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    The anxiety-pain intensity relation in extracorporeal shock wave lithotripsy treated patients
    (2003) Yılmaz Erdal; Batislam Ertan; Tuğlu Devrim; Başar Murad M.; Boratav C.; Başar H.
    Introduction: To clarify the negative effect of anxiety on pain intensity in patients, who underwent Extracorporeal Shock Wave Lithotripsy (ESWL). Patients and Method: ASA physical status I and II 71 patient with the age ranging 10 to 64 were included the study. Patients divided into two groups randomly. Detailed information about ESWL session was given to the patients in Group I and patients in Group II did not receive any descriptive information. All procedures were performed by a third generation electrohydraulic Stone Litho3pter (PCK™). Intravenous fentanyl 1?gr/kg was administered 2 minutes before the procedure for analgesic purposes. Pains intensity was evaluated by 0-100 mm Visuel Analog Scala (VAS) at the first minute and every 10 minutes of the treatment. Conditional and continual anxiety were assessed by State/Trait Anxiety Inventory-Trait Anxiety (STAI-TA), and State/Trait Anxiety Inventory-State Anxiety (STAI-SA). Results: There was no correlation between STAI-SA and pain intensity. However, patients with higher STAI-TA scores needed higher doses of supplement analgesics because of higher pain intensity. Patients, who had received information, had lower scores of STAI-TA and pain intensity. Young female patients between 20-29 years old had the highest anxiety with high pain intensity. Conclusion: ESWL is an anxiety promoting procedure. The more intense pain and anxiety negatively effected the overall patient satisfaction. Detailed information of patients about the procedure and the knowledge of pain intensity has been higher in young female patients may be advantageous for patients and care givers.
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    Retroperitoneoscopic nephrectomy detected in an incidental renal cell carcinoma in an atrophic kidney
    (2003) Batislam Ertan; Başar Mehmet Murad; Ferhat M.
    Herein, we present a case of retroperitoneoscopic simple nephrectomy for a small renal cell carcinoma in atrophic kidney. After search of Turkish indexes and Turkish publications in international indexes, we though that this case has been the first national publication of its kind.
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    Terazosin in the treatment of premature ejaculation: A short-term follow-up
    (Springer Netherlands, 2005) Başar M. Murad; Yılmaz Erdal; Ferhat Mehmet; Başar Halil; Batislam Ertan
    Aim: The aim of the present study was to evaluate the efficacy of terazosine in patients with premature ejaculation and lower urinary tract symptoms (LUTS), after excluding other sexual disorders and chronic prostatitis. Methods: A total of 90 patients with premature ejaculation and LUTS were enrolled to the study after excluding sexual disorders, prostatitis and benign prostatic hyperplasia. The patients were divided into two groups. Sixty patients in group 1 were treated with terazosine 5 mg daily for a month. Patients were followed monthly and questioned for their ejaculation problem. The results were classified as cure, improvement and ineffective. If patients showed improvement and ineffectiveness, the treatment was continued with 10 mg daily for the following month. Group 2 was included 30 patients, and placebo was applied for a month. At the end of this period, in patients who did not show any improvement, terazosine 10 mg was started. Results: In the treatment group, at the 1st month follow-up, 21 patients (35%) were cured, 20 (33.3%) showed improvement. In 19 (31.7%) patients, the treatment was ineffective. In group 2, 9 (30%) patients showed improvement and the rest had no-changes after one-month follow up. There was statistically significant difference between two groups (Pearson ? 2 test=0.000). Later, terazosine 10 mg was given to the patients in group 2 and to the patients who showed improvement or unsuccessful result with terazosine 5 mg. With terazosine 10 mg, 10 (14.5%) patients were cured, 29 (42.2%) patients were improved. Finally, terazosine treatment in patients with premature ejaculation was found to be effective in 60 patients (66.7%). Conclusion: Alpha blockers seem to be physiological medical agents in the treatment of premature ejaculation since ejaculation is under sympathetic control. Moreover, these agents are effective in lower urinary tract and they should be used in patients with premature ejaculation and lower urinary tract symptoms. © Springer 2005.