Background: The European Association of Urology (EAU) defines primary urethral carcinoma (PUC) as a carcinoma that arises in the urethra without a previous diagnosis of carcinoma elsewhere in the urinary system. It is considered as a rare cancer, accounting for less than 1% of all malignant tumors and 5% of malignant tumors of the urinary system. The difficulty in diagnosis and its rarity can lead to delayed diagnosis and decreased survival. We think that a case report to be made in the literature for this rare disease with no consensus on treatment will contribute to disease management. Case presentation: In this article, we describe the diagnosis and treatment process of a 75-year-old patient who was diagnosed with primary urethral cancer and had urethral discharge and difficulty in urination. The biopsy result from the suspected hyperemic area in the urethra in cystourethroscopy was primary urethral cancer. Urethrectomy followed by urethroplasty was performed on the patient's 2-cm primary urethral cancerous tissue. In the postoperative first month, an F-18 FDG whole-body PET scan for oncological evaluation showed increased pathological F-18 FDG uptake in the periphery of the mass in the penile urethra and indistinguishable boundaries from the prostatic urethra. After this, adjuvant gemcitabine and carboplatin therapy was planned by the oncology team. Conclusions: Based on our outcome in this case, we believe that chemotherapy combined with surgery increases the chance of successful treatment in locally advanced urethral cancer.

Purpose: The aim of this study was to compare the safety and efficiency of laparoscopic partial nephrectomy (LPN) and open partial nephrectomy (OPN) for complex renal tumors with a RENAL nephrometry score of ≥7. Materials and Methods: We evaluated the data of 63 patients who had undergone LPN (n=32) or OPN (n=31) for renal tumors with a RENAL nephrometry score of ≥7 between 2016 and 2022, retrospectively. We compared the preoperative, functional and oncological outcomes among the groups. The warm ischemia time (WIT) of

Purpose: Vesicovaginal fistula (VVF) is a pathological condition that causes urinary incontinence from a tract between the bladder and the vagina, negatively affecting the quality of life, social life and patient health. The preferred method for VVF repair depends on the patient's characteristics, the features of the fistula, and the surgeon's experience. There is no definitive guideline for choosing between vaginal and abdominal VVF repair. This study aims to retrospectively evaluate VVF cases operated on in our clinic, comparing and interpreting patient characteristics and outcomes with the literature. Materials and methods: The data of 35 patients who underwent vaginal and abdominal VVF repair in our clinic were evaluated retrospectively. Results: Transvaginal repair was preferred in 23 (65.7%) of the patients and abdominal repair was preferred in 12 (34.3%). The success rate of VVF surgery performed in our clinic was determined as 88.6%. Success rates were similar; 91.4% in vaginal repair and 83.4% in abdominal repair. Recurrence was observed in 2 of 23 patients (8.6%) who underwent transvaginal repair and 2 of 12 patients (16.6%) who underwent abdominal repair. Conclusion: In vesicovaginal fistula surgery, patient characteristics and fistula characteristics guide the preferred surgery. However, the surgeon's experience also plays a big role. Vaginal and abdominal VVF surgery are performed with similar high success rates.

Introduction: Priapism can occur in all age groups, including neonatales, children and adolescents. Pediatric priapism treatment is similar to adult priapism treatment, but there are no guidelines for the management of priapism, which is not common in children. Case presentation: We present a pediatric low-flow priapism case who was unresponsive to conservative methods and underwent T-shunt operation Conclusions: In the present case, we wanted to emphasize when distal shunt surgery, which is rarely performed in pediatric patients, is necessary and how it is managed.