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Öğe Authors's reply to Preventing atelectasia at robotic surgery(Elsevier Science Inc, 2017) Oksar, Menekse; Balbay, Mevlana Derya; Kanbak, Orhan[Abstract Not Available]Öğe Hereditary Behavior of Varicocele(Amer Soc Andrology, Inc, 2010) Gokce, Ahmet; Davarci, Muersel; Yalcinkaya, Fatih Ruetue; Guven, Esref Oguz; Kaya, Yusuf Selim; Helvaci, Mehmet Rami; Balbay, Mevlana DeryaThe inheritance of varicoceles and the potential transmission to first-degree relatives has rarely been investigated. In the present study, we examined the first-degree relatives of men with known varicocele to reveal the familial risk for varicocele. Of the patients with clinical varicocele who presented with infertility, testicular pain, or asymmetrical swelling of the scrotum between June 1, 2008 and May 31, 2009, 49 agreed to have their available first-degree relatives contacted for screening of varicoceles (n = 66). A cohort of 100 consecutive men who applied to the department of internal medicine between 2008 and 2009 for checkup procedure without a history of subfertility or a varicocele were used as a control population. Of the 92 first-degree relatives contacted, 66 (71.7%) decided to participate in this study. Of these 66 men, 21 (33.9%) had a palpable varicocele on physical examination. Compared with a control population (12%), the prevalence of palpable varicocele in the first-degree relatives of patients with known varicocele (33.9%) was approximately 3-fold greater (P < .005). Among the first-degree relatives, 4 (21.1%) of 19 fathers and 17 (36.2%) of 47 brothers had palpable varicocele. As a conclusion, a significant increase in varicocele prevalence is present in the first-degree relatives of men with known varicoceles. Patients should be counseled about this increased risk in male relatives of patients.Öğe The impact of NIH-IV prostatitis on early post-operative outcomes of transurethral resection of the prostate in patients with symptomatic benign prostate hyperplasia(2011) Yalçınkaya, Fatih Rüştü; Gökçe, Ahmet; Davarcı, Mürsel; Güven, Eşref Oğuz; İnci, Mehmet; Kartal, Süleyman Barış; Ayyıldız, Ali; Balbay, Mevlana DeryaAim: Transurethral prostate resection (TURP) is still considered the gold standard in the treatment of symptomatic benign prostate hyperplasia (BPH). Category IV chronic prostatitis (CP) is described by the National Institute of Health (NIH-IV) as the asymptomatic infl ammation of the prostate and it may be detected along with benign prostate hyperplasia (BPH) during histological examinations of the prostate. In this study, we evaluate the impact of the presence of NIH-IV defi ned prostatitis on early post-operative outcomes of transurethral resection of the prostate. Materials and methods: Between 2004 and 2008, medical records of 247 patients who underwent TURP in Adana Numune Training and Research hospital were examined, retrospectively. Patients who had a histological diagnosis of only BPH were considered in Group 1 whereas Group 2 consisted of patients with both NIH-IV CP and BPH simultaneously. Factors such as total prostate specifi c antigen (tPSA) levels, International Prostate Symptom Scores (IPSS), singlequestion quality of life (QoL) assessments, maximum fl ow rates (Q max), residual urine volumes, catheterization times, re-catheterization rates, and the duration of re-catheterization were compared between these 2 groups. IPSS, QoL, and urofl owmetry measurements were compared between the 2 groups again at the third post-operative month. Statistical analysis with Student’s t and chi-square tests was performed with SPSS ® version 16. Results: Preoperatively, no statistically signifi cant diff erence was present between the 2 groups with respect to IPSS, Q max, QoL, prostate volume, tPSA, and mean catheterization time (P > 0.05); however, re-catheterization rates were signifi cantly diff erent (P < 0.05). While meaningful diff erence was found between 90th day IPSS and QoL medians (P < 0.05), there was no diff erence in Q max medians (P > 0.05). Conclusion: NIH-IV chronic prostatitis shows negative eff ects on the subjective post-operative results and recatheterization frequency of BPH patients that have undergone TURP.