Yazar "Akkoç, Ali" seçeneğine göre listele
Listeleniyor 1 - 20 / 26
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe A case of pediatric paratesticular rhabdomyosarcoma misdiagnosed as epididymitis(2020) Aydın, Cemil; Akkoç, Ali; Çetin, Alpay; Aydın, Zeynep BanuParatesticular embryonal rhabdomyosarcoma (RMS) is a rare tumor arising from the mesenchymal tissues of testis and paratesticular tissue. RMS which usually presents as a painless mass in the scrotum is frequently seen in children, teens and young adults. Accurate diagnosis and early treatment are essential as it is an aggressive tumor with high metastatic potential and poor prognosis. Orchiectomy is the treatment of choice. Chemo-radiotherapy is recommended in case of recurrence and metastasis. We aimed to present an anusual case of a 9-year-old child with paratesticular RMS, who presented with a painful scrotal swelling which was misdiagnosed as epididymitis.Öğe Can antibiotic preference affect bleeding in percutaneous nephrolithotomy? Retrospective comparative study of two commonly used antibiotics(Professional Medical Publications, 2020) Akkoç, Ali; Aydın, Cemil; Uçar, Murat; Topçuoğlu, MuratObjective: Bleeding is one of the most common and alarming complication of percutaneous nephrolithotomy (PCNL). In this study, we aimed to compare the effects of ciprofloxacin and cefuroxime on the bleeding in PCNL procedures. Methods: The study was a retrospective analysis of 97 patients who underwent PCNL between February 2011 and June 2017. We just included the patients who had single tract lower pole PCNL for more objective evaluation of bleeding in the study. The patients were divided into two groups as ciprofloxacin group (Group-I, n:40) and cefuroxime group (Group-II, n:56) according to the type of antibiotic used in the operation. Patient age, gender, body mass index, stone size, preoperative INR, preoperative and postoperative platelet counts and difference, operative time, need for blood transfusion, postoperative fever, hospital stay, postoperative hemoglobin and hematocrit drop were analyzed. Results: There was no statistically significant difference in patients' gender distribution, body mass index, preoperative INR, preoperative and postoperative platelet counts, preoperative and postoperative platelet difference, duration of operation, hospital stay, postoperative fever and need for postoperative blood transfusion between two antibiotic groups (p > 0.05). Mean patient age was 42,75 +/- 16,97 in Group-I and 35,54 +/- 14,71 in Group-II (p < 0.05). The mean stone size of Group-I and Group-II were 27,23 +/- 7,05 mm and 30,59 +/- 8,20, respectively (p < 0.05). The mean postoperative hemoglobin and hematocrit drop were significantly higher in Group-I than in Group-II. The mean hemoglobin drop was 1,73 +/- 0,95 for Group-I and 1,28 +/- 0,67 for Group-II (p < 0.05). The mean hematocrit drop was 5,17 +/- 2,76 for Group-I and 3,80 +/- 1,99 for Group-II (p < 0.05). Conclusion: On the basis of the results of the initial study, the antibiotic preference in patients undergoing surgery may be one of the bleeding factors during and after PCNL.Öğe Can subfoveal choroidal thickness replace subjective tests in patients using tadalafil to treat erectile dysfunction?(Blackwell Publishing Ltd, 2020) Aslan, Fatih; Topçuoğlu, Murat; Öktem, Çağlar; Akkoç, Ali; Uçar, MuratWe aimed to determine the effect on choroidal thickness of daily 5 mg tadalafil use in patients with erectile dysfunction (ED) and to evaluate agreement between short form of International Index of Erectile Function (IIEF 1–5, 15) scores and choroidal thickness during follow-up. Enhanced depth imaging spectral domain–optical coherence tomography (EDI-OCT) was used to measure full choroidal thickness in the subfoveal area, choroidal thickness (CT) and small-choroidal-vessel-layer (SCVL) thickness. Thirty of the 45 patients included complete their follow-ups and exhibited medication continuity. Patients were divided into two groups, five (16.7%) with ED at any level at third-month follow-up, and 25 (83.3%) with no ED, and subgroup analysis was then performed. Median