Knowledge and self-confidence of healthcare workers to perform transurethral catheterization: a matter deserving attention! Gokhan Calik, Zeynep Bahadır, Berk Madendere, Ozgur Arikan, Vahit Guzelburc, Engin Evci, Suleyman Sami Cakir, Bulent Altay, Pilar Laguna, Mehmet Kocak, Selami Albayrak, Rahim Horuz, Kubilay Sabuncu, Mustafa Boz, Bulent Erkurt, Mohamad Aosama Alrifaai, Abdullah Al Chaabawi, Mahmoud Alrais, Ibrahim Abdi Ali, Shaban M. S. Ashour, Jean de la Rosette World Journal of Urology, 2025 Background Patients may suffer from the sequela of complicated transurethral catheterization (TUC) such as urethral injury, infection, and stricture formation. We assessed the self-confidence, knowledge, and experience of healthcare professionals performing TUC. Methods A multi-center, prospective, cross-sectional questionnaire-based study was performed among healthcare workers from 5 university hospitals. Data was transferred to an online Data Management System and self-confidence, knowledge, and experience levels among different healthcare roles were compared. Findings Of all 747 participants, 8% did not feel confident, had enough knowledge or preparation skills regarding TUC. 23% never asked for help while performing TUC whereas 42% always asked for assistance (p < 0.0001). Healthcare roles did not differ statistically in terms of TUC knowledge and understanding. However, healthcare workers in surgical specialties felt more confident in their knowledge (29% vs 21%). Confidence in male catheterization skills rated as ‘well’ and ‘very well’ were reported highest by paramedics (71%, 20%) followed by nurses (48%, 20%), physicians (53%, 30%) and residents (50%, 36%). In the event of difficult catheterizations, physicians mostly preferred the assistance of “urologists and urology residents” (64%) while nurses mostly reached out to other nurses (39%). Paramedics were the least likely to ask for assistance (40%) followed by nurses (26%), doctors (24%), and residents (13%) (p < 0.0001). Conclusion A significant proportion of healthcare workers do not have the necessary knowledge and understanding of TUC and do not feel confident in their catheterization and preparation skills when challenged by a difficult TUC, which requires the reassessment of the training programs pre- and post-graduation. This will facilitate and create a safer environment for both the patient and the healthcare professionals. Trial registry: ClinicalTrials.gov NCT05334225
Intraoperative evaluation of ureteral access sheath-related injuries using post-ureteroscopic lesion scale Vahit Guzelburc, Selcuk Guven, Mustafa Yucel Boz, Bulent Erkurt, Mustafa Soytas, Bulent Altay, Selami Albayrak Journal of Laparoendoscopic and Advanced Surgical Techniques, 2016 OBJECTIVE In the present study, intraoperative ureteral injuries inflicted during retrograde intrarenal surgery (RIRS) with ureteral access sheath (UAS) use were evaluated using the Post- Ureteroscopic Lesion Scale (PULS). MATERIALS AND METHODS Patients in whom a UAS was used during RIRS and for whom ureter images were video recorded during the procedure were included in the study. PULS grading was performed after UAS removal, and video sequences of all patients were viewed by a junior resident, a senior resident, and four experienced urologists and assessed according to the PULS. Ureteral lesions in distal, middle, proximal, and multiple locations were evaluated and compared according to the PULS scale. The inter-rater reliability of PULS grading among various urologists was also evaluated. RESULTS The evaluation comprised 101 patients. In 77 patients, 9.5/11.5 French UAS devices were used, and in 24 patients, 12/14 French UAS devices were used. The stone-free rate, clinical insignificant residual fragments, and final stone-free rate were 41.6%, 53.5%, and 98%, respectively. In 58.4% of the patients, no lesions were present according to PULS grading. No lesions of Grade 3 and above were found; however, there were lesions of Grade 1 and 2 in 38.6% and 2.9% of the patients, respectively. Injuries were found in the proximal ureter only and distal ureter only in 45.23% and 40.47% of the patients, respectively. Multiple injuries occurred in 5.94% of the patients (in 3.96% in the proximal and distal ureter, in 0.99% in the mid- and distal ureter, and in 0,99% in the proximal, mid-, and distal ureter). In the grading performed according to the PULS classification, there was a high accuracy among the residents and specialists. CONCLUSIONS The assessment of UAS-induced injuries using standardized intraoperative methods will help to evaluate the procedure more objectively and will guide the postoperative follow-up of patients.
Impact of obesity on functional and oncological outcomes in radical perineal prostatectomy Bulent Altay, Bulent Erkurt, Vahit Guzelburc, Murat Can Kiremit, Mustafa Yucel Boz, Selami Albayrak Canadian Urological Association Journal, 2015 Introduction: We evaluated the impact of obesity on perioperative morbidity, functional, and oncological outcomes after radical perineal prostatectomy (RPP).Methods: A total of 298 consecutive patients underwent RPP at our institution. Patients were categorized into 3 groups based on their body mass index (BMI): Normal weight <25 kg/m2 (Group 1), overweight 25 to <30 kg/m2 (Group 2), and obese ≥30 kg/m2 (Group 3). We compared the groups with respect to perioperativedata, postoperative oncologic, and functional outcomes. Evaluation of urinary continence and erectile function was performed using a patient-reported questionnaire and the International Index of Erectile Function-5 questionnaire, respectively, administered preoperatively and at 3, 6, and 12 months. Limitations included shortfollow-up time, retrospective design and lack of a morbidly obese group.Results: No significant differences were found among the 3 groups with regard to operative time, estimated blood loss, length of hospital stay, catheter removal time, positive surgical margin, and complication rates. At 12 months, 94.7%, 95% and 95% of normal, overweight and obese patients, respectively, were continent (freeof pad use) (p = 0.81). At 12 months, 30.6%, 29.8% and 30.4% of patients had spontaneous erections and were able to penetrate and complete intercourse in Group 1, Group 2, and Group 3, respectively (p = 0.63).Conclusions: In this cohort of patients, no clinically relevant risks were associated with increasing BMI.
