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  • Küçük Resim Yok
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    Incidental findings accompanying ureteral stones on non-contrast computed tomography
    (2022) buğday, m. serdar; Akdemir, Ender
    Aim: We aimed to evaluate what and how important incidentally detected pathologies in non-contrast computed tomography are. Methods: The tomography images of 341 patients who applied with the complaint of renal colic between January 2022 and June 2022 and were found to have ureteral stones in non-contrast computed tomography were analyzed. Incidentally detected pathologies of the patients were detected. The findings were analyzed in 3 groups: patients under the age of 40, between the ages of 40-65 and over the age of 65. In addition, these findings; They were also categorized as pathologies requiring urgent evaluation, Pathologies requiring frequent follow-up and further investigation, and Pathologies not requiring frequent follow-up and further evaluation. Results: Of the patients, 22.6% were female, 77.4% were male, and 40.2% were under the age of 40, 49.6% were in the 40-65 age group, and 10.3% were over 65 years of age. The most common pathology is in liver pathologies (24.3% hepatosteatosis). It was observed that the most pathology was detected in patients over 65 years of age. It was determined that the patients with pathologies requiring urgent evaluation or strict follow-up were mostly in the age group of 65 years or older. Conclusion: Radiology reports must be examined in the requested tomographies, so that the detected pathologies will be detected early and problems that may be experienced will be prevented.
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    Investigation of blood parameters as predictors in diagnosing acute scrotum
    (Kare Publ, 2025) Demir, Bilgehan; Nogay, Suleyman; Dolanbay, Turgut; Polat, Muhammed Eyyub; Akdemir, Ender
    OBJECTIVE: Acute Scrotum (AS) is defined as pain associated with swelling and redness of the scrotum. This study investigates the hemogram and C-Reactive Protein (CRP) values obtained from patients diagnosed with AS, based on the hypothesis that blood parameters can be used as biomarkers in the diagnosis of Testicular Torsion (TT). The aim was to evaluate the predictability of these parameters in diagnosing AS in both pediatric and adult age groups. METHODS: Demographic data and blood parameters including Hemoglobin (Hb), Platelet (PLT), CRP, and White Blood Cell (WBC) levels of patients who presented to our Emergency Department with the diagnosis of AS (TT, epididymitis, varicocele) and received medical and surgical treatment were analyzed. The importance of these parameters in diagnosis was assessed. RESULTS: A total of 26 patients were included in the study. The mean age of the cases was 15.8 +/- 3.6 years. 20 of the patients (76.9%) were in the pediatric age group, while 6 (23.1%) were in the adult age group. 93.1% (27) of the cases were unilateral, while 6.9% (2) had bilateral acute scrotum symptoms. The highest incidence of cases occurred in spring with 9 cases (31%), followed by winter and summer with 7 cases each (24.1%), and autumn with 6 cases (20.7%). Significant differences in age, platelet, and hemoglobin levels were observed between the pediatric and adult age groups. CONCLUSION: In conclusion, this study highlights significant age-related differences in the diagnosis and treatment of AS. The higher requirement for surgical intervention in pediatric patients further emphasizes the importance of early diagnosis and timely intervention. However, further studies with larger sample sizes are needed to validate these findings and better understand the etiological differences. Additionally, a more specific analysis of blood parameters in subgroups (such as epididymitis, orchitis, TT) under the term acute scrotum may contribute to the literature.
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    The impact of post-earthquake anxiety and depression on erectile dysfunction: A cross-sectional study after the February 6, 2023 Earthquakes in Turkiye
    (Kare Publ, 2026) Bugday, Muhammet Serdar; Akdemir, Ender; Ugur, Kerim; Cakmak, Battal Selcuk; Akbulut, Mehmet Levent; Polat, Hatice
    OBJECTIVE: This study aimed to evaluate the effects of the February 6, 2023, earthquakes in Turkiye on anxiety and depression levels and their impact on erectile dysfunction (ED). METHODS: A total of 164 men aged 25-55 were enrolled between July 15, 2024, and January 15, 2025. Ninety-seven patients who presented with ED after the earthquakes were included as the study group, and 67 healthy individuals without ED were enrolled as controls. All participants completed the Arizona Sexual Experiences Scale (ASEX), Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Rating Scale (HAM-D), World Health Organization Quality of Life-BREF (WHO-QOL-BREF), and International Index of Erectile Function (IIEF-5). Statistical analyses were conducted using chi-square, t-tests, and ANOVA. RESULTS: There were no significant differences between the groups regarding age and marital status. Patients with ED had significantly higher ASEX, HAM-A, and HAM-D scores and significantly lower WHOQOL-BREF scores compared to controls (p=0.001). Among ED patients, 52 (53.6%) had severe ED, 40 (41.2%) had moderate, and 5 (5.2%) had mild symptoms. ASEX scores were significantly higher (p=0.01), and WHOQOL-BREF general health scores were significantly lower in patients with severe ED compared to those with milder forms (p=0.001). CONCLUSION: The February 6 earthquakes were associated with increased anxiety and depression and decreased quality of life in men, which significantly contributed to the prevalence and severity of ED. These findings highlight the importance of addressing sexual health as part of post-disaster psychosocial support.