changes in SCVL thickness at first- and sixth-month follow-ups were 20.5 µm versus 9.0 ?m (p =.001) and 23.5 µm versus 12.5 µm (p =.005) in patients without and with ED respectively. The SCVL thickness increased by 20 ?m compared with the baseline level, indicating an improvement in the patient's complaints of erectile dysfunction. The level of increase in SCVL thickness can be a useful and objective guide to clinicians if they cannot be present when the IIEF questionnaire is administered. © 2020 Blackwell Verlag GmbHÖğe Can we predict preoperative tumor aggressivity with hemogram parameters in renal cell carcinoma? a novel calculation method(Springer, 2019) Uçar, Murat; Soyupek, Sedat; Oksay, Taylan; Özorak, Alper; Akkoç, Ali; Topçuoğlu, Murat; Koşar, AlimWe aim to investigate the prognostic significance of the hemoglobin X lymphocyte / neutrophil ratio (HLNR) and hemoglobin x lymphocyte / platelet ratio (HLPR) with tumor aggressivity in patients with renal cell carcinoma. We retrospectively analyzed 127 patients' data who had diagnosed as renal cell carcinoma between 2008 and 2019 in Suleyman Demirel University Hospital. Tumor and patient characteristics, hemoglobin, neutrophil, lymphocyte, platelet values HLNR and HLPR were calculated in preoperative hemogram parameters. The relationship between tumor pathological stage, Fuhrman nuclear grade and tumor necrosis with HLPR and HLNR analyzed with statistically. There was a negative correlation between pathologic stage, Fuhrman nuclear grade and tumor necrosis with HLNR. P values are 0.003, 0.012 and 0.015 respectively. HLNR was lower in patients with high pathologic stage, high Fuhrman nuclear grade and accompanying tumor necrosis positiveness. There was a negative correlation between pathologic stage, Fuhrman nuclear grade and tumor necrosis with HLPR. P values are 0.001, 0.014 and 0.047 respectively. HLPR was lower in patients with high pathologic stage, high Fuhrman nuclear grade and accompanying tumor necrosis positiveness. High pathological stage, high Fuhrman nuclear grade and existence of tumor necrosis are associates with preoperative low HLNR and low HLPR in renal cell carcinoma patients. They can be used as prognostic markers in patients with renal mass preoperatively.Öğe Clot retention: Our experiences with a simple new technique of evacuation with a thoracic catheter(Cureus Inc, 2019) Aydın, Cemil; Şenturk, Aykut Buğra; Akkoç, Ali; Topaktaş, Ramazan; Aydın, Zeynep B.; Ekici, MusaIntroduction: Clot retention in the urinary bladder is a very common health problem in surgical and nonsurgical cases and clot retention treatment is quite costly. Objectives: The aim of this retrospective study was to describe an alternative technique for removing tenacious and chronic clots by using a thoracic catheter technique. Materials and methods: Between January 2011 and June 2018, a total of 27 patients of clot retention were treated under local anesthesia with the thoracic catheter technique. Results: Twenty-seven patients with a mean age of 58 years (range 45-70) were included. The etiologies of bladder clots included surgical causes and nonsurgical causes. Of the surgical causes, the most common cause was post-transurethral resection of the prostate (TURP). The nonsurgical causes were upper tract bleeding, drug-induced bleeding, post-traumatic bleeding, and haematochyluria. It was found that the thoracic catheter technique was simple and easily adoptable, with no training required. Conclusions: Clot retention in the urinary bladder is a very common problem in surgical and nonsurgical cases. Our technique is a simple, safe, fast, and effective option of clot removal from the urinary bladder and it doesn't require any added cost.