Öğe Improvement of monosymptomatic enuresis after adenotonsillectomy in children with obstructive sleep apnea syndrome(2012) Gökçe, Ahmet; Aslan, Sündüs; Yalçınkaya, Fatih Rüştü; Davarcı, Mürsel; Kaya, Yusuf Selim; Savaş, Nazan; Görür, Sadık; Dağlı, Şafak; Kiper, Ahmet Namık; Balbay, Mevlana DeryaAim: To investigate the prevalence of monosymptomatic enuresis (ME) in children diagnosed with obstructive sleep apnea syndrome (OSAS) and the rate of resolution or improvement in enuresis following adenotonsillectomy. Materials and methods: We retrospectively reviewed the charts of 541 consecutive patients who underwent adenotonsillectomy for OSAS secondary to adenotonsillar hypertrophy between January 2005 and January 2009. All of the charts for patients between 5 and 18 years of age at the time of surgery (n = 398) were included in the study. After reviewing the charts, the families were contacted by telephone. Those patients who had shown preoperative symptoms of enuresis were questioned to determine whether there had been any change in their complaints postoperatively. Results: Of the 398 patients whose records were reviewed, 98 were excluded from this study because of incomplete records. The incidence of ME in the study group (n = 300) prior to adenotonsillectomy was 30.7% (92 patients). Among these 92 patients, 64 (69.6%) were male and 28 (30.4%) were female (P = 0.001). The parents of 46 of these 92 patients agreed to allow their children to participate in the study. In 46 patients, 26 (56.5%) had complete resolution, 8 (17.4%) had a partial improvement, and 12 (26.1%) had no change in enuresis following adenotonsillectomy. Patients with OSAS had a 2.38-fold higher risk of ME (odds ratio 2.38, 95% confi dence interval 1.60 to 3.53, P = 0.001). Conclusion: Children with OSA symptoms have a high rate of monosymptomatic enuresis. Relief of OSA symptoms also resulted in the complete resolution or partial improvement of ME in more than two-thirds of patients. In the diff erential diagnosis of a child presenting with enuresis, OSAS should be kept in mind and, conversely, the presence of enuresis should be investigated in children presenting with OSA symptoms.Öğe A new anthropometric measurement of penile length and its relation to second and fourth digital lengths(2012) Davarcı, Mürsel; Gökçe, Ahmet; Yalçınkaya, Fatih Rüştü; Kaya, Yusuf Selim; Turhan, Ebru; Tutanç, Murat; Doğramacı, Yunus; Balbay, Mevlana DeryaAmaç: Ürogenital sistem farklılaşmasını kontrol eden Hox genleri parmakların gelişimini de kontrol etmektedir. Bu çalışmada penis uzunluğu ile ikinci ve dördüncü parmakaların uzunlukları arasındaki ilişki değerlendirildi. Yöntem ve gereç: Bu çalışmaya doğu akdeniz bölgesindeki ilkokul çağındaki toplam 1028 Türk erkek çocuğu dahil edilmiştir. Vücut kitle indeksini hesap edebilmek için ağırlık ve uzunlukları ölçülmüştür. Penis uzunlukları gevşek ve gerilmiş halde ölçülmüştür. Sağ el ikinci ve dördüncü parmakların uzunlukları ölçülmüştür. İstatiksel ölçümler deskriptif istatistik ve Pearson korrelasyon analizi ile yapılmıştır. Bulgular: Aşağıdaki karşılaştırmalar arasında anlamlı korelasyon tespit edilmiştir: ikinci parmak uzunluğu ile gevşek ve gerilmiş penis uzunluğu (r = 0,166 and r = 0,276, sırasıyla; P < 0,01); dördüncü parmak uzunluğu ile gevşek ve gerilmiş penis uzunluğu (r = 0,174 and r = 0,287, sırasıyla; P < 0,01). 2D:4D oranı ile gevşek ve gerilmiş penis uzunluğu arasında anlamlı korelasyon bulunmamıştır (r = –0,013; P = 0,668, r = –0,018; P = 0,565). Sonuç: Sonuç olarak, çalışmamızdaki pozitif korelasonlar yeni bir bulgudur ve içerisinde daha başka klinik anlamlar içerebilir.Öğe Penile Mondor's disease can be effectively treated with the use of an acetyl salicylic acid and pentoxifylline combination(2010) Davarcı, Mürsel; Güven, Eşref Oğuz; Gökçe, Ahmet; Yalçınkaya, Fatih Rüştü; Kiper, Ahmet Namık; Balbay, Mevlana DeryaAbstract: Since penile Mondor's disease is a rare condition, different treatment choices are used. Herein we recommend a new treatment strategy with acetylsalicylic acid and pentoxifylline, which was tested in 14 patients with penile Mondor's disease. Materials and methods: Fourteen patients with the clinical presentation of penile Mondor's disease were included. Patients were given acetylsalicylic acid (ASA) 500 mg qid and pentoxifylline 600 mg bid for 14 days. Physical examinations were performed in all patients. In addition, ultrasonic examinations were done before the treatment and on days 7 and 14 of treatment to evaluate dorsal vein thrombosis. Results: Physical examinations revealed lesions parallel to the coronal sulcus in 9 patients and in the dorsal aspect of the proximal penis in 5 patients. All patients had painful induration of the penis. On day 7, hyperechoic structures were still observed in 8 patients and no thrombus was seen in 6 patients. Ultrasonographic measurements were repeated 14 days after treatment and a hyperechoic structure was observed in 4 patients. No side effects were encountered during the follow-up period. Conclusion: We think that the ASA and pentoxifylline protocol, which is also used for the treatment of thrombotic events in other parts of the body, helps to resolve penile Mondor's disease in a shorter time compared to previous treatment protocols. Further randomized controlled studies are needed for a definitive decision.