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Öğe Adrenal myelolipoma: Case report(2008) Hakverdi, Sibel; Görür, Sadik; Temiz, Muhyittin; Akarsu, Bülent; Kiper, Ahmet NamikIntroduction: Adrenal myelolipoma are rare occurring benign tumors. They are generally less than 5cm and may not cause symptoms. We discuss a case with adrenal myelolipoma in the light of literature. A 60 year-old female patient had strait flank pain radiate to inguinal region. In the right adrenal gland, a mass about 8 cm was specified by ultrasonography and computerized tomography imaging. In the hystopathological evaluation of the completely resected mass, it was determined that the mass was composed of mature adipose tissue and hematopoetic elements, and the tumor was described as adrenal myelolipoma. In the cases with masses localized in the adrenal gland, adrenal myelolipoma should be considered. Therapy procedure should be planned according to size of the tumor and the presence of symptoms.Öğe Effect of tamsulosin therapy on lower urinary tract symptoms in Parkinson's disease(2008) Görür, Sadik; Melek, Ismet Murat; Okuyucu, Esra; Helli, Ali; Duman, Taşkin; Kiper, Ahmet NamikIntroduction: The aim of this study is to evaluate the intensity of lower urinary tract symptoms (LUTS) in patients with benign prostatic hyperplasia (BPH) with and without Parkinson's disease (PD). We also investigated the efficacy of tamsulosin therapy in the management of the subjective and objective symptoms in these patients. Materials and Methods: This study included 80 (40 patients with and 40 without PD) clinically diagnosed BPH patients treated with tamsulosin. International Prostate Symptom score (IPSS), quality of life (QoL), maximum flow rate (Qmax) and post-void residual urine volume (PVR) were determined at baseline and after the 3 months of therapy. The PD group also evaluated with Unified Parkinson's Disease Rating Scale (UPDRS). All patients had received tamsulosin 0.4 mg/per day for 3 months period. The relationship between PD duration and UPDRS and mean changes of IPSS, QoL, Qmax and PVR after tamsulosin therapy were also investigated in PD group. Results: Three patients (7.5%) in PD group were discontinuied the therapy due to the severe hypotension attack. Initial data of IPSS, QoL, Qmax and PVR were different between two groups (p<0.001). After tamsulosin treatment, LUTS improved significantly in both groups (p<0.05). Improvement rates of the IPSS, QoL, Qmax and PVR were significantly higher in non-PD group (p<0.05). When relationship were investigated between PD duration and UPDRS and mean changes of IPSS, QoL, Qmax and PVR after tamsulosin therapy, all parameters were found in correlation except PVR. Conclusion: Tamsulosin therapy appears to useful in PD patient with BPH. But its efficacy is changed with PD duration and severity. After all, tamsulosin therapy can be given to these patients group with close follow-up.Öğe The prevalence and risk factors of enuresis in children aged between 6 and 18 years in Hatay(2008) Görür, Sadik; Inandi, Tacettin; Turhan, Ebru; Helli, Ali; Kiper, Ahmet NamikIntroduction: Aim of this study was to determine the prevalence and associated socio-demographic factors of enuresis among children aged between 6-18 years in Hatay. Materials and Methods: Five districts were selected in different geographic directions (east, west, north, south, and central) of Hatay. Five mother schools, twelve primary schools and twelve high schools were selected randomly from schools in these districts. The questionnaire was distributed to the students in order to fill by the parents. A total of 4000 questionaire were sent and re-collected one week later. Results: The percentage of the response rate was 74.6%. Age of the children ranges from 6 to 18 years (mean±SD; 11.26±3.03). Of the participants, 51.8% were girls and 48.2% were boys. Prevalence of enuresis were 7.4% in girls and 10.7% in boys (p=0.002). Mean age, body mass index and parents age were lower in the children with enuresis than the nonenuretics (p<0.001). Deficiency disorders, problems in friendship relation, failure in school, difficult aurosal, tonsillitis history, snoring and apnea were more frequent in the groups of enuresis (p<0.001). It was found that enuresis were more common in the children whose parents and siblings have enuresis history (p<0.001). The percentage of enuresis among the children with another urological problems was 27.4% (p<0.001). On the other hand, no relation was determined among the writing hand, birth place and birth type with enuresis. Child and mother age, bad friendship relations, low school success, enuresis history in siblings and parents and apnea period in sleeping were associated with enuresis in multipl logistic regression analysis. Conclusion: Enuresis seems associated with familial and behavioral factors. We suggest that evaluation of urinary and other systems in addition to physico-social behaviors of children and adolescence with enuresis may provide some benefit for management and therapy.Öğe Prostate adenocarcinoma with hemorrhagic cyst formation: A case report and review of the literature(2006) Görür, Sadik; Balcı, Ali; Karazincir, Sinem; Güven, Eşref O?uz; Sumbas, Haldun; Kiper, Ahmet NamikIntroduction: Prostate adenocarcinoma accompanied with hemorrhagic cyst formation is a rare entity. It is usually diagnosed incidentally in patients who represent to urology clinics with compliant of lower urinary tract symptoms (LUTS). Here, we presented a 70-year-old man who has LUTS and serum PSA level of 102.35 ng/ml.Öğe Protective effect of L-carnitine on renal ischaemia-reperfusion injury in the rat [2] (multiple letters)(John Wiley and Sons Ltd, 2005) Ergün, Orkan; Ulman, Ibrahim; Görür, Sadik; Polat, Gürbüz[No abstract available]