Öğe Comparison of Cohen and Lich-Gregoir ureteral reimplantation in the surgical management of primary unilateral vesicoureteral reflux in children(Associacao Medica Brasileira, 2020) Aydın, Cemil; Akkoç, Ali; Topaktaş, Ramazan; Şentürk, Aykut Buğra; Aydın, Zeynep Banu; Ürkmez, Ahmet; Yaytokgil, M.Objective: Vesicoureteral reflux (VUR) represents one of the most significant risk factors for acute pyelonephritis in children. Various intravesical and extravesical techniques have been described for the surgical correction of VUR. The aim of our study was to compare the results of open intravesical and extravesical procedures for unilateral primary VUR in children. Methods: Between January 2012 and August 2018, 38 children with primary VUR who underwent open ureteral reimplantation surgery were retrospectively reviewed. The Cohen (intravesical) and the Lich-Gregoir (extravesical) approach were grouped as groups A and B, respectively. The groups were compared for age, gender, preoperative reflux grade, presence of lower urinary tract symptoms, operation time, discomfort and pain, analgesic requirements, duration of hematuria, postoperative complications, and hospital stay. All the parameters were statistically compared. Results: There were 38 patients in this study. Group A had 18 patients, and group B had 20 patients. The mean operative time was significantly shorter in group B than in group A. The mean hospital stay was also shorter in group B. The urethral foley stay period was 4.7±0.9 days 2±0 days (p = 0.000?), respectively, for group A and B. Macroscopic hematuria was seen in group A. The objective pain scale was worse after intravesical surgery. Analgesic requirements were higher in group A (p =0.131). Conclusion: Intravesical and extravesical ureteroneocystostomy methods are equally successful and feasible in the treatment of primary unilateral VUR. The Cohen technique is associated with a longer and more painful hospital stay, gross hematuria, and longer operative time, compared to the Lich-Gregoir technique. © 2020 Associacao Medica Brasileira. All rights reserved.Öğe Effect of venous reflux time on testosterone and semen parameters of infertile males after microscopic varicocelectomy(Wiley, 2020) Şentürk, Aykut Buğra; Çakıroğlu, Basri; Yaytokgil, Muhammet; Aydın, Cemil; Sungur, Mustafa; Akkoç, AliThis study aimed to search whether there is a link between reflux flow and hormonal profile. Data of 250 patients were retrospectively investigated. Pre-operative and 6th month semen analyses of these patients' results were compared with pre-operative and post-operative 6th month serum levels of testosterone. Based on the venous flow on pre-operative Doppler ultrasonography, patients were divided into two groups. Patients with a venous flow <= 4 s were assigned to Group 1 and those with a venous flow >4 s to Group 2. Venous reflux time cut-off was calculated as 4 s using ROC curve according to the increase in testosterone level. When venous reflux time was selected as approximately 4.0 s, ROC had 79.8% sensitivity and 72.8 specificity. The probability of a post-operative increase in testosterone is high in patients with a venous reflux time longer than 4 s.Öğe Effectiveness and initial outcomes of transvesicoscopic bipolar sealing of vesicovaginal fistula(Selçuk BAŞAK, 2020) Akkoç, Ali; Aydın, CemilAim: Vesicovaginal fistula (VVF) is a social and psychological problem for the female population, causing urinary incontinence and foul-smelling urine. Open, laparoscopic, robotic, and various minimally invasive techniques have been described for the treatment of VVF. In this study, we presented the effectiveness and initial outcomes of transvesicoscopic bipolar sealing of vesicovaginal fistula (TBSF), a novel, minimally invasive technique which we had previously described. Methods: This surgical case series included 9 patients with VVF of <1 cm located away from ureteral orifices who underwent TBSF from July 2015 to December 2019. The fistula tract was sealed transvesicoscopically with a bipolar vessel sealer. All patients were informed about the modified surgical procedure prior to the operation. Results: The mean age of the patients was 47.2 (4.6) years. The mean fistula diameter was 6.6 (1.2) mm. The mean operation time was 41 (9.7) minutes. The hospital stay was 1 day in all cases. After catheter removal at 3 weeks, 8 (89 %) patients remained dry while one (11%) patient experienced continuous incontinence. Conclusion: Transvesicoscopic bipolar sealing of vesicovaginal fistula is a simple and safe procedure to perform for small VVF, has a short learning curve and operative time, and results in reduced blood loss and morbidity, brief hospital stay and improved cosmesis.