Publications by authors named "Ahmet Emre Cinislioglu"

This study was aimed to identify the most frequently observed pathogens in uncomplicated urinary tract infections from outpatient urinary isolates obtained across seven different geographical regions in Türkiye and to determine whether the antibiotic resistance rates of these pathogens differ significantly between these regions. The study included patients aged 18 to 65 years who were diagnosed with uncomplicated urinary tract infections and had positive urine cultures from March 2021 to August 2022, across 37 different centers in Türkiye. The participating centers were selected based on their use of the disk diffusion method, in line with the European Committee on Antimicrobial Susceptibility Testing (EUCAST) guidelines, to ensure standardization of urine culture data.

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Ureteropelvic junction (UPJ) obstruction, in addition to causing progressive renal function loss, can lead to the formation of retained stones. Management planning for concomitant stones and UPJ obstruction is a topic of debate in the literature. We performed laparoscopic pyeloplasty and extracted all 144 stones from the renal pelvis and calyces of a 37-year-old male with UPJ stricture, using wireless flexible cystoscopic guidance.

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Objective: To contribute to the literature by sharing the clinical presentation, surgical approach, postoperative complications management, and follow-up protocols of the patients we operated on due to intrascrotal extratesticular mass.

Methods: Thirty-two patients admitted due to intrascrotal extratesticular mass were included in the study. Demographic and clinical characteristics of the patients such as age, initial clinical presentation, physical examination, radiological imaging findings, such as scrotal Doppler ultrasonography and magnetic resonance imaging, mass size, and characteristics, surgical treatment procedures, operation notes, and patient follow-up visits were retrospectively examined and evaluated from the patient files.

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Purpose: Identifying factors predicting the spontaneous passage of distal ureteral stones and evaluating the effectiveness of artificial intelligence in prediction.

Materials And Methods: The files of patients presenting with distal ureteral stones were retrospectively evaluated. Those who experienced spontaneous passage were assigned to Group P, while those who did not were assigned to Group N.

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Objective: In this study, we aimed to contribute to the literature by sharing the perioperative and postoperative outcomes of infants (0-24 months) who underwent ultra-mini percutaneous nephrolithotomy (PNL) for kidney stones in our clinic.

Methods: Infants under 24 months old with kidney stones of 2 cm and larger, who applied to our clinic between January 2018 and May 2023, were included in the study. The patients' demographic and clinical characteristics were obtained from the medical records.

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Article Synopsis
  • The study compared the effects of smoking on semen quality and pregnancy rates in male patients with primary infertility who underwent varicocelectomy.
  • Results showed that non-smokers had significantly better progressive motility in their semen at 3 and 6 months post-surgery, and a higher, though not statistically significant, pregnancy rate (53%).
  • The findings suggest that smoking has a negative impact on fertility outcomes, indicating a need for further research with larger sample sizes.
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Objective: To compare sperm retrieval rates between unilateral and bilateral microdissection testicular sperm extraction (MD-TESE) procedures in patients with non-obstructive azoospermia and to contribute to the literature by comparing them with literature data.

Methods: This prospective study included 84 males with primary infertility who had azoospermic NOA, who had been married for at least one year, and whose female partners did not have a history of infertility. The study was conducted between January 2019 and January 2020.

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Primary monosymptomatic nocturnal enuresis is a common clinical condition in childhood and affects the psychosocial development of the child. The management of this clinical condition, which includes the preschool and adolescence period, is very important for child development. Diagnostic evaluation should be performed in terms of diabetes mellitus, diabetes inspidus, neurogenic bladder, spinal anomalies, and congenital urogenital system anomalies.

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Article Synopsis
  • Premature ejaculation (PE) is a common sexual dysfunction impacting the quality of life, and this study aimed to assess the effectiveness and safety of combining biofeedback-guided pelvic floor therapy (BFT) with dapoxetine 30 mg.
  • In the study, 65 patients with lifelong PE were divided into three groups: one received BFT, one received dapoxetine, and the third received both treatments, with their ejaculatory latency times measured before and after treatment.
  • Results showed that the combination therapy significantly improved ejaculatory latency times compared to either treatment alone, indicating it is an effective option for managing lifelong PE with minimal side effects.
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Purpose: To compare the effectiveness of biofeedback-assisted pelvic floor muscle training (PFMT) and PFMT alone on voiding parameters in women with dysfunctional voiding (DV).

Materials And Methods: The patients in group 1 (34 patients) were treated with biofeedback-assisted PFMT, and the patients in group 2 (34 patients) were treated with PFMT alone for 12 weeks. The 24-hour frequency, average voided volume, maximum urine flow rate (Qmax), average urine flow rate (Qave), post-void residual urine volume (PVR), and the validated Turkish Urogenital Distress Inventory (UDI-6) symptom scores were recorded before and after 12 weeks of treatment.

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  • The article investigates how multiparametric magnetic resonance imaging (mpMRI) can improve prostate cancer diagnosis before conducting standard tru-cut biopsies in patients.
  • In a study involving 160 patients, mpMRI guided the biopsy process, showing significant differences in prostate-specific antigen levels between cancer and benign cases.
  • Results indicated that mpMRI results and biopsy findings were in complete agreement for identifying cancer zones, with the likelihood of adenocarcinoma significantly rising alongside increased mpMRI risk scores.
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Objective: It is not known to date how many patients admitted to urology outpatient clinics are willing to use telemedicine. We aimed to investigate knowledge levels and attitudes concerning the utilization of teleurology by patients applying to urology outpatient clinics.

