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Öğe Assessment of urinary incontinence in the women in Eastern Turkey(Springer London Ltd, 2013) Altintas, Ramazan; Beytur, Ali; Oguz, Fatih; Tasdemir, Cemal; Kati, Bulent; Cimen, Serhan; Colak, CemilThe aims of the present study were to determine the types of UI among women visiting the urology department, to identify the potential risk factors associated with each type of UI, and to identify healthcare-seeking behaviors of affected women in our region. The data of 617 community-dwelling women, who were at least 18 years of age or older and who presented with a complaint of UI ongoing over a year, and those without UI, who were admitted for any other reason, from June 2010 to April 2012, were evaluated. Mean age was 51.29 years (range 18-110 years); median parity was 3.54 (range 0-11) and 88.2 % of the women were married. Mean BMI was 28.01 kg/m(2). Very few women (18.5 %) accepted UI as a disease and searched for medical help by themselves; however, the remaining women (81.5 %) were brought or directed for evaluation by someone else. Stress UI was reported by 43 women (10.5 %), urge UI and mixed UI were noted by 153 (37.5 %) and 212 (52 %) women respectively. The most frequent type of UI was mixed UI in our region. Age, BMI, multiparity, and hypertension were identified to have a different importance for each type of UI, but diabetes mellitus, birth trauma, gynecological surgery, lumbar disc hernia (LDH), and multiple sclerosis (MS) were the other important related factors. However, a small number of patients accepted UI as a disease and searched for therapy. This reveals that the public should be informed in detail about female UI in developing countries.Öğe EFFECT OF SELECTION OF ACCESS CALYX ON SUCCESS OF PERCUTANEOUS NEPHROLITHOTOMY(Mary Ann Liebert, Inc, 2012) Altintas, Ramazan; Beytur, Ali; Oguz, Fatih; Cimen, Serhan[Abstract Not Available]Öğe Germ cell testicular tumor showing spontaneous regression(2018) Cimen, Serhan; Gunes, Ali; Beytur, Ali; Gokce, HasanÖğe Giant Hydronephrosis and Nonfunction Kidney Dependent to Ureter Tumor: A Case Report(Galenos Yayincilik, 2015) Cimen, Serhan; Altintas, Ramazan; Gunes, AliTransitional epithelial cancers in upper urinary tract are quite rare. It is less often being synchronous with the bladder cancer and this situation needs closer follow-up of the patient. In this case report, we evaluated a 56 years-old male having a giant hydronephrosis and nonfunctional kidney, urethra tumor in the light of current literature. The patient presented with right flank pain, palpable abdominal mass and intermittent hematuria in last one years.Öğe THE IMPORTANCE OF ENSTRUMENT TYPE IN PEDIATRIC PERCUTANEOUS NEPHROLITHOTOMY(Mary Ann Liebert, Inc, 2012) Altintas, Ramazan; Beytur, Ali; Oguz, Fatih; Cimen, Serhan[Abstract Not Available]Öğe The importance of instrument type in paediatric percutaneous nephrolithotomy(Springer, 2014) Altintas, Ramazan; Oguz, Fatih; Tasdemir, Cemal; Beytur, Ali; Cimen, Serhan; Gunes, Ali; Colak, CemilWe reported our experience with percutaneous nephrolithotomy in children and compared the outcomes, including the morbidity and success rates, regarding the instruments of different sizes. One hundred and seventy-three paediatric patients, who underwent percutaneous nephrolithotomy in our clinic between 1999 and 2013, were assessed. According to the size of instruments used during surgery, three different groups were formed and the pre- and postopeartive outcomes were compared between the groups. 76 girls and 97 boys with a mean age of 9.24 (a parts per thousand currency sign17) years were assessed. Stone-free rates were 75.6 % in group 1 (n = 82) using 17 F nephroscope, 79.4 % in group 2 (n = 73) using 24 F nephroscope and 72.2 % in group 3 (n = 18) using 26 F nephroscope. Postoperative fever was seen in four, five and one patient in group 1, 2 and 3, respectively. Urinary infection was seen in one patient in group 1 and four patients in group 2. Mean haematocrit drop and stone burden were significantly lesser in group 1. No significant difference was seen in the duration of nephrostomy and hospitalization between the groups. The success rates obtained in the groups using different instrument types (paediatric or adult) were similar. However, age, weight, height, stone burden and bleeding were significantly lesser in group 1 that used paediatric type of instrument. As the most frequent complication of PNL, bleeding seems to be associated with stone burden, the diameter of dilatation and the calibre of instrument. To decrease the particular complications, paediatric type of instruments are convenient and do not affect the success.