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    ASSESSMENT OF FEMALE PATIENTS PRESENTING WITH URINARY INCONTINENCE
    (Mary Ann Liebert, Inc, 2012) Altintas, Ramazan; Oguz, Fatih; Beytur, Ali; Kati, Bulent; Gunes, Ali
    [Abstract Not Available]
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    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, Cemil
    The 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.
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    How do vegetable oils (hazelnut and canola) affect the reproductive system in male rats?
    (Pagepress Publ, 2018) Kati, Bulent; Oguz, Fatih; Yilmaz, Ismet; Akdemir, Ender; Altintas, Ramazan; Akpolat, Nusret; Taskapan, Mehmet Cagatay
    Objective: Vegetable oils have an important place in our daily diet. This study starts from this point to investigate the effects of canola oil and hazelnut oil in the male reproductive system in rats. Material and methods: 30 male rats were used in this 16-week study. The animals were divided into three groups: the animals in group I served as the control group, while the animals in group II and group III were fed with hazelnut and canola oil, respectively. The testes of all rats were excised for histopathologic evaluation and immunohistochemical (IHC) evaluation with a standard method. Blood samples were obtained for determination of serum hormone levels. Results: No significant differences were noted with respect to behavior or weight among the three groups. Rats in the canola oil group (group III) had higher luteinizing hormone (LH) and higher testosterone levels than rats in the control group. Rats who received hazelnut oil (group II) exhibited similar findings, with these levels being higher than they were in the control group. No statistical differences were shown for histopathology or IHC testosterone antibody levels across all treatment groups. Conclussion: Canola oil was shown to have a greater effect on serum LH and testosterone compared to the control group and the group fed with hazelnut oil. Further investigation is required into how these oils affect serum hormone and sperm activity.
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    Is there any relationship between ureteral DJ stent colonization and lower urinary tract symptom severity?
    (2018) Kati, Bulent; Yakupogullari, Yusuf; Polat, Emre Can; Pelit, Eyyup Sabri; Gunes, Ali
    Aim: The purpose of this study is to evaluate risk factors for, and the relationship between, lower urinary tract symptoms (LUTS) and double J stent (DJS) colonization. Material and Methods: One hundred and thirty five patients aged 18 to 77 were included in this prospective study conducted at Urology Clinic in our university hospital between July 2012 and December 2013. Patients were followed clinically; we recorded any bothersome symptoms after treatment. Stents were removed under aseptic conditions. Their distal ends were removed and placed in a culture medium for evaluation. The relationship between colonization and LUTS was evaluated. Results: Bacteriuria and stent colonization were found in 10 (7.4%) and 35 (26%) patients, respectively. In the colonized stents, Candida spp. was the most commonly observed pathogen (40%). Mean indwelling times were different for the colonized (68.6 days) and non-colonized (46.2 days) groups. Similarly, the encrustation rate was significantly higher in colonized patients (42.8%) than in non-colonized cases (27%). In the colonized group, rates were significantly higher for irritative voiding symptoms such as polyuria (57.1% vs. 31%), nocturia (71.4% vs. 57%), and urgency (54.2% vs. 33%). Conclusions: LUTS, especially irritative voiding symptoms including polyuria and nocturia, are more frequent in patients with stent colonization. Patients at risk of stent colonization should be followed up for the development of infections, and prophylactic treatment should be administered. In addition, indwelling time may be shortened to prevent colonization.
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    A nightmare during endoscopic bladder tumor resection; obturator reflex
    (2017) Kati, Bulent; Izgi, Murat
    Bladder Tumor is the most common cancer type among urologic cancers and causes high mortality-morbidity if it is not treated early and appropriately. Although there are lots of causes and risks of bladder tumor and it is known that tobacco smoking is the main contributor to bladder tumor, etiology of tumor is not clear. At diagnosis, it is generally seen as a superficial tumor. Transurethral resection of bladder cancer (TUR-B) is the primary surgical method for the diagnosis, staging and treatment of primary or recurrent non-muscle-invasive bladder cancer. In this procedure, different complications may occur, especially bleeding, and the most important complication is bladder perforation. Additional therapies are needed depending on location and size of perforation. An intraperitoneal perforation can lead to laparotomy, bladder repair and open drainage of the abdominal cavity. Sudden adductor muscle spasm can occur when the obturator nerve is directly stimulated by the electrical current transmitted by the resectoscope, especially when the surgeon is operating at the lateral wall of the bladder, where the obturator nerve runs in close proximity during its intrapelvic course. Therefore, the type of anesthesia is important in the lateral wall tumors of the bladder. Obturator nerve block is an effective method of preventing obturator nerve reflex. Combination of obturator nerve block and spinal anesthesia seems to be a safe method of anesthesia in transurethral surgery. We aimed to form a review to reduce difficult situations and to minimize the adverse consequences caused by this reflex that becomes a nightmare in many surgical cases.
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    Protective Effect of Infliximab on Ischemia/Reperfusion-Induced Damage in Rat Kidney
    (Taylor & Francis Ltd, 2012) Tasdemir, Cemal; Tasdemir, Seda; Vardi, Nigar; Ates, Burhan; Parlakpinar, Hakan; Kati, Bulent; Karaaslan, Merve Goksin
    Objective: To investigate the protective effect of infliximab on ischemia-reperfusion (I/R) injury of the rat kidney. Methods: Twenty-eight male Wistar albino rats were divided into four groups: sham-operated, I/R, I/R with infliximab administered before ischemia [I/R + infliximab (bi)], and I/R with infliximab administered before reperfusion [I/R + infliximab (br)]. After a right nephrectomy to produce damage, the left renal vessels were occluded for 60 min, followed by 24-h reperfusion in rats. Changes in the rat kidney were observed by measuring the tissue levels of malondialdehyde (MDA), myeloperoxidase (MPO), glutathione (GSH), and superoxide dismutase (SOD) and by evaluating hematoxylin-eosin (H&E)-stained and periodic acid-Schiff (PAS) sections. Results: The MDA and MPO levels in the I/R group were significantly higher than in the other groups (p < 0.05), and the SOD and GSH levels in the I/R + infliximab (bi) and I/R + infliximab (br) groups were significantly higher than in the I/R group (p < 0.05). However, histological examination revealed that the I/R + infliximab (bi) group and the I/R + infliximab (br) group had significantly fewer tubular changes and interstitial inflammatory cell infiltration than the I/R group. Conclusion: These results show that infliximab may protect against I/R injury in the rat I/R model.