Öğe The relationship between serum lipid levels and benign prostatic hyperplasia(2010) Gökçe, Ahmet; Yalçınkaya, Fatih Rüştü; Davarcı, Mürsel; Balbay, Mevlana DeryaAlthough benign prostatic hyperplasia (BPH) is the most common non-malignant condition of the prostate in aging men, little is known about its aetiology and pathophysiology. Thus, we evaluated serum lipid profile in BPH cases and their association with prostate size. Thirty-seven consecutive symptomatic cases of BPH and fourty-three age-matched healthy controls who did not have any lower urinary tract symptoms were included in this study. All the participants had undergone a urological investigation which included International Prostate Symptom Score (IPSS), prostate specific antigen (PSA) and prostate volume measured with transabdominal ultrasonography. Serum lipid concentrations of the subjects were also determined. The mean prostate size of patients in the study group was 53.5±12.6 g and 45.6±12.1 g for subjects in control group (p=0.005). The comparison of the mean total cholesterol concentration between the study (205.7± 31.9) and the control groups (189.2±35.3) revealed a significant difference (p=0.03). The mean PSA of patients was 2.3±2.02 and 1.1±1.0 for subjects in control group (p=0.002). We found that prostate size, PSA, and total cholesterol concentrations were significantly higher in BPH cases compared to controls.Öğe Urodynamic evaluation of acute effects of sildenafi l on voiding among males with erectile dysfunction and symptomatic benign prostate(2012) Yalçınkaya, Fatih Rüştü; Davarcı, Mürsel; Akçin, Soner; Gökçe, Ahmet; Güven, Eşref Oğuz; İnci, Mehmet; Balbay, Mevlana DeryaAim: To evaluate the acute eff ects of sildenafi l citrate on micturition of men with erectile dysfunction and symptomatic benign prostatic hyperplasia using urodynamic parameters. Materials and methods: Between June and December 2009, a total of 50 patients over the age of 40 participated in the study. Th e patients were admitted to our hospital with erectile dysfunction and moderate to severe lower urinary symptoms with benign prostatic hyperplasia. To examine the sexual function of the participants, we used the IIEF-5 Sexual Health Inventory for Men questionnaire. Patients were randomly divided into 2 groups: a treatment group and a control group. A basal urodynamic evaluation was performed in both groups. Aft er the urodynamic evaluation, 50 mg of sildenafi l was given to the patients in the control group and 1 h later a second evaluation was performed. Following the urodynamic evaluation, a placebo was given to the patients in the control group and then a second evaluation was performed aft er 1 h. Results: A statistically signifi cant increase was seen in maximal fl ow and average fl ow (Qmax and Qave) aft er 1 hin the treatment group. Th e increase in the control group was not signifi cant. Conclusion: Based on the study fi ndings, we suggest that sildenafi l has an eff ect on micturition in the short term. However, to determine the role of sildenafil in the treatment of BPH/LUTS, further studies with larger patient groups are needed.Öğe Urodynamic evaluation of acute effects of sildenafil on voiding among males with erectile dysfunction and symptomatic benign prostate(Tubitak Scientific & Technological Research Council Turkey, 2012) Yalcinkaya, Fatih Rustu; Davarci, Mursel; Akcin, Soner; Gokce, Ahmet; Guven, Esref Oguz; Inci, Mehmet; Balbay, Mevlana DeryaAim: To evaluate the acute effects of sildenafil citrate on micturition of men with erectile dysfunction and symptomatic benign prostatic hyperplasia using urodynamic parameters. Materials and methods: Between June and December 2009, a total of 50 patients over the age of 40 participated in the study. The patients were admitted to our hospital with erectile dysfunction and moderate to severe lower urinary symptoms with benign prostatic hyperplasia. To examine the sexual function of the participants, we used the IIEF-5 Sexual Health Inventory for Men questionnaire. Patients were randomly divided into 2 groups: a treatment group and a control group. A basal urodynamic evaluation was performed in both groups. After the urodynamic evaluation, 50 mg of sildenafil was given to the patients in the control group and 1 h later a second evaluation was performed. Following the urodynamic evaluation, a placebo was given to the patients in the control group and then a second evaluation was performed after 1 h. Results: A statistically significant increase was seen in maximal flow and average flow (Qmax and Qave) after 1 h in the treatment group. The increase in the control group was not significant. Conclusion: Based on the study findings, we suggest that sildenafil has an effect on micturition in the short term. However, to determine the role of sildenafil in the treatment of BPH/LUTS, further studies with larger patient groups are needed.