A comparison of 120 W laser photoselective vaporization versus transurethral resection of the prostate for bladder outlet obstruction by prostate cancer Bulent Altay, Bulent Erkurt, Murat Can Kiremit, Rahim Horuz, Vahit Guzelburc, Selami Albayrak Urologia Internationalis, 2015 <b><i>Objective:</i></b> To compare the mid-term outcomes of photoselective vaporization of prostate (PVP) with GreenLight HPS 120 W laser and transurethral resection of the prostate (TURP) for obstructive lower urinary tract symptoms (LUTS) in men with prostate cancer (CaP). <b><i>Patients and Methods:</i></b> Seventy four patients with locally advanced (T3/T4) CaP with severe LUTS or acute urinary retention (AUR) were allocated to TURP (n = 36) or PVP (n = 38). International Prostate Symptom Scores (IPSS), maximum flow rates (Qmax) and post-void residual volumes (Vres), PSA levels, prostate volumes, complications, catheter removal and hospitalization periods were recorded. Patients were reassessed at 3, 6, and 12 months. <b><i>Results:</i></b> The catheter removal time was significantly longer in the TURP group (3.8 ± 1.1 vs. 1.2 ± 0.7 days, p = 0.02), whereas failure of initial voiding trial was higher in PVP (2.7 vs. 13.1%, p = 0.01). No significant difference in IPSS, Qmax and Vres values was observed within the follow-up period between two groups. A significant difference in urethral stricture rate (8.3 vs. 0%), catheter removal time (3.8 ± 11 vs. 1.2 ± 0.7 days) and hospital stay (2.9 ± 0.6 vs. 1.1 ± 0.5 days) was observed in favor of PVP. <b><i>Conclusions:</i></b> Palliative PVP is very safe and effective by means of symptomatic relief in patients with locally advanced CaP.
A rare complication of ureteral double-j stenting after flexible ureteroscopy: Renal parenchymal perforation Bulent Altay, Bulent Erkurt, Murat Can Kiremit, Vahit Guzelburc Turk Uroloji Dergisi, 2015 Double-j (DJ) ureteral stenting is a very common procedure performed after various endourological procedures. Although several complications due to DJ stent insertion were revealed, only three cases of renal parenchymal perforation have been reported to date. We present a case of a 35-year-old woman who had perforation of renal parenchyma without perirenal hematoma following insertion of DJ ureteral stent after flexible ureteroscopy for the treatment of an upper ureteral calculi. Non-contrast computed tomography was used for diagnosis. Patient was successfully managed with repositioning of the stent under fluoroscopic guidance on postoperative second day postoperatively.
Subepithelial pelvic hematoma of the kidney (Antopol-Goldman lesion) Bulent Altay, Cem Cahit Barisik, Bulent Erkurt, Murat Can Kiremit Turk Uroloji Dergisi, 2015 Renal pelvic hematoma (Antopol Goldman lesion) is a rare but significant condition that may clinically mimick a renal or a pelvic neoplasm. Differential diagnosis and optimal treatment are still not known certainly. A 80-year-old male patient admitted to the emergency department with gross hematuria/clot retention and right flank pain. Magnetic resonance imaging (MRI) imaging revealed a filling defect in the right renal pelvis. Diagnostic flexible uretrorenoscopy was performed and a renal pelvic tumor was excluded. A 6 Fr double J (DJ) ureteral catheter was placed for 4 weeks while the patient was under an antifibrinolytic therapy. Filling defect was not detected at 3(rd) month control MRI. During 6 months of the follow-up period, gross hematuria or any abnormal radiological finding was not encountered.
Effect of acute alcohol intake on prostate tissue and serum PSA-like protein levels in rats Turk Uroloji Dergisi, 2004
The effect of digital rectal examination on serum PSA levels in prostate cancer patients Turk Uroloji Dergisi, 2004
Double-blind placebo controlled, randomized clinical trial of piroxicam FDDF and intramusculer piroxicam in the treatment of renal colic: A comperatives study Turk Uroloji Dergisi, 2003
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Knowledge and self-confidence of healthcare workers to perform transurethral catheterization: a matter deserving attention! G Calik, Z Bahadır, B Madendere, O Arikan, V Guzelburc, E Evci, SS Cakir, ... World Journal of Urology 43 (1), 311 , 2025 2025
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Photoselective potassium titanyl phosphate (KTP) laser vaporization versus transurethral resection of the prostate for prostates larger than 70 mL: a short-term prospective … K Horasanli, MS Silay, B Altay, O Tanriverdi, K Sarica, C Miroglu Urology 71 (2), 247-251 , 2008 2008 Citations: 283
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Intraoperative evaluation of ureteral access sheath–related injuries using post-ureteroscopic lesion scale V Guzelburc, S Guven, MY Boz, B Erkurt, M Soytas, B Altay, S Albayrak Journal of Laparoendoscopic & Advanced Surgical Techniques 26 (1), 23-26 , 2016 2016 Citations: 44
Testicular blood flow measurements and mean resistive index values after microsurgical and high ligation varicocelectomy O Tanriverdi, C Miroglu, K Horasanli, B Altay, KC Caliskan, E Gumus Urology 67 (6), 1262-1265 , 2006 2006 Citations: 30
A review study to evaluate holmium: YAG laser lithotripsy with flexible ureteroscopy in patients on ongoing oral anticoagulant therapy B Altay, B Erkurt, S Albayrak Lasers in medical science 32 (7), 1615-1619 , 2017 2017 Citations: 28
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