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    Incidence of renal carcinoma in non-functioning kidney due to renal pelvic stone disease
    (Spandidos Publ Ltd, 2015) Zengin, Kursad; Tanik, Serhat; Sener, Nevzat Can; Albayrak, Sebahattin; Ekici, Musa; Bozkurt, Ibrahim Halil; Imamoglu, Muhammed Abdurrahim
    The objective of this study was to report our pathological findings in nephrectomy specimens from patients treated for non-functioning hydronephrotic kidney due to renal pelvic stone disease. A total of 97 patients who underwent nephrectomy for non-functioning hydronephrotic kidneys between January, 2011 and June, 2014 were retrospectively reviewed. A non-functioning kidney was defined as one having paper-thin parenchyma on urinary ultrasound or computed tomography, exhibiting no contrast visualization in the collecting duct system on intravenous urography and having a split renal function of <10% on nuclear renal function studies. Following pathological evaluation, 9 patients were diagnosed with xanthogranulomatous pyelonephritis, 9 with malignant tumors and 79 with chronic pyelonephritis. Of the patients with chronic pyelonephritis, 2 also had renal adenomas. The malignant tumors included 3 transitional cell carcinomas (TCC), 2 squamous cell carcinomas (SCC), 3 renal cell carcinomas (RCC) (1 sarcomatoid, 1 papillary and 1 clear cell RCC), whereas 1 patient had concurrent RCC and TCC. In conclusion, non-functioning kidneys, particularly those with kidney stones, should be managed as possible malignancies, due to the higher incidence of malignant tumors in such patients compared with the normal population.
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    Relationship between anxiety and lower urinary tract symptoms
    (Derman Medical Publishing, 2016) Çevik, Rıza; Bal, Ufuk; Albayrak, Sebahattin; Tanık, Serhat; Zengin, Kürşad; Atar, Muhittin; Gül, Ali İrfan
    Aim: Lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) are prevalent and interfere with the quality of life (QoL) of older men. According to observa¬tional, 22.6% of LUTS/BPH patients reported anxiety or depression. The aim of our study was to investigate the potential influences of anxiety and QoL to LUTS/BPH. Material and Method: We examined consecutive 42 patients admitted to our outpatient clinic with LUTS at Bor State Hospital. We examined and recorded maximum urinary flow rate (Qmax) and International Prostate Symptom Score (IPSS) also Hamilton anxiety rating scale for anxiety and IPSS QoL were utilized in the study. Patients according to IPSS were divided into two groups as moderate (group 1, IPSS ?19) and severe (group 2, IPSS >19) LUTS. Patients according to Qmax were divided into two groups as moderate (group 3, Qmax >9) and severe (group 4, Qmax ?9) LUTS. Results: The mean Hamilton anxiety rating scale score of group 1 and 2 were 15.4 ± 3.3 and 21.4 ± 4.5, respectively (P=0.03); of group 3 and 4 were 13.5 ± 2.8 and 17.9 ± 3.5, respectively (P=0.04). The mean QoL score of group 1 and 2 were 3.2 ± 0.6 and 4.2 ± 0.9, respectively (P=0.02); of group 3 and 4 were 3 ± 0.5 and 3.7 ± 0.6, respectively (P=0.02). Discussion: We found relationship between clinical status, anxiety and QoL in patients with BPH. These psychiatric parame¬ters may help identify individuals to benefit from treatment interventions in daily routine practice. © 2016, Journal of Clinical and Analytical Medicine. All rights Reserved.

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