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    Current laparoscopic practice patterns among urologists in Turkey
    (Aves, 2012) Altunoluk, Bulent; Soylemez, Haluk; Ozer, Ali; Efe, Erkan; Sancaktutar, Ahmet Ali; Resim, Sefa
    Objective: Laparoscopic surgery has become increasingly popular in urology over the last decade. This survey was performed to evaluate the current practice patterns in laparoscopy among urologists in Turkey. Material and methods: A detailed questionnaire about urologic laparoscopic practice patterns was distributed to 1242 urologists who were working in Turkey. The questions pertained to age, practice demographics, and the amount and variety of laparoscopy performed. Results: Nearly half of the respondents (48.3%) already performed laparoscopy. Of the urologists in academic settings, including university hospitals and education and research hospitals, 69.6% and 59.4% performed laparoscopy, respectively. In state hospitals, the percentage of those who performed laparoscopy was lower (26.9%). The most important reasons mentioned for performing laparoscopy were shorter hospital stay, patient requests and greater flexibility of possible surgical techniques. The main laparoscopic procedures performed were nephrectomy (benign indication), 91%; renal cyst decortications, 90%; nephrectomy (malign indication), 65%; laparoscopic stone surgery, 47% and pyeloplasty, 38%. A large percentage (77.2%) of respondents intended to attend continuing education and to perform laparoscopy in the future. Conclusions: Our results show that laparoscopic practice steadily increases in frequency and that urologists are willing to substitute open surgery for laparoscopic surgery. The performance of laparoscopic surgery has become a goal for most urologists in Turkey to achieve in the near future.
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    Seven batteries in the bladder due to autoerotism
    (İnönü Üniversitesi Sağlık Bilimleri Dergisi, 2012) Söylemez, Haluk; Çakıcı, Hakan; Sancaktutar, Ahmet Ali; Atar, Murat; Bozkurt, Yaşar
    Recently the frequency of foreign bodies in the urinary tract is increasing. Except the iatrogenic reasons, most foreign bodies in the lower genitourinary tract are self-inserted via the urethra as the result of exotic impulses, psychometric problems, sexual curiosity or sexual practice while intoxicated. Although the presentation of urinary foreign bodies has frequently been described in the medical literature, the insertion of foreign bodies through the urethra for reasons of sexual gratification has rarely been considered. A 23-yearold young girl admitted to emergency service complaining of macroscopic hematuria and pelvic pain for last 2 days. About 6-7 radioopaque density were observed on the plain X-ray and thought to be multiple batteries. Then she gave a history of insertion of many batteries into the urethra six days ago. Under spinal anesthesia a cystoscopic examination was performed. Seven batteries were observed in the bladder with hemorrhage and edema of the mucosa without any perforation and a pfannenstiel incision was made and batteries were removed successfully. Here we reported a case of self-inserted seven batteries in to the bladder due to autoerotism with a brief review of the literature.