde intrarenal surgery (RIRS) versus percutaneous nephrolithotomy (PCNL) in treating lower pole stones. PubMed, Ovid MEDLINE, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), and EMBASE were researched to identify relevant studies up to May 2018. Based on keyword searches, we explored 1972 studies; following screening and eligibility evaluation, 414 studies were removed for various reasons, including 11 possibly relevant studies for this systematic review. A total of 1342 patient data were interpreted (PCNLn = 688; RIRS n = 654). The stone-free rate (SFR) in ten studies following the PCNL operation varies from 68 to 98.3%, while after the RIRS procedure, it ranges from around 46–93.7%. Out of 10 investigations, 7 demonstrated a superior SFR for the PCNL technique compared to the RIRS. Of the ten investigations, eight demonstrated reduced surgical durations using the PCNL method compared to the RIRS procedure. The duration of hospital stays for the PCNL treatment varies from around 0.3 ± 0.04 to 5.3 ± 1.20 days, while the duration for RIRS procedures ranges from 0 to 3.2 ± 0.52 days. All nine trials indicated a reduced period of hospital stay with the RIRS technique compared to the PCNL procedure. The complication rates in 10 studies following the PCNL surgery varied from approximately 2–72%, while those after the RIRS procedure ranged from about 4–21.6%. Out of 10 trials, 6 demonstrated a reduced complication rate with the RIRS technique compared to the PCNL. The majority of studies in this systematic review indicate that the PCNL method exhibits a superior SFR, reduced operational duration, prolonged hospital stay, and increased complication rates compared to the RIRS procedure. Not applicable, as this is a systematic review.

Malignant mesothelioma of the tunica vaginalis testis (MMTVT) is an extremely rare tumour, usually mimicking benign pathologies of the scrotum. Our case is an 84-year-old male patient who appealed with a painless, left-sided scrotal swelling longer than 2 months. Although the level of tumour markers was normal, ultrasonographic examination results forced us to perform an inguinal scrotal exploration. Multiple small papillary tumours, both on tunica vaginalis and tunica albuginea, were detected intraoperatively. Due to these findings, radical orchiectomy was performed. A pathological evaluation showed malignant mesothelioma (MM) of the tunica vaginalis testis. Exposure to asbestos is a well-known risk factor. Furthermore, a history of trauma, herniorrhaphy and chronic hydroceles is blamed as a possible risk factor. Scrotal ultrasonography is the mainstay of primary diagnosis and, therefore, it should not be overlooked when dealing with benign scrotal cysts or hydroceles, which are very common pathologies at these decades, too. Radical inguinal orchiectomy is the primary treatment choice for localised MMTVT disease, whereas in signs of lymph node metastasis, inguinal lymph node dissection is required. Radical resection should be completed with chemotherapy and/or radiotherapy for an advanced or recurrent disease. This case, which is very rarely reported in the literature and detected during inguinal exploration, along with the pathological works that supported the diagnosis, was presented with this report.

Sexual intercourse is a predominant cause of penile fractures (PF). To evaluate the relationship between body metrics and the severity of PF, identifying how anthropometric factors of patients and their partners influence the incidence and severity of PF. This study analyzed 47 patients with PF over 9 years across multiple centers. Demographic and anthropometric data were collected for both patients and their partners. Injuries were categorized by the sexual position or activity causing them, including partner-related positions (man-on-top, woman-on-top, and doggy-style) and isolated actions (rolling-over, blunt trauma, masturbation, or manipulation). Statistical analysis was performed using the χ2-test. The study aimed to uncover correlations between body metrics and the risk profile for PF, focusing on body mass index (BMI), weight, height, and age. The majority of PFs occurred during sexual activities (74.5%), particularly in “doggy” and “man-on-top” positions. Urethral involvement was observed in 10.6% of cases. Significant correlations were found between patient and partner ages (r = 0.915), patient BMI and weight (r = 0.874), patient height and weight (r = 0.502), and partner weight and BMI (r = 0.805). Higher BMI in patients was linked to delayed hospital visits (r = 0.377), and frequent sexual activity was strongly correlated with urethral complications (r = 0.727). These findings emphasize the importance of considering body metrics in assessing PF risk and could guide future preventive strategies and clinical interventions. The study’s strength lies in its comprehensive analysis of anthropometric factors and their correlation with PF severity. Limitations include a relatively small sample size and the potential for reporting bias in sexual activity data. The study confirms sexual intercourse as the main cause of PF and highlights significant links between anthropometric factors and fracture severity. Higher BMI and weight in partners are associated with more centrally located fractures and urethral injuries, particularly in taller patients or those with larger partners.