Öğe Evaluation of exposure and awareness of radiation in healthcare professionals exposed to ionizing radiation(2020) Uçar, Murat; Akkoç, Ali; Topçuoğlu, Murat; Öztürk, Sefa Alperen; Demir, MuratAim: To evaluate radiation exposure and awareness of radiation in healthcare professionals exposed to ionizing radiation. Material and Methods: The study was carried out at the Alanya Alaaddin Keykubat University Training and Research Hospital and the Süleyman Demirel University Hospital. Physicians, nurses, paramedics, anesthesia technicians, caregivers and cleaning staff exposed to radiation, participated in the study. An inquiry form was prepared to carry out the study, in which the demographic characteristics of the healthcare professionals, the characteristics related to the radiation they were exposed to, the effects that may occur due to this exposure were asked; the relationship between these was statistically analyzed according to the answers. Results: One hundred twenty-nine healthcare professionals, 81 men and 48 women, participated in the study. Most of the healthcare professionals exposed to radiation have been working for more than 10 years and at a distance of less than 3 meters to the radiation source. Thirty-two of the participants (24.8%) did not use any personal protective equipment. On the day of exposure to radiation, 91 persons (70.54%) were experiencing symptoms such as weakness, fatigue, and headache, unlike other days. It was determined that personal protective equipment use did not correlate to education levels and radiation training background. Conclusion: Most of the healthcare professionals exposed to radiation have not previously received any training on radiation and do not use personal protective equipment regularly. This situation causes these persons to complain of weakness, tiredness or headaches at the end of the day.Öğe Expression and diagnostic potential of circulating miR-107, miR-134-5p, miR-149-5p, miR-370-3p, and miR-221 in prostate cancer and benign prostatic hyperplasia: A preliminary study(Page Press Publications, 2025) Akkoç, Ali; Sarban, Hamiyet Eciroglu; Yildiz, Fatma; Günizi, Ozlem Ceren; Uçar, MuratBackground: MicroRNAs (miRNAs) have shown promise as diagnostic biomarkers for prostate cancer (PCa). This study aimed to evaluate the expression of miR-107, miR-134-5p, miR-149-5p, miR-370-3p, and miR-221 in whole blood to distinguish PCa from benign prostatic hyperplasia (BPH) and potentially reduce unnecessary biopsies. Methods: Whole blood samples were collected from 20 PCa patients, 17 histologically-confirmed BPH patients (all with PSA > 4 ng/mL), and 20 healthy controls over 60 years without symptoms suggesting prostatic disease and PSA < 4 ng/mL. miRNA levels were quantified using qRT-PCR. Diagnostic potential was assessed via correlation analyses with clinical parameters and ROC curve evaluation. Statistical significance was set at p < 0.05. Results: miR-107, miR-134-5p, miR-149-5p, and miR-370-3p were significantly overexpressed in PCa patients compared to BPH (p < 0.0001). ROC analysis identified miR-134-5p (AUC: 0.94) and miR-149-5p (AUC: 0.93) as strong predictors of PCa. Additionally, miR-149-5p showed a positive correlation with PSA levels (r = 0.2627, p < 0.05). Conclusions: This preliminary study demonstrated that miR-107, miR-134-5p, miR-149-5p, and miR-370-3p were significantly overexpressed in PCa patients compared to the BPH group. ROC analysis highlighted their diagnostic potential in distinguishing BPH from PCa. Despite the limited sample size, these findings provide early evidence to guide future research on the diagnostic value of miRNAs in prostate cancer. © 2025, Page Press Publications. All rights reserved.Öğe How safe and effective is laparoscopic decortication of simple renal cysts in elderly patients?