Öğe Is doppler ultrasonography reliable in the evaluation of solid testicular lesions?(2020) Cimen, Serhan; Ozaydogdu Cimen, AylaAim: Evaluation of using color Doppler ultrasonography in the diagnosis of testicular solid lesions. The aim of our study was to determine the rate of benign lesions in patients with hypervascularized solid intratesticular lesions. Material and Methods: The data of 88 patients who underwent inguinal orchiectomy and who were diagnosed to have a scrotal mass in color Doppler ultrasound examination between March 2013 and March 2018 were retrospectively evaluated. All patients’ age, complaints during their admission to hospital, size of solid lesions, preoperative tumor markers (AFP, bHCG and LDH) and post operative pathology results were evaluated. Two-tailed tests were used to determine the value of preoperative numerical parameters and Fisher’s exact test to compare preoperative non-numerical parameters of both malignant and benign solid lesions, and p0.05 was considered significant.Results: The mean age of the patients was 38.54±19.09 years. The mean lesion size was 4.21±2.65 cm. The high levels of tumor markers (AFP, bHCG, LDH) were detected in 24 (27.2%) patients before the operation. In 72 patients, the size of the lesion was greater than 1 cm and in 16 patients it was less than 1 cm. As a result of the pathological evaluation of the testicular masses, it was found that 29 (32.9%) were malignant and 59 (67.1%) were benign. High levels of tumor markers, palpability and large solid lesion size were found as parameters predicting malignancy.Conclusion: In the evaluation of testicular masses with scrotal USG and Doppler USG, the rate of benign mass detection is relatively higher. In small masses, non-palpable masses and in patients with no tumor marker elevation, testicular biopsy or testicular preventive surgery should be considered.Öğe Minimally invasive approaches and their efficacy in pediatric urolithiasis(Aves, 2013) Altintas, Ramazan; Beytur, Ali; Oguz, Fatih; Cimen, Serhan; Akdemir, Ender; Gunes, AliObjective: We compared the frequency of usage and success of minimally invasive approaches in the management of pediatric urolithiasis in our clinic. Material and methods: Data from pediatric patients (<= 16 years of age) who had undergone percutaneous nephrolithotomy (PNL), ureterorenoscopy (URS), and extracorporeal shock wave lithotripsy (ESWL) between January 2001 and December 2011 were retrospectively investigated. Results: In this study, 415 pediatric patients, who were treated for 291 renal, and 124 ureteral stones, were evaluated. The patients were treated with PNL (n=148; 82 boys, 66 girls), URS (n=99; 58 boys, and 41 girls) or ESWL (n=168; 91 boys, and 77 girls). The mean patient ages were 7.3 (1-16), 9.1 (1-16), and 8.8 (1-16) years in the PNL, URS, and ESWL groups, respectively. The stone-free rates after treatment with PNL, URS, and ESWL were 77, 83.8 and 88.7%, respectively. Conclusion: It is important that selected therapies are properly planned, and the use of minimally invasive approaches is important in pediatric patients due to potentially high recurrence rates. Currently, ESWL, PNL and URS are performed with high success rates for the treatment of stones, and open surgery is rarely used due to the success obtained with minimally invasive approaches.Öğe Protective effects of ghrelin on kidney tissue in rats with partial ureteral obstruction(Tubitak Scientific & Technological Research Council Turkey, 2019) Cimen, Serhan; Tasdemir, Cemal; Vardi, Nigar; Ates, Burhan; Tasdemir, Seda; Ozaydogdu Cimen, AylaBackground/aim: The aim was to investigate the protective and therapeutic effects of ghrelin, which has antioxidant and antiinflammatory activity, on preventing kidney damage that occurs by induced partial ureteral obstruction in rats. Materials and methods: Twenty-eight adult male rats were included in the study, and the rats were divided into 4 groups. After the laparotomy operation on the sham group, the ureter was identified in the retroperitoneal area and was duly sutured (n = 7). Ghrelin was administered for seven days intraperitoneally, and after the nephrectomy performed on the 15th day, the rats were sacrificed (n = 7). A partial ureteral obstruction was performed after the laparotomy on the PUO group. The