Bu arastirmanin amaci, bireyin internet bagimlilik duzeylerinin aile iliskileri uzerindeki etkisini incelemektir. Bu kapsamda Istanbul Medipol Universitesinde ogrenim goren 312 ogrenci uzerinde calisilmistir. Bu calismada Nicel arastirma yontemlerinden iliskisel tarama modeli kullanilmistir. Veri toplama amaci ile Young (1998) tarafindan gelistirilen ve Bayraktar (2001) tarafindan Turkceye uyarlanan 20 maddelik ve tek boyuttan olusan Internet Bagimliligi Olcegi (IBO) ile 1983 yilinda Brown Universitesi ve Butler Hastanesi tarafindan gelistirilen Bulut (1990) tarafindan Turkceye uyarlanan 60 madde ve 7 alt boyuttan olusan Aile Iliskileri Degerlendirme Olcegi (AIDO) kullanilmistir. Arastirmada elde edilen bulgular incelendiginde, ogrencilerin internet bagimliliklarinin semptom gostermeyen duzeyde oldugu tespit edilmistir. AIDO ile IBO arasinda pozitif yonde ve anlamli duzeyde korelasyon tespit edilmistir. AIDO’nun alt boyutlarindan Problem cozme, Roller, Duygusal tepki, Gereken ilgi, Davranis kontrolu, Iletisim ve Genel Islevler ile IBO arasinda pozitif yonde korelasyon tespit edilmistir. Belirlenen korelasyonun niteligini daha iyi aciklamak ve internet bagimliliginin aile iliskileri uzerindeki yordama duzeyini tespit etmek icin regresyon analizi yapilmistir. Internet bagimliligi degiskenin aile iliskileri uzerindeki yordama gucunun zayif oldugu gozlemlenmistir. Sonuc olarak, arastirmaya katilan bireylerin internet bagimlilik duzeylerinin dusuk oldugu ve internet kullanim duzeylerinin aile iliskilerini etkilemedigi gorulmustur.
To identify atypical masturbatory behaviors (AMB) and to reveal their effects on both sexual and masturbational erection hardness in men with erectile dysfunction (ED).Patients with ED and healthy controls were questioned about their masturbation habits. Accordingly, "rubbing in a prone position," "pressure on penis," and "masturbation through clothes" were included in the traumatic masturbation syndrome (TMS) group. Erection hardness score (EHS) is used to measure the erectile functions during masturbation (mast), foreplay (presex), and sexual intercourse (sex), separately.The data of 448 participants, 266 (59%) from the patient group, and 182 (41%) from the control group were analyzed. The mean ages were 30 years in both groups (p = 0.734). The rate of "rubbing in a prone position" and "penile pressure" while masturbating was higher in patients than the controls (10.2% vs. 6%, p = 0.024 and 8.6% vs. 3.3%, p = 0.0002, respectively). Patients had 2.2-fold (odds ratio, 2.21; 95% confidence interval, 1.40-3.47; p = 0.001) increased risks of having at least one AMB, compared with controls. In the secondary analysis, the patient group was divided into 2 subgroups according to having TMS (ED + TMS) or not (ED). The percentage of patients with EHS≥3 during masturbation was higher than those during sex and presex in the "ED + TMS" group (60.2%, 38.8%, and 37.2%, respectively, p = 0.0001; n = 98). Comparing the percentage of patients with EHS≥3 during mast, presex, and, sex was found to be similar in the "ED" group (58.9%, 56.5%, and 56%, respectively, p = 0.753; n = 168).Atypical masturbatory behaviors are more common in young men presenting with erectile dysfunction. These patients have higher erection hardness scores during masturbation compared to partnered sex.
We aimed to evaluate the possible effects of ureteroscopic procedures on the sexual function of both genders.A total of 102 sexually active cases (60 male, 42 female) undergoing ureteroscopic procedures were included in this study. Sexual function has been evaluated in detail by using International Index of Erectile Function (IIEF) in male and Female Sexual Function Index (FSFI) forms in female cases both before and 1-month after the procedures. Pre-and postoperative data were evaluated in a comparative manner.The pre-and postoperative mean IIEF scores were 57.86 ± 2.26 and 54.57 ± 2.48 (p = 0.19) in males and the mean FSFI scores were 13.58 ± 1.46 and 14.46 ± 1.52 (p = 0.41), respectively in females. Evaluation of these values showed that regarding the effects of this procedure on male cases although the total scores for sexual function were not influenced it was observed a significant reduction in the intercourse satisfaction subdomain (IIEF-IS) in males (p < 0.05). In female cases however, unlike the male cases no statistically significant alterations with respect to these scores were noted (p = 0.418).Ureteroscopic interventions could have some adverse effects on the sexual function particularly in male cases. However, it is clear that further prospective studies in both genders with large population of cases are certainly needed in order to outline this unresolved but important subject.
