Introduction: We present a case of a schwannoma that originated in a prostate. It is very rare location presenting Schwannoma. Case report: A 64-year-old man presented with severe lower urinary tract symptoms. On digital rectal examination, there was a grade 3 enlarged prostate without nodules and tenderness. The transrectal ultrasonography revealed that prostate volume was 200 cc. Retroperitoneal transvesical prostatectomy was performed because of huge prostatic enlargement. Histopathology showed schwannoma of prostate. Conclusion: Owing to the lack of characteristic clinical manifestation, the final diagnosis of prostate schwannoma relies on postoperative pathological examination.

ARTICLE INFO ______________________________________________________________ ______________________Purpose: We aimed to determine the differences of the urodynamic findings of mix urinary incontinence (MUI), urge urinary incontinence (UUI), and stress urinary incontinence (SUI), and to evaluate the urodynamic findings in different groups by using bladder sensitivity index (BSI). Materials and Methods:The data of 99 patients who underwent urodynamic testing related to the suspicion of SUI, UUI or MUI were analysed. This analysis included a retrospective evaluation of patients' cards, voiding diaries, and urodynamic reports. At filling cystometry, the parameters of first sensation of bladder filling (FSBF), first desire to void (FDV), strong desire to void (SDV), and bladder capacity (V max ), which were related to the bladder sensation, were determined. Subsequently, uroflowmetric findings were recorded during bladder emptying. BSI was defined as the ratio of V max / FDV. These results were statistically compared among the goups. Results:The sample included 35(35.5%) MUI, 33(33.3%) UUI and 31 (31.1%) SUI. The mean ages were similar in all groups (P = 0.868). The mean FSBF, FDV, SDV and Vmax values were significantly different among groups (p = 0.004, p < 0.001, p < 0.001, p < 0.001 respectively). Nevertheless, there was no statistically significant difference among the mean daily voiding accounts (P = 0.005). Although the mean maximum flow rate (Q max ) values were similar (P = 0.428), the mean maximum detrusor pressure (Pdet max ) values were significantly different (P = 0.021). The mean BSI values showed no significant differences (P = 0.097).Conclusions: It was concluded that while the use of urodynamic testing could contribute to the management of urinary incontinence, the indexes including BSI requere more detailed and comprehensive studies.

Purpose:To determine the proportion of patients with undetected symptoms of overactive bladder by using the overactive bladder-validated 8 (OAB-V8) screening questionnaire and investigate these symptoms were undetected in female patients who were hospitalized.Methods:We invited 2,250 female patients hospitalized in the Aegean region of Turkey to answer a self-administered questionnaire. The questionnaire included questions on evidence of lower urinary tract symptoms (OAB-V8), relevant medical history, and demographic data. Patients with a total OAB-V8 score≥8 were defined as having OAB symptoms.Results:The proportion of patients with OAB symptoms in this study was 40.6%. Nearly 57% of the patients with OAB symptoms had not been previously admitted to any hospital for lower urinary tract symptoms (LUTS). The two most common reasons why women with OAB symptoms did not admit themselves to a hospital because of LUTS were as follows: “I did not think I had a disease” and “The symptoms did not bother me,” with a response rate of 74.7%. The mean OAB-V8 scores of the patients with these two responses were significantly lower than those of the other patients (P<0.001).Conclusions:This is the first study to demonstrate a significant proportion of women with undetected OAB symptoms. The main reasons the women did not admit themselves to a hospital were their unawareness of the disease and because the LUTS were not bothersome. Public awareness programs on this disease may resolve this problem.

Ö ÖZ ZE ET T AAm ma aç ç: : Prematüre ejekülasyon hastalarının (primer PE, akkiz PE) yaş, aylık ilişki sayısı, eş yaş farkı ve evlilik süresinin "intravaginal ejaculatory latency time (IELT)" ortalamasına olan olası etkilerini araştır-maktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmaya DSM-IV tanı kriterlerine göre PE tanısı alan 108 hasta ile 41 kontrol grubu hasta olmak üzere toplam 149 hasta alındı. Bunlar başka şikâyet ile gelen kontrol grubu hastalar (n:41), primer PE (n:66) ve akkiz PE (n:42) olmak üzere üç gruba ayrıldı. Çalışmaya en az altı aylık evli veya düzenli tek eşli ilişkisi olan, kronik hastalığı olmayan hastalar alındı. Tüm hastaların yaşı, eş yaşı, evlilik süresi ve aylık ilişki sayısı kaydedildi. Dört IELT ölçüm değerinin ortalaması alındı. B Bu ul lg gu ul la ar r: : PE grubunun yaş ortalaması 39,1±12 yıl idi; primer PE'de 37,7±11,4 akkiz PE'de 43,2±12,4 yıl olarak bulundu. Primer PE'nin daha erken yaşta ortaya çıktığı saptanmıştır (p<0,01). Primer PE'li hastalarda hasta yaşı arttıkça, IELT ortalama süresi uzamaktadır (r=0,248; p<0,05). Ancak akkiz PE'li olgularda ve kontrol grubunda bu sonuca varılamamıştır. Primer PE'de, akkiz PE'de ve kontrol grubunda eşler arası yaş farkının IELT ortalaması üzerine etkisinin olmadığı saptanmıştır. Tüm hastalar birlikte değerlendirildiğinde, evlilik süresi uzadıkça IELT ortalama süresinde kısalma saptanmıştır (r=-0,215; p<0,01). Primer PE hastalarında, hasta yaşı arttıkça aylık ilişki sayısı azalmaktadır (r=-0,327; p<0,01). Primer PE hastalarında, hastanın eşinin yaşı arttıkça aylık ilişki sayısı azalmaktadır (r=-0,285; p<0,05). Ancak akkiz PE hastalarında ve kontrol grubunda böyle bir ilişki saptanmamıştır. S So on nu uç ç: : Birçok değişkenden etkilenen, her iki partneri de etkileyen, sosyal ilişkileri bozan, çok çeşitli tanısal algoritmaları, tedavi kılavuzları olan PE'nin alt grupları, çiftlerin belirtilen değişkenleri karşılaştırılarak değerlendirilmiştir. Bu çalışmanın klinisyenlerin PE hastalarına yaklaşım pratiğine fayda sağlayacağı düşünülmektedir.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Cinsel birleşme; ejakülasyon; zaman A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Aim of this study is to evaluate the possible effects of partners' age, marriage duration, age difference and monthly coitus number on mean intravaginal ejaculatory latency time (IELT) on premature ejaculation patients (primary PE group, acquired PE group). M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A total of 149 patients, (108 diagnosed on DSM-IV criteria with premature ejaculation and 41 controls) were enrolled in the study. The patients were categorized into three groups, as primary PE (n:66), acquired PE (n:42) and the control groups (n:41). The eligibility criteria were at least six months of marriage duration, regular coitus with single partner and no chronic illness. The ages of the patients and their wifes as well as their marriage duration and monthly coitus number were recorded. Four measurements were made the...