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    Renal trauma management and current approaches
    (Turgut Özal Tıp Merkezi Dergisi, 2016) Çelik, Hüseyin; Camtosun, Ahmet; Ediz, Caner; Gürbüz, Şükrü; Altıntaş, Ramazan
    Abstract Urinary tract injuries happen in approximately 8-10% of all abdominal trauma patients. Kidney is the most frequently injured organ in the urinary tract with penetrating or blunt trauma, and, if not suitable care is carried out, it may lead to morbidity and mortality. The most important laboratory tests are urinalysis, haematocrit and creatinine for evaluating renal trauma. Hematuria is often seen as microscopic or gross, but it is not enough to differentiate the condition between minor and major injuries. The management of kidney trauma has always been and will always be controversial. Conservative (follow-up) and aggressive (surgical) approach both have their proponents. The conservative management of blunt kidney trauma was first suggested in the first half of the 1900s. Since then, it has been reported that the utilities of this approach have become gradually decreased in terms of rate of nephrectomy, complications, and hospital stay. This approach has gained popularity in penetrating kidney trauma cases especially after the 1980s. Nowadays, conservative management is usually favoured, even in the case of grade IV / V traumas. In addition to this, while many studies have shown the conservative approach to be successful, surgical treatment is used only in appropriate cases in grade V injuries. In this survey, relevant articles and guidelines published between 2000 and 2014 have been reviewed, retrospectively. We aim to review the literature and suggest advices regarding conservative and surgical management of renal trauma. Keywords: Kidney Injury; Renal Trauma; Management; Renal Surgery.
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    Synchronous bilateral testicular seminoma: a rare case report
    (Turgut Özal Tıp Merkezi Dergisi, 2016) Ediz, Caner; İhvan, Ayse Nur; Tosun, Muzaffer İlkay
    Abstract Testicular cancer represents 5% of urological tumours. Its incidence has been increasing during the last decades especially in the industrialised countries. Especially pure seminoma patients have been between 30 and 40 years old. At diagnosis, 1-2% of testicular tumors are bilateral. Radical orchiectomy is the gold standart for the treatment despite the performing of organ sparing surgery in selected cases for recent years. We present a case of bilateral synchronous testicular seminoma stage-IIIa in a 32-year old Turkish male who presented at our hospital with painless mass last one year. He underwent bilateral radical inguinal orchiectomy followed by four courses of BEP (bleomycin, etoposide, and cisplatin) chemotherapy. After the treatment, there was no recurrence or metastasis in a one-year follow-up. Keywords: Seminoma; Testicular; Bilateral; Treatment.