Yazar "Sarikaya, Selcuk" seçeneğine göre listele

Listeleniyor 1 - 4 / 4
  • Küçük Resim Yok
    Öğe
    Categorization of intraoperative ureteroscopy complications using modified Satava classification system
    (Springer, 2014) Tepeler, Abdulkadir; Resorlu, Berkan; Sahin, Tolga; Sarikaya, Selcuk; Bayindir, Mirze; Oguz, Ural; Armagan, Abdullah
    To review our experience with ureteroscopy (URS) in the treatment of ureteral calculi and stratify intraoperative complications of URS according to the modified Satava classification system. We performed a retrospective analysis of 1,208 patients (672 males and 536 females), with a mean age of 43.1 years (range 1-78), who underwent ureteroscopic procedures for removal of ureteral stones. Intraoperative complications were recorded according to modified Satava classification system. Grade 1 complications included incidents without consequences for the patient; grade 2 complications, which are treated intraoperatively with endoscopic surgery (grade 2a) or required endoscopic re-treatment (grade 2b); and grade 3 complications included incidents requiring open or laparoscopic surgery. The stones were completely removed in 1,067 (88.3 %) patients after primary procedure by either simple extraction or after fragmentation. The overall incidence of intraoperative complications was 12.6 %. The most common complications were proximal stone migration (3.9 %), mucosal injury (2.8 %), bleeding (1.9 %), inability to reach stone (1.8 %), malfunctioning or breakage of instruments (0.8 %), ureteral perforation (0.8 %) and ureteral avulsion (0.16 %). According to modified Satava classification system, there were 4.5 % grade 1; 4.4 % grade 2a; 3.2 % grade 2b; and 0.57 % grade 3 complications. We think that modified Satava classification is a quick and simple system for describing the severity of intraoperative URS complications and this grading system will facilitate a better comparison for the surgical outcomes obtained from different centers.
  • Küçük Resim Yok
    Öğe
    Evaluation of Sleep Quality and Quantity of Patients with Benign Prostatic Hyperplasia Using the Medical Outcomes Study-sleep Scale
    (Galenos Yayincilik, 2020) Sarikaya, Selcuk; Sarikaya, Fatma Gokcem; Karsiyakali, Nejdet; Selvi, Ismail; Senocak, Cagri; Bozkurt, Omer Faruk; Esperto, Francesco
    Objective: This study aimed to evaluate the sleep quality and quantity of patients with benign prostate hyperplasia (BPH) and compare them with that of a control group using the Medical Outcomes Study-sleep scale (MOS-SS). Materials and Methods: The study included 114 consecutive men who were recruited between 2014 and 2018. Voiding patterns of patients with BPH were evaluated by free uroflowmetry, and symptom scores were evaluated using the International Prostate Symptom score (IPSS). Sleep quality and quantity of all patients were evaluated using the MOS-SS questionnaire. The participants were divided into two groups: 57 BPH patients (group 1) and 57 healthy individuals (group 2). They were compared statistically in terms of MOS-SS subdomains. The relationship between MOS-SS subdomains and IPSS, free uroflowmetry parameters, and post-voiding residual urine volume (PVR) was evaluated in BPH patients. Factors affecting the MOS-SS subdomains were also investigated. Results: The mean age of group 1 was higher than that of group 2 (67 +/- 9 vs 52 +/- 11 years, p<0.001). All MOS-SS subdomain scores except for snoring were adversely affected in group 1, and there was a statistically significant difference between the groups (p<0.001). A mild to moderate significant correlation was found between the MOS-SS subdomain scores and IPSS, free uroflowmetry parameters, and PVR. In multivariate analysis, free uroflowmetry parameters and PVR were found to be independent risk factors for predicting deterioration in the MOS-SS subdomains. Conclusion: It was observed that sleep quality and quantity were negatively affected in group 1. We recommend that sleep quality and quantity should be investigated especially in BPH patients with increased PVR levels and decreased free uroflowmetry parameters.
  • Küçük Resim Yok
    Öğe
    Is dialysis adequacy a useful predictor for sexual function in males and females with end-stage renal disease?
