26 research outputs found
A Novel Technique for Anterior Vaginal Wall Prolapse Repair: Anterior Vaginal Wall Darn
Aim. The aim of this study is to introduce a new technique, anterior vaginal wall darn (AVWD), which has not been used before to repair the anterior vaginal wall prolapse, a common problem among women. Materials and Methods. Forty-five women suffering from anterior vaginal wall prolapse were operated on with a new technique. The anterior vaginal wall was detached by sharp and blunt dissection via an incision beginning from the 1 cm proximal aspect of the external meatus extending to the vaginal apex, and the space between the tissues that attach the lateral walls of the vagina to the arcus tendineus fascia pelvis (ATFP) was then darned. Preoperation and early postoperation evaluations of the patients were conducted and summarized. Results. Data were collected six months after operation. Cough stress test (CST), Pelvic Organ Prolapse Quantification (POP-Q) evaluation, Incontinence Impact Questionnaire (IIQ-7), and Urogenital Distress Inventory (UDI-6) scores indicated recovery. According to the early postoperation results, all patients were satisfied with the operation. No vaginal mucosal erosion or any other complications were detected. Conclusion. In this initial series, our short-term results suggested that patients with grade II-III anterior vaginal wall prolapsus might be treated successfully with the AVWD method
Acute renal failure developing for the forgotten dj stent in patient’s functional solitary kidney: case report
Üreteral stentlerin endikasyonlarının artması ve kullanımının giderek yaygınlaşmasının
doğal sonucu olarak stentlere bağlı komplikasyonların görülme sıklığı
da artmıştır. Literatürde soliter böbrekli hastalarda unutulmuş stentlere bağlı gelişen
böbrek yetmezliği, sepsis ve ölüm vakaları rapor edilmiştir. Soliter böbrekli
hastalar klinik önemlerine rağmen stentlerine yeterli ilgiyi göstermemektedir.
Bu olgu sunumunda sağ nonfonksiyone böbrekli hastada dört yıl süre ile unutulan
double J stente bağlı gelişen akut böbrek yetmezliği tablosu sunulmuştur.
Fonksiyonel tek böbreği olan hastalarda unutulmuş stentin oluşturabileceği katastrofik
sonuçlar nedeniyle daha dikkatli olunmalıdır. Üreteral stent takılması
planlanan hastalara stent endikasyonları, süresi ve komplikasyonlarının ayrıntılı
anlatılması hastanın daha ilgili olmasını sağlayabilir.The frequency of complications subject to stents has increased as a natural result
that ureteral stent indications increase and its usage becomes widespread
gradually. There has been renal insufficiency, sepsis and death cases reported
developing due to stents forgotten in patients with solitary kidneys in literature.
Patients with solitary kidneys cannot give sufficient care to their stents instead
of clinic precautions. In this case report, we present acute renal failure findings
developed subject to double J stent forgotten for four years in a patient right
non-functional kidney. We should be more careful due to catastrophic results
created by stent forgotten in patients with single functional kidney. Telling stent
indications, period and complications in details to patients to whom ureteral
stent will be placed might provide them become more interested
The Effects of Age, Metabolic Syndrome, Nocturnal Polyuria and Sleep Disorders on Nocturia
Conclusions. Age, nocturnal polyuria, metabolic syndrome and sleep disturbances have been shown to be contributing factors in the frequency of nocturia and LUTS. Therefore, steps taken to alleviate factors that can be altered - such as hypertension, weight gain, sleep disturbances and IPSS - may improve the individual's quality of lif
Prilocaine Irrigation for Pain Relief After Transurethral Resection of the Prostate
Conclusion: Prilocaine solution safely alleviated postoperative pain in the patients who underwent TURP. The use of continuous bladder irrigation with a diluted prilocaine solution consistently decreased the need for parenteral analgesics
RELATIONSHEEP BETWEEN DEVELOPMENT OF URETHRAL STRICTURE AFTER TRANSURETHRAL RESECTION OF PROSTATE AND GLYCEMIC CONTROL
Testosterone Levels and Sexual Function Disorders in Depressive Female Patients: Effects of Antidepressant Treatment
Introduction. Women suffer from depression more frequently than men, which indicates that sex hormones might be involved in the etiology of this disease. Aims. The purpose of this study was to assess the relationship between testosterone and depression pathophysiology in depressive women along with sexual function. We also investigated whether antidepressant treatment causes any change in levels of this hormone or in sexual function. Methods. Premenopausal female patients aged 25-46 years (n = 52) with diagnosed major depression were included in this study as the patient group, and 25- to 46-year-old premenopausal women without depression (n = 30) were included as the control group. Main Outcome Measures. Serum testosterone and sex hormone-binding globulin (SHBG) levels were measured twice, before and after the antidepressant treatment. Bioavailable testosterone (cBT) levels were calculated using the assay results for total testosterone (TT), SHBG, and albumin according to the formulas of Vermeulen et al. Depression severity was measured using the 17-item Hamilton Depression Rating Scale, and sexual function was evaluated with the Arizona Sexual Experience Scale. Results. The mean TT and cBT levels significantly increased in the patient group after the antidepressant treatment (P 0.05). There were no significant differences among the groups in terms of SHBG level. Conclusion. The low testosterone levels in depressed women compared with women in the control group and the elevated levels post-pharmacotherapy suggest that testosterone may be involved in depression