(Taylor & Francis Ltd, 2020) Akkoç, Ali; Aydın, CemilObjective: To investigate the assessment of feasibility and safety of laparoscopic decortication of simple renal cysts in elderly patients. Methods: The data of 114 patients who underwent laparoscopic decortication for simple renal cyst between October 2011 and May 2019 were retrospectively evaluated. Patients' age, gender and ASA scores; operation time; cyst size and location; complications; hospital stays and success rates of operations were recorded. Results: The mean age of the patients were 73.8 +/- 8.2 years. Forty-eight (42.1%) of the patients were female and 66 (57.9%) were male. Cysts were localized on the right side in 61 (53.5%) patients and on the left side in 53 (46.5%) patients; and mean cyst size was 72.83 +/- 31.13 mm. Also, they were localized on the anterior in 88 (77.2%) patients and on the posterior of the kidney in 26 (22.8%) patients. Preoperative ASA score distributions were ASA-I in 12 patients (10.5%), ASA-II in 31 patients (27.2%), ASA-III in 68 patients (59.7%), and ASA-IV in 3 patients (2.6%). Mean operative time was 41.4 +/- 5.6 min. Clavien grade 1 complications were observed in 5 (10.4%) patients. Median hospitalization time was 1 day. No recurrence was occurred in any patient in the postoperative period. Conclusions: Although laparoscopic surgery has some risks and complications for elderly patients, laparoscopic decortication can be applied safely and effectively in treatment of simple renal cyst in that patient population.Öğe How safe and effective is stentless laparoscopic ureterolithotomy in elderly patients?(2021) Aydın, Cemil; Akkoç, Ali; Aydın, Zeynep BanuPurpose: With the improvement of minimally invasive urology procedures, open surgical interventions are less common to treat ureteral calculus. Laparoscopic ureterolithotomy (LU) indications are large multiple and/or impacted ureteral calculus that may not be treated with shock-wave lithotripsy or ureterorenoscopy approaches. The aim of our study was to investigate the feasibility and safety of stentless LU in elderly patients. Methods: Between October 2011 and December 2019, 38 geriatric patients underwent stentless transperitoneal LU for upper/mid ureteral calculi. The transperitoneal route was applied in all patients by two surgeons. No double J stent inserted in any patient. The data of all patients reviewed retrospectively. Results: The average age was 64.60 ± 3.70 years. The mean calculi size was 19.42 ± 1.41 mm. Ten patients had unsuccessful shock wave lithotripsy or ureterorenoscopy history. The calculi-free rate was 100%. Clavien grade 1 complications were seen in 11 (28.9%) cases. No major perioperative and postoperative complications were encountered. The average length of hospital stay was 3.24 ± 1.53 days. Conclusion: The significant advances in medical technology and healthcare, lead a rising number of geriatric patients to take benefit of even complicated surgery. Although laparoscopy and its safety in the geriatric population pursues a challenge and the assessment of this procedure is hence obligatory, we think that stentless LU is safe, economical and less uncomfortable for elderly patients.Öğe İki santimetreden küçük izole böbrek pelvis taşlarının tedavisinde rijit üreteroskopik litotripsi, fleksibl üreteroskopik litotripsiye alternatif olabilir mi?(Selçuk BAŞAK, 2020) Akkoç, Ali; Ucar, MuratAmaç: Her ne kadar böbrek taşlarının tedavisinde fleksibl üreteroskopi rijit üreteroskopiye tercih edilse de, birçok hastada renal pelvise ulaşmak için rijit üreteroskopi yeterli olmaktadır. Bu çalışmada, 2 cm'den küçük izole böbrek pelvis taşı tedavisinde rijit ve fleksibl üreteroskopik litotripsi sonuçlarını taşsız oranları, operasyon süreleri ve ilişkili komplikasyonları değerlendirerek analiz etmeyi amaçladık.Yöntemler: Bu retrospektif kohort çalışması, Haziran 2012 ile Mayıs 2017 tarihleri arasında, 2 cm'den küçük izole renal pelvis taşı için RURSL (grup 1, n=24) ve FURSL (grup 2, n=21) uygulanan hastaları kapsamaktadır. Tüm hastalara rutin olarak rijit üreteroskopi uygulandı ve rijit üreteroskop ile ulaşılan taşlar holmiyum lazer ile parçalandı. Rijit üreteroskop ile ulaşılamayan taşlara fleksibl üreteroskopi