F Kubra Boynukalin

Publications (2)2.68 Total impact

• Article: Clinical outcome of transobturator tape concomitant with vaginal hysterectomy plus anterior posterior colporrhaphy

  Ali Ayhan, N. Utku Dogan, Suleyman Guven, O. Tolga Guler, F. Kubra Boynukalin, M. Coskun Salman
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  ABSTRACT: ObjectiveTransobturator tape (TOT) is a newly described procedure for the treatment of female stress urinary incontinence. The success of TOT operation along with prolapsed surgery has not been well described. The aim of this study is to determine the complication and success rates of TOT concomitant with pelvic prolapse surgery. Study designTotally, 72 women who had TOT operation along with vaginal hysterectomy, anterior posterior colporrhaphy were re-evaluated with UDI6 and IIQ7 forms 1year of surgery. Preoperatively, all patients had clinically pure stress incontinence. ResultsAt 1year, 80.6% of patients were cured with only 16.7% presenting de novo urge incontinence, while 2.8% of women retaining stress urinary incontinence. The patients with lower gravida and number of vaginal delivery had significantly higher operation success rates. The IIQ7 score significantly increased by increase in urinary catheter stay day. The women with the history of cesarean delivery and lower hospital stay had significantly higher satisfaction scores. Of the factors only, the number of gravida could be used to predict treatment failure in the entire group. ConclusionTransobturator tape procedure could be accompanied safely with prolapse surgery.
  Archives of Gynecology and Obstetrics 04/2012; 280(3):375-380. · 1.28 Impact Factor
• Article: Repeat LEEP conization in patients with cervical intraepithelial neoplasia grade 3 and positive ectocervical margins.

  Ali Ayhan, F Kubra Boynukalin, Suleyman Guven, N Utku Dogan, Ibrahim Esinler, Alp Usubutun
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  ABSTRACT: To evaluate the effectiveness of repeat loop electrosurgical excision procedure (LEEP) conization in patients with cervical intraepithelial neoplasia (CIN) grade 3 and positive ectocervical margins. A retrospective study of 56 women who underwent repeat LEEP conization for CIN 3 and positive ectocervical margins. Final diagnosis after repeat LEEP conization revealed 6 women (10.7%) with microinvasive squamous cell carcinoma (Stage IA1); 1 (1.8%) with CIN 1; 1 (1.8%) with CIN 2; 21 (37.5%) with CIN 3; and 27 (48.2%) with chronic cervicitis. Ectocervical or endocervical margins were negative after repeat LEEP conization in the majority of women, except for 2 patients (3.6%) with CIN 3 and positive ectocervical margins. Recurrence rate for the median follow-up time of 2 years was 6.1% (3 patients). Repeat LEEP conization can reveal undiagnosed microinvasive cervical carcinoma in women with positive ectocervical margins.
  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics 01/2009; 105(1):14-7. · 1.41 Impact Factor