Methods: This prospective multicentre survey study included 334 patients aged 18-65 years who applied to an urology outpatient clinics.

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Objective: To investigate the effect of SARS CoV-2 on serum total PSA levels in men with BPH diagnosed with COVID-19.

Methods: The PSA (Kit: Immunoassay Program- Cycle 18, Siemens Atellica IM Analyzer) levels in patients who had had a PSA check at least 3 months, but no more than 6 months, prior to diagnosis of acute COVID-19 infection, were examined retrospectively. PSA levels were measured and recorded from these patients on the first day of diagnosis of COVID-19.

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Article Synopsis
  • The study examines the potential impact of testosterone levels on the severity and outcomes of COVID-19 in male patients, suggesting that lower testosterone may be linked to worse outcomes.
  • Among 358 male COVID-19 patients, those with severe cases showed significantly lower testosterone levels compared to those with mild-moderate infections, as well as lower levels in those requiring intensive care or who did not survive.
  • The findings indicate that testosterone levels could be an important factor in understanding sex-related differences in COVID-19 severity and outcomes, warranting further investigation into hypogonadism's role.
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Radical prostatectomy (RP) is the first-line treatment modality for prostate cancer and can be performed using retropubic or minimally invasive techniques. New technologies such as the da Vinci robotic system and three-dimensional (3D) laparoscopic imaging system have been developed to overcome the challenges of conventional laparoscopy. This study aimed to compare the perioperative, oncological, and functional outcomes of robot-assisted laparoscopic RP (RALP) and 3D laparoscopic RP (3D LRP).

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Objective: In this study, we aimed to contribute to the literature by sharing and evaluating the clinical characteristics and our treatment and follow-up approaches in patients in the COVID-19 positive treatment process who had presented to our hospital's emergency department with a distal ureteral stone and to examine the effects of the pandemic and disease in this group of patients.

Method: The study included 14 patients infected with COVID-19 who had presented to the Erzurum City Hospital Emergency Department between August 2020 and December 2020 with the complaint of renal colic in which distal ureteral stones were detected in the tests. The demographic and clinical characteristics of patients, laboratory and radiological examinations, characteristics of ureteral stones, details of treatments applied to patients, treatment procedures of patients who had undergone surgical treatment, patient files, visit and operation notes and the patient discharge reports were retrospectively reviewed and evaluated.

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Ultra-mini PNL is increasingly preferred in the treatment of kidney stones. Unlike routine applications of the ultra-mini PNL technique, we aimed to perform kidney stones treatment with an epiduroscopic device that can pass through 11-13-Fr ureteral access sheaths with a flexible structure and which is routine in neurosurgical practice. The study was planned prospectively.

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Objective: Our study was planned based on the hypothesis that epididymal anomalies may be more incidental and more severe in cases with bilateral undescended testicles compared to unilateral undescended cases. We also aimed to review the classifications of epididymal anomalies in the literature and to establish a simpler and clinically applicable classification in the present study.

Materials And Methods: In this study, we retrospectively reviewed 197 pediatric patients who had been operated for undescended testis between January 2014 and January 2018.

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Introduction: Penile fracture arises as a result of a unilateral or bilateral rupture of the tunica albuginea of the corpus cavernosum. It is a rare condition that requires urgent surgical intervention. In this study, we aimed to determine the effectiveness of surgical treatment in penile fracture and its effect on complications.

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Article Synopsis
  • The study aimed to evaluate whether benign prostatic hyperplasia (BPH)-related lower urinary tract symptoms (LUTS) could predict the disease prognosis in male COVID-19 patients.
  • The research involved 63 male patients over 40 years, whose LUTS were assessed using the International Prostate Symptom Score (I-PSS), dividing them into three symptom severity groups: mild, moderate, and severe.
  • Results indicated that patients in the severe LUTS group experienced longer hospital stays, more frequent intensive care needs, and higher mortality rates, suggesting LUTS can help guide prognosis for COVID-19.
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Objective: The aim of this study was to retrospectively examine the patients who underwent surgical treatment for vesicovaginal fistula (VVF) repair in our clinic, to evaluate our surgical preferences, success, and treatment results, to compare these with the literature, and firstly to reveal the necessity of cystostomy and its effect on treatment success.

Material And Methods: Between 1985 and 2018, a retrospective evaluation was performed on the records of 102 patients who underwent surgical treatment for VVF repair. All cases underwent a detailed physical examination and had their routine laboratory tests and imaging methods.

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Objective: To compare microscopic inguinal (MIV) and subinguinal varicocelectomy (MSV) surgeries with respect to efficacy and safety.

Material And Methods: Patients who underwent varicocelectomy between January 2002 and January 2018 were evaluated retrospectively and prospectively. The patients who underwent varicocelectomy until December 2015 were analyzed retrospectively and the cases after January 2016 were analyzed prospectively.

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