yapıldı ve aynı lazer kaynağı ile kırıldı. Bulgular: 45 hastanın 24'ünde (%53,3) rijit üreteroskop ile taşlara ulaşıldı ve holmiyum lazer ile kırıldı. Rijid üreteroskop ile taşlara ulaşılamayan 21 (%46,7) hastada fleksibl üreteroskop ile taşlara ulaşıldı ve aynı lazer kaynağı ile parçalandı. Rijit üreteroskopi 25 kadından 15'sinde (%60) taşlara ulaşmada başarılı olurken; 20 erkek hastanın 9'unda (%45) taşlara ulaşıldı (P=0,173). İki grup arasında yaş, cinsiyet, taşın yönü, ortalama taş boyutu, hastanede kalış süresi, taşsızlık oranları ve ilişkili komplikasyonlar açısından istatistiksel olarak anlamlı bir fark yoktu (sırasıyla P=0,298, P=0,396, P=0,775, P=0,266, P=0,742, P=0,428, P=0,186). Ortalama ameliyat süreleri rijit üreteroskopik litotripsi grubunda fleksibl üreteroskopik litotripsi grubuna göre anlamlı olarak daha düşüktü ve sırasıyla 66,75 (15,77) dakika ve 89,54 (17,71) dakika idi (P<0,001).Sonuç: Fleksibl üreteroskopik litotripsi böbrek taşlarının tedavisi için daha uygun bir prosedür olmakla beraber, daha kısa operasyon süresi, benzer taşsızlık ve komplikasyon oranları ile rijit üreteroskopik litotripsi 'nin seçilmiş izole böbrek pelvis taşlarında fleksibl üreteroskopik litotripsiye alternatif bir prosedür olduğu unutulmamalıdır.Öğe Is spinal anesthesia an alternative and feasible method for proximal ureteral stone treatment?(Polish Urological Assoc, 2020) Topaktaş, Ramazan; Altın, Selçuk; Aydın, Cemil; Akkoç, Ali; Ürkmez, Ahmet; Aydın, Zeynep BanuIntroduction We investigated the clinical, operational, and pain parameters of patients who underwent semirigid ureterorenoscopy (sURS) under spinal anesthesia (SA) and general anesthesia (GA) for proximal ureter stones. Material and methods Patients treated with sURS after diagnosis of proximal ureter stones between January 2014 and May 2017 were reviewed retrospectively. The patients were divided into two groups (the SA group and the GA group) based on the type of anesthesia used. Perioperative variables and operation results were evaluated and compared. Success was defined as the patient being stone-free as observed on low-dose non-contrast computed tomography performed in the first month postoperatively. Results The SA and GA groups had 40 and 32 patients, respectively. There were no statistically significant differences between the groups in terms of age (p = 0.593), gender (p = 0.910), average stone size (p = 0.056), side (p = 0.958), or density (p = 0.337). Based on the Clavien classification system, complication rates between the two groups were similar. The postoperative visual pain scale in the SA group was statistically significantly lower (p <0.05) than in the GA group. Success rates in the SA and GA groups were found to be 90% (36/40) and 93.7% (30/32), respectively, with no significant difference between the groups (p = 0.819). Conclusions Ureterorenoscopy, which is performed for proximal ureter stone treatment in adult patients, is a reliable surgical method that can be performed under both SA and GA. SA offers the advantage of reduced postoperative pain as compared to GA.Öğe Is thiol/disulphide homeostasis reliable as an additional serum marker to PSA in the diagnosis of prostate cancer?(Alanya Alaaddin Keykubat Üniversitesi, 2019) Topaktaş, Ramazan; Ürkmez, Ahmet; Kutluhan, Musab Ali; Akkoç, Ali; Özsoy, Emrah; Erel, ÖzcanAim: We aimed to investigate thiol/disulphide homeostasis as an additional serum marker to prostate specific antigen (PSA) in the diagnosis of prostate cancer. Patients and Methods: Prospective study was conducted among 174 patients with PSA levels of 2.5–20 ng/mL without suspicion of malignancy in rectal examination and who underwent prostate needle biopsy. A total of 75 patients were included in our study after exclusion criteria. Serum PSA, thiol, and disulphide levels of the patients were recorded prior to biopsy. In this study, 25 patients with pathology results indicating prostate cancer, 25 randomly selected patients with pathology results indicating chronic prostatitis, and 25 randomly selected patients with pathology results indicating benign prostate hyperplasia (BPH) were