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    Comparison of Changes in Body Image of Patients with Renal Calculi Treated by Pyelolithotomy or Percutaneous Nephrolithotomy
    (Kuwait Medical Assoc, 2012) Aglamis, Erdogan; Ceylan, Cavit; Altinova, Serkan; Serefoglu, Ege Can; Beytur, Ali
    Objective: To compare changes in body image of patients who had pyelolithotomy (PYL) or percutaneous nephrolithotomy (PNL) for kidney stones Design: Prospective, descriptive study Setting: Elazig Education and Research Hospital, Turkey Subjects: A total of 69 patients, who had PNL or PYL done for renal stones, were evaluated, prospectively. Interventions: Patients were divided into two groups: PNL (39 patients) and PYL (30 patients). Body dismorphic disorder scale (BDDS) was used to measure body image changes of these patients before, one and six months after the operation. The patients were questioned and their answers were noted. BDDS score was calculated according to the answers. Main Outcome Measures: Mean BDDS scores between the two groups were statistically compared by t-test method Results: The difference of mean BDDS scores between two groups before the operation, and six months after the operation was not statistically significant (p > 0.4 and p > 0.4 respectively). However, mean BDDS scores one month after the operation were significantly higher in PYL group and perception of body image was worse (p = 0.01). Conclusion: In early postoperative period, perception of change in body image was significantly worse in the PYL group. However, in late postoperative period, there were no significant differences between the two groups of patients. For these reasons, we consider that the changes in body image should not be a determining factor for selecting the surgical approach.
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    Prognostic factors in radical cystectomy affecting survival
    (Termedia Publishing House Ltd, 2012) Aglamis, Erdogan; Toktas, Gokhan; Unluer, Erdinc; Tasdemir, Cemal; Ceylan, Cavit
    Introduction: The aim of the study was to evaluate the prognostic factors in radical cystectomy affecting survival. Material and methods: A total of 100 hundred patients were included in the study. Incontinent diversion was applied to 73 of these, and continent diversion to 27. Prospective and retrospective data of the patients were examined. The prognostic value for survival was evaluated for of lymph node involvement, tumor grade (low grade: grade 0-II, high grade: >= III or epidermoid carcinoma), tumor stage (low stage: stage pT0-2, high stage: stage >= 3a pT3a), presence of preoperative unilateral of bilateral hydronephrosis, presence of preoperative uremia (serum urea value: <= 60), and age (>70 and <= 70 years of age) on survival were investigated. Kaplan-Meier survival analysis and Log-Rank statistical methods were used in the study. Results: Grade, stage, uremia, and lymph node involvement had significant effects on survival (p values 0.0002, 0.03, 0.01, and 0.02, respectively). Presence of preoperative hydronephrosis and age had no statistically significant effects on survival (p values 0.8 and 0.2, respectively). Conclusions: Tumor grade, tumor stage, preoperative uremia, and lymph node involvement are prognostic factors affecting survival. Advanced age and presence of preoperative hydronephrosis have no prognostic value for survival. The presence of uremia in the preoperative assessment of the patients is more important than hydronephrosis.
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    Prostatic and testicular parameters in lepromatous patients
    (Lepra, 2014) Aglamis, Erdogan; Tasdemir, Cemal; Yucel, Mehmet Ozgur; Ceylan, Cavit; Erden, Ilker
    Objectives: To evaluate PSA (Prostate-specific antigen) parameters in patients with lepromatous leprosy (LL). Design: In a retrospective study, 23 male patients with LL were evaluated. PSA parameters (serum total PSA (tPSA), free PSA (fPSA), free-to-total PSA ratio (f/tPSA), PSA Density (PSAD)) were assessed. PSA parameters were compared with a control group. Results: The mean tPSA, fPSA, f/tPSA, prostate volume, and PSAD values of the patient group with LL were 1.87 +/- 0.81 ng/ml, 0.67 +/- 0.29 ng/ml, 0.36 +/- 0.11, 41.08 +/- 23.65 ml and 0.055 +/- 0.037, respectively. The mean tPSA, fPSA, f/tPSA, prostate volume, and PSAD values of the control group were 2.71 +/- 0.91 ng/ml, 0.80 +/- 0.34 ng/ml, 0.30 +/- 0.08, 65.0 +/- 28.73 ml and 0.049 +/- 0.028, respectively. The mean tPSA and prostate volume values were found to be significantly lower in the patient group with LL (p = 0.002 and 0.004, respectively). No significant difference was found between two groups in terms of mean fPSA and PSAD values (p = 0.18 and 0.5, respectively). The mean f/tPSA value was found to be significantly higher in the patient group with LL (p = 0.02). Testes in 16(69%) patients with LL were bilaterally atrophic. Conclusions: Serum tPSA values and prostate volumes in the patients with LL were significantly reduced and f/tPSA values were significantly increased. Testicular atrophy in the lepromatous cases might be due to leprosy-related orchids and associated with a reduction in prostatic volume.