A case report on a rare complication of penile prosthesis

ABSTRACT Corporal perforation is a rare complication during penile prosthesis implantation. The treatment depends on the type of intraoperative perforation. This report presents the case of a 60-year-old male that had undergone penile prosthesis implantation 13 years earlier. The patient presented to our clinic with penile deformation caused by right-sided, one-piece penile prosthesis and consequent difficulty in sexual intercourse and pain in the perineal region. Physical examination and tests revealed deformity of the penis, and atrophy with deformity on the left side of the glans penis. On pelvic tomography, it was observed that the malleable penile prosthesis located on the right perforated the right proximalRead More →

Postoperative Cognitive Dysfunction In Elderly Patients After Urologic Part 2

DISCUSSION: The pathogenesis of postoperative cognitive dysfunction (POCD) was not completely clarified.7 However, it is reported that age, alcohol addiction, low intellectual capacity, low educational level, hypoxia, perioperative or postoperative hypotension, hypoxemia, surgery type, size and time can be effective in POCD formation.3,8 It has been claimed that mild depression and mild decrease in cognitive functions in elderly patients can increase with surgery and POCD can be detected with tests measuring cognitive functions.9 There are wide series regarding POCD and delirium development in elderly patients after major abdominal and orthopedical surgery procedures.3,10  POCD is not infrequent among elderly patients undergoing major surgery. In a studyRead More →

Postoperative Cognitive Dysfunction In Elderly Patients After Urologic Part 1

ABSTRACT: It is known that elderly patients in particular can develop postoperative cognitive dysfunction (POCD) after major surgery. Together with the increasing population of the elderly all over the world, anesthesiologists will have to face more cases of POCD, which is found to be associated with old age. There is still no ideal anesthesia method in terms of postoperative cognitive functions in elderly patients and anesthetic recovery parameters. This study aims to compare the effects of balanced inhalation anesthesia and total intravenous anesthesia (TIVA) methods to be applied to patients over 60 who will undergo elective urological surgery on the postoperative recovery and early cognitiveRead More →

Erectile dysfunction as early sign of diabetes

Abstract Aim: Gradual increase in the incidence of diabetes mellitus (DM) causes different complaints and concerns. This study aims to evaluate the fasting blood glucose (FBG) levels of the patients who are admitted with erectile dysfunction (ED) to the urology outpatient clinic. We aimed to investigate the relationship between ED and impaired fasting glucose (BAG) and to demonstrate the presence of erectile dysfunction as an early symptom of DM. Materials and methods: This is a retrospective cross-sectional study of the prevalence of ED. The male patients presenting to urology outpatient clinic with a complaint of ED and a control group of male patients presenting toRead More →