included. Results: Total and native thiol levels were higher in prostate cancer group than in BPH and chronic prostatitis groups; however, no statistically significant difference was observed (p> 0.05). When prostate cancer sub-groups were investigated, total and native thiol levels were noted to be higher in patients with a Gleason score of 7, 8, and 9 than in those with a Gleason score of 6; however, no statistically significant difference was observed (p> 0.05). Conclusions: Thiol levels were higher in prostate cancer group than in benign disease (BPH and chronic prostatitis) groups; these levels were also higher in group with high Gleason scores (Gleason 7, 8, or 9) than in group with a low Gleason score (Gleason 6); however, these differences were not statistically significant.Öğe İyonlaştırıcı radyasyona maruz kalan sağlık çalışanlarında radyasyon maruziyeti ve farkındalığının değerlendirilmesi(Alanya Alaaddin Keykubat Üniversitesi, 2020) Uçar, Murat; Akkoç, Ali; Topçuoğlu, Murat; Öztürk, Sefa Alperen; Demir, MuratAmaç: İyonize radyasyona maruz kalan sağlık çalışanlarında radyasyon maruziyeti ve farkındalığını değerlendirmek.Gereç ve Yöntem: Çalışma Alanya Alaaddin Keykubat Üniversitesi Eğitim ve Araştırma Hastanesi ve Süleyman Demirel Üniversitesi Hastanesi’nde gerçekleştirildi. Çalışmaya radyasyona maruz kalan hekimler, hemşireler, sağlık memurları, anestezi teknisyenleri, hasta bakıcıları ve temizlik personelleri katıldı. Çalışmayı gerçekleştirmek için bir sorgulama formu hazırlandı. Bu formda çalışanların demografik özellikleri, maruz kaldığı radyasyon ile ilgili özellikler, bu maruziyete bağlı oluşabilecek etkiler soruldu ve cevaplara göre aralarında ilişki olup olmadığı istatistiksel olarak incelendi. Bulgular: Çalışmaya 81 erkek, 48 kadın olmak üzere 129 sağlık çalışanı katıldı. Radyasyona maruz kalan sağlık çalışanlarının çoğu 10 yıldan daha uzun süredir ve radyasyon kaynağına 3 metreden daha yakın mesafede çalışmaktaymış. Çalışmaya katılanlardan 32 (%24,8) si hiçbir kişisel koruyucu donanım (KKD) kullanmıyordu. Radyasyona maruz kalındığı gün 91 kişi diğer günlerden farklı olarak halsizlik, yorgunluk, baş ağrısı gibi bir şikayet hissediyormuş. KKD kullanımının öğrenim düzeyi ve radyasyon eğitimi almakla ilişkisi olmadığı saptandı.Sonuç: Radyasyona maruz kalan sağlık çalışanlarının çoğu radyasyon ile ilgili daha önce bir eğitim almamış ve KKD’leri düzenli kullanmamaktadır. Bu durum kişinin gün sonunda halsizlik, yorgunluk ya da baş ağrısı gibi şikayetleri olmasına neden olmaktadır.Öğe Laparoscopic management of ureter stones, comparisonof two techniques(2021) Aydın, Cemil; Akkoç, AliAim: With the improvement of minimally invasive urology procedures, open surgical interventions are less common to treat ureteralcalculus. Laparoscopic ureterolithotomy (LU) indications are large multiple and/or impacted ureteral calculus that may not be treatedwith shock-wave lithotripsy or ureterorenoscopy approaches. In this study, we aimed to compare laparoscopic retroperitoneal andtransperitoneal ureterolithotomy techniques in terms of perioperative-postoperative results. Materials and Methods: We reviewed 45 patients with large and impacted upper ureter calculus who underwent transperitonealor retroperitoneal LU between January 2012 and December 2017. The transperitoneal and retroperitoneal routes were grouped asgroup 1 and 2, respectively. Groups were crosschecked according to preoperative, intraoperative, and postoperative clinical datum. Results: We did not find statistically meaningful disparity between groups with regards to age, gender, stone size, blood loss andbody mass index. The stone free accomplishment ratio was 100% in group 1 and 2. Visual analogue scale scores were higher andstatistically meaningful in group 1 (p<0.05). The mean operative time was statistically shorter in group 2 (p:0.022). No double J stentinserted routinely intraoperatively. Conclusion: Compared to those obtained with the transperitoneal technique, the retroperitoneal technique has a significantly shorteroperating time and less postoperative pain for large and impacted proximal ureteral calculus. More randomized, controlled andprospective studies on large samples are needed.