Yazar "Astepe, Bahar Sariibrahim" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • Küçük Resim Yok
    Öğe
    Intermediate-term outcomes of laparoscopic pectopexy and vaginal sacrospinous fixation: a comparative study
    (Brazilian Soc Urol, 2019) Astepe, Bahar Sariibrahim; Karsli, Aybike; Koleli, Isil; Aksakal, Orhan Seyfi; Terzi, Hasan; Kale, Ahmet
    Objective: To compare the intermediate-term follow-up results of laparoscopic pectopexy and vaginal sacrospinous fixation procedures. Materials and Methods: Forty-three women who had vaginal sacrospinous fixations(SSF) using Dr. Aksakal's Desta suture carrier and 36 women who had laparoscopic pectopexies were re-examined 7 to 43 months after surgery. The PISQ-12 and P-QOL questionnaires were answered by all of the women. Results: The apical descensus relapse rates did not differ between the groups (14% in the SSF vs. 11.1% in the pectopexy group). The de novo cystocele rates were higher in the SSF group (25.6% in the SSF vs. 8.3% in the pectopexy group). There were no significant differences in the de novo rectocele numbers between the groups. The treatment satisfaction rates were high in both groups (93% in the SSF vs. 91.7% in the pectopexy group), which was not statistically significant. Moreover, the postoperative de novo urge and stress urinary incontinence rates did not differ; however, the postoperative sexual function scores (PISQ-12) (36.86 +/- 3.15 in the SSF group vs. 38.21 +/- 5.69 in the pectopexy group) were better in the pectopexy group. The general P-QOL scores were not significantly different between the surgery groups. Conclusion: The vaginal sacrospinous fixation maintains its value in prolapse surgery with the increasing importance of native tissue repair. The new laparoscopic pectopexy technique has comparable positive follow-up results with the conventional sacrospinous fixation procedure.
  • Küçük Resim Yok
    Öğe
    Translation, cultural adaptation, and validation of Australian pelvic floor questionnaire in a Turkish population
    (Elsevier Science Bv, 2019) Astepe, Bahar Sariibrahim; Koleli, Isil
    Objectives: The aims of the study were the translation, cultural adaptation, and validation of self-administered Australian Pelvic Floor Questionnaire (APFQ) in a Turkish population. Study design: The APFQ was translated into Turkish with forward and back translation by native speakers, and the Turkish version was tested on 15 volunteer patients. 53 patients who had at least one symptom related to pelvic floor dysfunction were included as the patient group, and 51 women who had no symptoms related to pelvic floor dysfunction were included as the control group. All of the women in the patient group were examined gynecologically in the lithotomy position, the cough stress test was performed. and prolapses was evaluated with the POP-Q (Pelvic organ Prolapse Quantification System). The Urinary Distress Inventory was answered by all symptomatic women. All women answered the questionnaire again after a three-week interval. The content/face validity, reliability, stability, and construct validity were studied. Results: The Cronbach's alpha results were above 0.7 for all subscales of the questionnaire (bladder:0.842, bowel:0.733, prolapse:0.858, sexual function:0.750) showing adequate internal consistency (reliability). The test/retest analysis (stability) showed high reproducibility with an intraclass coefficient above 0.85 in the patient group and above 0.75 in the control group. Except for the sexual function subscale, discriminant validity showed a significant difference between the patient and control groups. A significant correlation was found between the total bladder subscale score and the UDI-6 scores (rho:0.828, p:0.000,) and a significant correlation was found between the total prolapse score and the POP-Q scores (rho:0.574, p:0.000). Conclusion: The Turkish version of the self-administered APFQ is a reliable and valid instrument for evaluating symptom severity and impact of pelvic floor disorders on the quality of life of Turkish speaking women. (C) 2019 Elsevier B.V. All rights reserved.