rats were sacrificed after the nephrectomy operation performed on the 15th day (n = 7). A partial ureteral obstruction was formed after the laparotomy followed by seven days of waiting in the PUO i ghrelin group. Ghrelin was given in the dose of 10 ng/kg per day intraperitoneally for the next 7 days, and the rats were sacrificed after the nephrectomy operation performed on the 15th day (n = 7). All groups were evaluated for histological damage and catalase, superoxide dismutase, total glutathione, malondialdehyde, and myeloperoxidase levels were measured in the same tissues. Results: When the 2nd group and the sham group were compared histologically, it was observed that the damage had increased by a statistically significant level in the partial ureteral obstruction group (P 0.001). When the group which was ghrelin-treated after the partial ureteral obstruction was compared to the group with just partial ureteral obstruction, the histopathological changes were found to decrease significantly in that group (P = 0.001). While the statistical significance of the levels of CAT, GSH, and MP() enzymes was detected among biochemical changes in the 2nd group when compared to the sham group (P < 0.01), the 3rd group showed a statistically significant difference in the levels of SOD and GSH enzymes compared to the 4th group (P < 0.05). Conclusion: Ghrelin administration to rats after the formation of an experimental partial unilateral ureteral obstruction reduces tissue damage due to ghrelin's antiinflammatory and antioxidant effects. Ghrelin administration may prevent tissue damage biochemically and histopathologically in obstructive uropathy cases.Öğe Radiological evaluation and our surgical experience in patients with penile fracture(2019) Cimen, Serhan; Ozaydogdu Cimen, AylaAim: We aimed to investigate the clinical features, diagnostic methods and surgical methods and results of patients who presented with penile fractures. Material and Methods: The data of 18 patients who underwent surgical treatment between December 2008 and 2018 in our clinic were evaluated retrospectively. Age and etiologic factors were evaluated. Following physical examination, all patients underwent superficial penile ultrasonography in the radiology clinic. Ultrasonically, length, location and side of the rupture were determined. The patients were questioned by the postoperative IIEF-5 questionnaire. Pre and post-operative complications were evaluated in patients. Postoperative erectile functions were evaluated. Results: The mean age was 39.22 ± 14.47 (19-67). The time to contact the emergency department was 4.33 ± 1.97 hours (2-8 hours). In the history of the patients, the causes of the penile fracture included the forceful manipulation of the penis in 5 patients (27.8%), rolling over in the bed while sleeping in 5 patients (27.8%), sexual intercourse in 6 patients (33.3%) and masturbation in 2 patients (11.1%). Mean rupture in tunica albuginea was 12.66 ± 3.06 mm (8-20mm). While 11 (61.1%) of the defects were detected in the right corpus spongiosum, 7 (38.9%) were detected in the left corpus spongiosum. The tunica albuginea defect was located in the distal penile in 14 patients (77.8%), in the midpenil in 3 patients (16.7%) and in the proximal penile in 1 patient (5.5%). The mean hospital stay was 3 ± 0.90 days (2-5 days). Postoperative the IIEF-5 score was 26.05 ± 1.55 (23-29). Conclusion: Penile fracture is a rare urologic emergency that can be diagnosed clinically. Radiological imaging may be required in suspected cases. Early surgical treatment provides successful results in terms of functional, cosmetic and erectile functionsÖğe A Rare Neoplasm of the Prostate: Small Lymphocytic Lymphoma(Galenos Yayincilik, 2014) Celik, Huseyin; Cimen, Serhan; Akpolat, NusretProstate lymphoma is a rare condition, it accounts for 0.09% of all prostate malignancies. As other prostate diseases, prostate lymphoma occurs in the same age group and it is difficult to distinguish clinically. We report a case of 63 year-old male with acute urinary retention twice and normal serum level of prostate specific antigen. We performed transurethral resection (TUR). In the microscopic examination of the TUR material a diffuse lymphocytic infiltration which were strongly positive for CD20 and CD5 and negative for CD3.Öğe A rare reason of PSA elevation seen during intravesical BCG therapy: Granulomatous prostatitis(2019) Cimen, Serhan; Gunes, Ali; Oguz, Fatih; Topcu, Ibrahim; Akatli, Ayşe Nur; Ozcan, Mehmet