Öğe Laparoscopic ureterolithotomy; which approach do you prefer?(Endoüroloji Derneği, 2020) Aydın, Cemil; Akkoç, AliObjectives: With the improvement of minimally invasive urology procedures, open surgical interventions are less common to treat ureteral calculus. Laparoscopic ureterolithotomy (LU) indications are large multiple and/or impacted ureteral calculus that may not be treated with shock-wave lithotripsy or ureterorenoscopy approaches. We aimed to collate laparoscopic retroperitoneal and transperitoneal ureterolithotomy techniques and to identify which procedure is more effective. Material and Methods: We reviewed 45 patients with large and impacted upper ureter calculus who underwent transperitoneal or retroperitoneal LU between January 2012 and December 2017. The retroperitoneal and transperitoneal routes were grouped as group 1 and 2, respectively. Groups were crosschecked according to preoperative, intraoperative, and postoperative clinical datum. Results: We did not find statistically meaningful disparity between groups with regards to age, gender, stone size, blood loss and body mass index. The stone free accomplishment ratio was 100% in group 1 and 2. VAS scores were higher and statistically meaningful in group 1 (p<0.05). The mean operative time was statistically shorter in group 2 (p:0.022). No double J stent inserted routinely intraoperatively. Conclusion: Compared to those obtained with the transperitoneal technique, the retroperitoneal technique has a significantly shorter operating time and less postoperative pain for large and impacted proximal ureteral calculus. More randomized, controlled and prospective studies on large samples are needed.Öğe Laparoskopik radikal prostatektomi deneyimlerimiz: Tek merkez sonuçları(Alanya Alaaddin Keykubat Üniversitesi, 2017) Uçar, Murat; Akkoç, Ali; Oksay, Taylan; Çapkın, Tahsin; Soyupek, Sedat; Koşar, AlimAmaç: Kiliniğimizdelaparoskopik radikal prostatektomi operasyonu yapılan hastaların özellikleriile onkolojik ve fonksiyonel sonuçlarının değerlendirilmesi.Hastalarve Yöntem:Kliniğimizde 2008-2011 yılları arasında baştan sona laparoskopik olarak yapılan23 radikal prostatektomi vakası retrospektif olaraktarandı. Hastaların preoperatif özellikleri, perioperatif vepostoperatif komplikasyonları ve bunların tedavileri, biyokimyasal nüksoranları incelendi.Bulgular: Hastaların operasyonsonrası prostatektomi patolojileri 19 hastada Gleason skoru 3+3 (%82,6), 3hastada 3+4 (%13), 1 hastada 4+3 (%4,3) olarak geldi. Cerrahi sınır 5(%21,7) hastada pozitif (+) olaraktespit edildi. TNM 2009 evrelemesine göre 4 (%17,3) hastanın patolojisi T2a, 13(%56,5) hastanın T2c, 5 (%21,7) hastanın T3a, 1 (%4,3) hastanın T3b olarakgeldi. İki (%8,6) hastada postoperatifanastomoz kaçağı meydana gelmiş, 1 (%4,3) hastada ise vezikorektal fistülmeydana gelmiştir. On beş (%65,2) hastada postoperatif dönemde erektildisfonksiyon (ED) gelişmiştir. Beş (%21,7) hasta anastomoz darlığı nedeniyletekrar opere edilmiştir. Postoperatif 1. yılda 3 (%13) hastada biyokimyasalnüks saptanmıştır (prostat spesifik antijen (PSA) değeri >0,2 ng/ml). Sonuç: Onkolojik ve fonksiyonel sonuçlaraçısından bakıldığında açık retropubik radikal prostatektomi (RRP) velaparoskopik radikal prostatektomi (LRP) sonuçları benzerdir. Ancak LRP’deöğrenme eğrisi uzun olduğu için operasyon süresi ilk serilerde RRP’den dahauzundur. Öğrenme eğrisi tamamlandıktan sonra LRP postoperatif ağrı, kantransfüzyonu ihtiyacı, hastanede kalış süresi açısından RRP’ye göre dahaavantajlı bir cerrahi tekniktir.Öğe Nadir bir olgu; Testiküler rüptür(Alanya Alaaddin Keykubat Üniversitesi, 2017) Uçar, Murat; Akkoç, AliAkut skrotumçocukluk ve adölesan dönemde sık görülen ürolojik acillerden birisidir. Testisyaralanmalarında testiküler rüptür oldukça nadir görülen bir durumdur.Testiküler rüptürde erken eksplorasyon ve onarım gerekmektedir. Erkeneksplorasyon testis orşiyektomi oranlarını azaltmaktadır. Bu çalışmada biznadir görülen bir durum olan künt travma sonrası testiküler rüptür olan birhastayı ve tedavisini sunduk.