  • Küçük Resim Yok
    Öğe
    Turkish obstetricians' self-birth preferences, attitudes and practices towards caesarean section on maternal request and vaginal birth after caesarean section: a national online survey
    (Taylor & Francis Inc, 2022) Astepe, Bahar Sariibrahim; Ayaz, Reyhan; Koleli, Isil; Yucedag, Mehtap; Yilmaz, Ozgur; Uzel, Kemine
    The aim of the study was to investigate the reasons for Turkish obstetricians having self-caesarean section on maternal request (CSMR) and their attitudes and practices related to CSMR and vaginal birth after caesarean section (VBAC). The questionnaire form constructed by the authors was sent online to obstetricians working in different cities of Turkey. A total of 206 obstetricians participated and answered a self-administered questionnaire. The self-birth preferences were as follows: 17% had a vaginal delivery (VD), 61.2% had a caesarean section (CS), 4.9% had both VD and CS. Of the participants with CS, 56.3% had CSMR. The most common reason for their having self-CSMR was that it was 'safe for the baby'. The most common reason for performing CSMR with their patients was 'due to birth anxiety and phobia'. Fifty-five percent of the participants said that they first recommended VD. The most common concern related to VBAC was 'I'm afraid of legal sanctions about complications'. Although many Turkish obstetricians recommend VD to their patients, they are afraid of the complaints/trials related to unforeseen complications during VD. IMPACT STATEMENT What is already known on this subject? Caesarean section (CS) rates all over the world and in Turkey are rising. The exact frequency of CS on maternal request (CSMR) is not known, but it is estimated to be between 4% and 18%. What do the results of this study add? Although Turkish obstetricians had high self-CSMR rates, they thought that it was more correct to direct patients to vaginal delivery (VD). Obstetricians are afraid of unforeseen complications during VD and related complaints and legal trials. What are the implications of these findings for clinical practice and/or further research? Physicians expect improvements in the judgement and punishment issues related to unforeseen complications in the birth process. Besides the actual rates of CSMR need to be reported in the literature and why obstetricians perform CSMR needs to be investigated globally.
  • Küçük Resim Yok
    Öğe
    Validation of the Turkish version of the International Consultation on Incontinence Questionnaire-vaginal symptoms (ICIQ-VS)
    (Springer London Ltd, 2019) Koleli, Isil; Astepe, Bahar Sariibrahim
    Introduction and hypothesisThe International Consultation on Incontinence Questionnaire-Vaginal Symptoms (ICIQ-VS) was developed and validated in 2006 to evaluate vaginal symptoms, sexual matters, and quality of life of patients. This study aimed to validate the Turkish version of ICIQ-VS.MethodsThe English version of the questionnaire was translated into Turkish. On the basis of the pelvic organ prolapse quantification (POP-Q) system, symptomatic women with 2 grade pelvic organ prolapse (POP) were included in the symptomatic (patient) group and asymptomatic women with 1 grade POP in the asymptomatic (control) group. The questionnaire was administered three times: after the first examination of the women (T1), 3weeks after T1 (T2), and 3months after the POP surgery (T3).ResultsA total of 111 women were included in the study (symptomatic group, n=53; asymptomatic group, n=58). The missing data were ? 2%; the test-retest reliability was between 0.807 and 0.963, and the differences between the symptomatic and asymptomatic women were significant (p ? 0.001). A significant positive correlation existed between POP-Q and the vaginal symptom score, sexual matter score, and quality-of-life score (r(s)=0.844, 0.393, and 0.698, respectively; p<0.001). The Cronbach's alpha was 0.72 for the vaginal symptom score and 0.73 for the sexual matter score. The sensitivity to change was significant (p ? 0.05). The effect size values of the vaginal symptom score, sexual matter score, and quality-of-life score were 2.55, 2.33, and 1.56, respectively.ConclusionThe Turkish version of ICIQ-VS was successfully validated in this study, and a newer version of the questionnaire was made available for assessing vaginal symptoms, sexual matters, and quality of life of patients with POP.