Publications (36) View all
-
Article: What is the difficult case in ureteroscopic stone surgery?
[show abstract] [hide abstract]
ABSTRACT: Objective: We have analyzed the difficult cases in ureterorenoscopic surgery in this study. Materials and methods: We have evaluated 117 patients’ records retrospectively that has operated because of ureteric stone with ureterorenoscopy, which were evaluated as difficult cases in our clinic between 2001-2008. Difficult case criteria were the stricture that prevents or makes difficult the passage of ureterorenoscope in the ureter, the upper ureteric stones, previous ureteric surgery, high risk patients due to comorbidity.Results: The localization of the stones were 77.8% (n=91) upper ureter, 8.5% (n=10) middle ureter, and 13.7% (n=16) lower ureter. The stricture of ureter that complicates the surgery was seen at the first distal 5 cm in 82% (n=96) of the patients (p<0.05). Of the patients, 40.9% (n=47) failed to continue operations due to stricture of the ureter. The operation failure were detected in 39% of lower, 70% of middle, and 25% of upper ureter localized stones.Conclusion: Endoscopic ureter stone surgery could safely be performed in difficult cases. Ureteral stricture might be the one of the frequent factors.Turkish Journal of Urology. 01/2011; -
Article: 'Stepped procedure' in laparoscopic cyst decortication during the learning period of laparoscopic surgery: Detailed evaluation of initial experiences.
[show abstract] [hide abstract]
ABSTRACT: We evaluated the importance and efficacy of 'stepped procedure' in laparoscopic cyst decortication as an initial experience in it. A 36 renal cyst cases were included. The stepped retroperitonoscopic cyst excision divided into three groups. First step, doing the incisions to place the ports and expanding the retroperitoneal space with balloon distension, second step, placement of trocars and reach to the cyst, third step, aspiration and decortication of the cyst. The difficulty of the sessions was measured with the Visual Analog Scale (VAS) scoring system. Score was determined according to the difficulty of the surgical step ranging from '0' to '10', '0', too easy, '10' too difficult'. The durations were measured. One-way ANOVA test was used for statistical analysis. The mean age was 52.0 (20-75) years. The mean operation time was 52.0 min. The mean duration of the first step was 12.5, second, 26.0 and third, 22.5 min. The mean VAS of first step, 3.2, second, 6.0 and third, 3.6 There were only significant differences in duration time and VAS score for second step among the surgeons (P<0.05). Laparoscopic cyst decortication may provide gaining experience to approach the kidney laparoscopically. The side, size and localization of cysts were not found associated with the difficulty of the method.Journal of Minimal Access Surgery 04/2010; 6(2):37-41. -
Article: Comparison of bipolar plasmakinetic energy and conventional techniques for transurethral bladder tumor resection
[show abstract] [hide abstract]
ABSTRACT: Objective: In this study, we compared the plasmakinetic (PK) energy and conventional techniques for transurethral resection (TUR-B) in bladder tumor.Materials and methods: Twenty-eight patients diagnosed with bladder tumor were included to the study and randomized into two study groups. First group (GI) had conventional and second group (GII) had PK TUR-B. Age, previous operation number, tumor size, shape, grade, stage, pathologic artefact, operation time, intra- and post-operative complication rates, adductor contraction, and hospitalization time were recorded. At first month, urethral stricture and persistant hematuria were evaluated. Results: Mean age of GI and GII was 58.0, 62.4, respectively. Previous operation number, tumor size, shape, grade and stage were not statistically different between two groups (p>0.05). One (7.1%) patient in GI and 6 (48.5%) patients in GII had multiple tumors (p<0.05). There were no difference in operation time within groups (p>0.05) while hospitalization time was significantly longer in GI (p<0.05). Adductor contraction has not been observed in GI patients, but it has been detected in half of GII patients (p<0.05). In 2 (28.5%) patients of GII, PK energy converted to conventional method due to uncontrollable adductor contraction. In 1 patient of GI, reoperation was required due to post-operative hematuria. Pathologic artefact, urethral stricture, and persistant hematuria were not observed. Conclusion: PK bladder tumor resection may be an effective alternative method of conventional technique with less hospitalization time, especially in multipl tumors. Adductor contraction could be a restrictive factor to use PK technique safely in all bladder tumor.Turkish Journal of Urology. 01/2010; -
Article: A look to the urology education and urology profession in Turkey: evaluation of survey results
[show abstract] [hide abstract]
ABSTRACT: Objective: To evaluate the aspects and thoughts of urology residents and new specialists about urology education and urology profession in Turkey.Materials and methods: Eighty three residents and new specialists were included in the survey. The survey, which was consisted of 25 questions, was fulfilled in 20 min period by the participants themselves.Results: Ninety percent (76/83) of the participants were glad to choose urology specialty, but 22.4% (17/76) of those stated that they wished to take their urology education in another institution if they had chance. Fourteen percent (9/63) finds the theoretical education of their institution sufficient. When they were asked that what possible reasons of insufficiency of institution arising from their teachers could be, the 47% (39/83) of unsatisfied participants reported that the teachers did not give lessons at education times. When they were asked whether they preferred to practice their profession in our country or abroad, 57% preferred to practice in our country and 14% had no preference. Conclusion: The residents taking urology specialty education are satisfied with their work in general. Considering the efforts of education institutions to become accredited, the reorganization of residents’ report cards is suggested. It is very challenging that 47% of the educators do not give theoretical lessons to residents. Practicing urology in our country in relation with Ministry of Health has not yet lost its attraction among the urologist of near future.Turkish Journal of Urology. 01/2010; -
Article: Hemostasis in retropubic radical prostatectomy with Ankaferd BloodStopper: a case report.
[show abstract] [hide abstract]
ABSTRACT: Ankaferd BloodStopper (ABS) is a licensed medicinal plant product that provides active hemostasis in external, postsurgical and dental bleeding, and is approved in Turkey by the Ministry of Health. The use of ABS for internal organ hemorrhage is under investigation. Our clinic is one of the certified centers conducting a phase II trial investigating the effects and reliability of ABS in urogenital surgery. We have used ABS to stop bleeding during radical retropubic prostatectomy in one patient, presented here as a case report.The Kaohsiung journal of medical sciences 09/2009; 25(8):445-7. · 0.61 Impact Factor