We investigated whether the frequency of lower urinary tract symptoms (LUTS) increased in patients in whom double-J stents were applied. We also evaluated several medical therapy protocols to treat symptoms related with ureteral stents.A total of 108 patients, in whom unilateral double-j stent was applied during ureteral stone treatment, were included. Before the double-J stent was applied, all patients completed storage components of the "International Prostate Symptom Score" (IPSSs), quality of life components of the IPSS (IPSS-QOL) and "Overactive Bladder Questionnaire" (OABq) forms and scores were calculated. After the procedure, cases were randomized into 5 groups, an antiinflammatory was given to Group 1, spasmolytic to Group 2, anticholinergic to Group 3 and α-blocker to Group 4. No additional drug was given to Group 5 as this control group. During the fourth week of the procedure, IPSSs, IPSS-QOL and OABq forms were again completed and scores were compared with the previous ones.When all the cases were evaluated, the IPSSs, IPSS-QOL and OABq scores of patients in whom the double-J stent was applied were statistically significantly higher the procedure. Compared to the control group, the cases where the double-J stent was applied showed a higher IPSSs, IPSS-QOL and OABq scores and none of the medical therapies could prevent this increase.The frequency of LUTS increased in cases where the ureteral stent was applied and discomfort continued as long as the stent stayed in the body.
It is known that renal angiography and embolization is an effective and safe method in massive bleeding after percutaneous nephrolithotomy.In our study, we found that renal angiography is superior to renorraphy. What's known on the subject? and What does the study add? ABSTRACT ÖZ ObjectiveWe present two treatment modalities, selective renal angioembolization and renorraphy, in massive renal hemorrage after percutaneous nephrolithotomy (PCNL) that could not be controlled by conservative methods. Materials and MethodsOne thousand two-hundred patients, who had undergone PCNL between January 2003 and February 2014, were retrospectively reviewed.From these cases, we selected patients with massive post procedural bleeding that could not be taken under control by conservative methods and we reviewed their clinical course and treatment results. ResultsBleeding could not controlled by conservative methods in 6 patients and, angioembolization was done succesfully.In 3 patients, angioembolization was not available.Renorraphy was performed in 2 patients and nephrectomy in 1 patient at first attempt.Renorraphy could not solve the problem of massive hemorrage and these 2 patients eventually underwent nephrectomy. ConclusionRenal angiography and embolization is an effective and safe method and renorraphy should not be the first option in massive bleeding after PCNL that can not be taken under control by conservative methods.
To evaluate the possible effects of medical expulsive therapy (MET) on the health-related quality of life (HRQOL) of patients undergoing shock wave lithotripsy (SWL) for ureteric stones.Eighty patients treated with SWL for ureteric stones were included in this study. Patients were divided into 2 groups; Group 1 received medical therapy only for colic pain and Group 2 received MET in addition to medical therapy. Patients requiring DJ stenting and auxiliary measures after SWL procedure were excluded. The remaining 54 patients were further evaluated (Group 1: n = 26, Group 2: n = 28) and followed up during the 4-week period for analgesic requirement, number of renal colic attacks, emergency department (ED) visits and the HRQOL scores by using EQ-5D index and EQ-5D visual analogue scale (VAS) values.During the 4-week follow-up period, cases undergoing SWL only required significantly higher amount of analgesics. In addition to the lower number of renal colic attacks and ED visits, EQ-5D index and EQ-5D VAS values also demonstrated higher mean values in patients undergoing SWL + MET.In addition to the increased spontaneous stone passage rates, MET following SWL for ureteral calculi could increase the HRQOL scores by lowering the number of both renal colic attacks and ED visits along with decreased analgesic need.
The use of ureteral stents is a common procedure in urology practice. We investigated whether the use of double-J stent had an effect on sexual functions or not. One hundred and seventy-seven cases were included in the study. Unilateral double-J stent was placed during ureteral stone treatment in one hundred and eight of these cases. Sixty-nine cases were included as the control group. 'International Index of Erectile Function' (IIEF) and 'Female Sexual Function Index' (FSFI) questionaries were assessed before and 4 weeks after the intervention in all patients. When total IIEF and subdomains of IIEF scores of men and total FSFI and subdomains of FSFI scores of women whom double-J stent was placed were evaluated before and after the procedure, there was statistically significant reduction in patient's scores. In the control group, any statistically significant alteration in patient's score was not observed in men and women. Sexual functions are negatively affected in both women and men whom ureteral stents are placed. To reduce these problems specific to urinary system owing to stents, new treatment strategies and new studies that lead to improvements in the material and design of stents are required.