Bilimsel Makaleler

Objective: This study aimed to evaluate the efficacy and safety of 200 IU of onabotulinumtoxinA in patients with idiopathic overactive bladder (OAB) and urinary incontinence who had previously shown no response to anticholinergic treatment. This study also sought to examine the impact of a reduction in bladder wall thickness (BWT) on treatment outcomes.

This study aimed to determine the prevalence, diagnostic contribution, and antimicrobial susceptibility patterns of atypical sexually transmitted pathogens—Ureaplasma urealyticum (U. urealyticum) and Chlamydia trachomatis (C. trachomatis)—in sexually active women presenting with urinary tract infection symptoms, particularly in cases with pyuria and negative standard cultures.

Background Overactive bladder (OAB) is a prevalent condition, and patients increasingly turn to online platforms such as YouTube for information, raising concerns about accuracy and reliability. Purpose This study aimed to evaluate the quality and reliability of YouTube videos related to overactive bladder (OAB) using two validated instruments: the DISCERN tool and the Global Quality Scale (GQS). Methods A systematic and structured YouTube search strategy, adapted from systematic review methodology but tailored for digital platforms, was conducted using the keyword overactive bladder. The first 100 videos retrieved were screened, and 60 met the inclusion criteria: English language, duration of at least 60 s, and relevant educational content. Exclusion criteria included non-English language, duplicates, advertisements, and purely promotional material. Two independent urologists evaluated each video using the DISCERN tool (range: 16–80) and GQS (range: 1–5). Additional data collected included video length, view count, uploader type, and thematic content. Descriptive statistics and correlation analyses were performed. Results The median video duration was 5.6 min (IQR: 3.4–8.2), with a median view count of 34,200 (IQR: 12,500–89,000). The mean DISCERN and GQS scores were 45.2 ± 10.1 and 2.9 ± 0.8, respectively, indicating moderate overall quality. Videos uploaded by healthcare professionals or institutions had significantly higher DISCERN and GQS scores compared to those uploaded by individuals or commercial entities ( p < 0.001). Only 28% of videos addressed neurogenic causes of OAB, and 41% did not mention behavioral therapy. A weak but statistically significant positive correlation was observed between GQS score and view count (ρ = 0.34, p = 0.01). Conclusions YouTube contains a wide array of OAB-related videos, but their quality and reliability vary considerably. While some content is accurate and informative, significant gaps remain, particularly regarding neurogenic etiologies and behavioral management. Healthcare professionals should guide patients toward trustworthy resources and consider producing evidence-based content to improve digital health literacy.

Background: Kidney stone disease is a highly prevalent condition with increasing global incidence and recurrence. The stone composition reflects underlying metabolic and biochemical alterations, and its evaluation may provide clinically relevant information for effective management.

Introduction Gardnerella vaginalis, traditionally linked to bacterial vaginosis (BV) in women, is increasingly detected in men with urethral symptoms. Its clinical relevance and co-infection patterns remain poorly defined. This study assessed the prevalence, quantitative load, and co-infections of G. vaginalis, and other urogenital pathogens in symptomatic men.

Objective: This study aimed to evaluate the efficacy and safety of Rezum water vapor therapy in elderly male patients with long-term urinary catheterization and high anesthetic risk, as indicated by American Society of Anesthesiologists (ASA) scores of 3–4. Material and Methods: We retrospectively analyzed 15 elderly male patients with ASA scores of 3–4 who had been using indwelling urinary catheters and underwent Rezum therapy between January and December 2023.

This study evaluated the serum hormone levels and sperm parameters in men with idiopathic infertility on the basis of the presence or absence of MetS.

This study aimed to evaluate the role of preoperative ureteral diameter measurements (distal, iliac, and upper ureters) in predicting difficult UAS placement during RIRS. A retrospective analysis was conducted on 234 patients who underwent RIRS for kidney stones. Ureteral diameters were measured at three anatomical levels using preoperative CT. Patient demographics, stone size, operative time, and surgical outcomes were recorded.

This study aimed to investigate the association between microorganisms in prostatic fluid and the severity of symptoms in patients with CP/CPPS by utilising the UPOINT system for classification.

This study aimed to assess postoperative pain, depression, and anxiety levels in infertile men who underwent microsurgical testicular sperm extraction (micro-TESE) for non-obstructive azoospermia (NOA) and compare results between patients with successful and unsuccessful sperm retrieval.