    (Elsevier Espana Slu, 2021) Selvi, Ismail; Sarikaya, Selcuk; Atilgan, Kadir Gokhan; Ayli, Mehmet Deniz
    Introduction: The development of sexual dysfunction (SD) in dialysis patients is multifactorial. We aimed to evaluate whether adequate dialysis had an effect on the development of SD in male and female patients undergoing dialysis due to end stage renal disease. Anxiety, depression, health-related quality of life and the other risk factors related to dialysis were also evaluated in terms of SD. Methods: Seventy men and 57 women undergoing haemodialysis (HD) or peritoneal dialysis (PD) and 65 healthy male volunteers and 48 healthy female volunteers, age-matched, were included in the study. The International Index of Erectile Function, Female Sexual Function Index, Beck Depression Inventory, Beck Anxiety Inventory and The Short Form-36 Health Survey were applied to all participants. The cut off value of Kt/V was determined as 1.3 for HD and 1.7 for PD to assess dialysis adequacy. Per gender, all the participants were divided into three groups as control, adequate dialysis and non-adequate dialysis. Results: Dialysis adequacy [OR: 3.225, 95%CI (1.213-8.620), p = .019] was found as a more decisive factor for male SD, while dialysis adequacy [OR: 3.015, 95%CI (.991-7.250), p = .041] and depression [OR: 4.280, 95%CI (1.705-10.747), p = .002] were more significant for female SD. In addition, a strong relationship was found between male SD and physical functioning (r: .524, p = .032), social functioning (r: .565, p = .042), general health (r: .693, p = .037) perception, while female SD was found to be strongly associated with anxiety (r: -.697, p = .002) and depression (r: -.738, p = .001). Discussion: Dialysis adequacy was found to be the most important factor in reducing SD. Non-adequate dialysis resulted in worse sexual function, higher levels of depression and anxiety. Its negative effect on health-related quality of life was only seen in men. (C) 2020 Asociacion Espanola de Andrologia, Medicina Sexual y Reproductiva. Published by Elsevier Espana, S.L.U. All rights reserved.
  • Küçük Resim Yok
    Öğe
    IS TESTICULAR MICROLITHIASIS A REALLY INNOCENT CONDITION? ITS EFFECTS ON ONCOLOGICAL OUTCOMES OF GERM CELL TESTICULAR CANCER: AN OBSERVATIONAL STUDY
    (Iniestares, S.A., 2020) Selvi, Ismail; Sarikaya, Selcuk; Basar, Halil
    OBJECTIVES: Although it is a well known condition that presence of testicular microlithiasis (TM) with the co-occurrence of specific risk factors such as history of previous germ cell testicular cancer (GCTC), infertility, undescended testes or atrophic testes have high risks for GCTC development,TM is still a controversial topic. Its effects on oncological outcomes have still not been investigated in detail. In this study, we aimed to evaluate whether the presence of TM has an effect on GCTC prognosis and oncological outcomes. METHODS: Seventy five patients among 93 patients who underwent radical orchidectomy between January 2010 and February 2016 were selected and divided into two groups. Group I consisted of 51 patients without TM. Group II consisted of 24 patients with TM. Each groups were compared in terms of demographic datas, prognostic risk factors, complete blood count parameters and oncological outcomes. RESULTS: During the median follow-up of 58 (1-106) months, a significantly higher local recurrence rate (54.2% vs. 3.9%, p<0.001), distant metastasis rate (58.3% vs. 5.9%, p<0.001) and lower cancer-spesific survival rate (45.8% vs. 94.1%, p<0.001) were observed in patients with TM. In this group, the duration of recurrence-free survival (47.65 +/- 9.45 vs.101.96 +/- 2 .80 months, p<0.001), metastasis-free survival (49.50 +/- 8.88 vs. 100.00 +/- 3.36 months, p<0.001) and cancer-specific survival (54.37 +/- 8.76 vs. 100.19 +/- 3.25 months, p<0.001) were also statistically lower. In multivariate analysis, beta-hCG, LDH, neutrophil/lymphocyte ratio, monocyte/lymphocyte ratio and the presence of undescended testis were found as independent predictive factors for local recurrence, distant metastasis and cancer-specific survival. Red blood cell distribution width and the presence of testicular microlithiasis were found to be independent predictive factors for local recurrence. CONCLUSION: According to our results, bilateral TM was associated with higher rates of local recurrence, distant metastasis and cancer spesific mortality in presence of risk factors, regardless of classic or limited microlithiasis.