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Yılmaz MŞ, Kokurcan A, Uysal FŞ, Özenç G, Yalçınkaya F. Non-transecting urethroplasty in patients with bulbar urethral strictures shorter than three centimeters. Scand J Urol 2023; 57:97-101. [PMID: 36453186 DOI: 10.1080/21681805.2022.2147993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022]
Abstract
PURPOSE This study aimed to compare the success and postoperative complication rates of the novel non-transecting urethroplasty (NTU) technique and conventional excision-primary anastomosis (EPA) in the surgical treatment of short bulbar urethral strictures. MATERIAL AND METHODS Data of the patients who underwent excision-primary anastomosis or NTU procedures at our center for the surgical treatment of bulbar urethral strictures shorter than 3 cm between January 2010 and December 2018 were retrospectively reviewed. RESULTS Forty-seven patients fulfilled the eligibility criteria for this study. Among these patients, 22 underwent NTU procedure while 25 underwent EPA. There was no difference between the two groups regarding age, stricture length, etiology, past surgical history, and duration of follow-up. The surgical success rates were 88% and 87,2% in the NTU and EPA groups, respectively (p = 0,603). The complication rates were 12% and 13,6% in NTU and EPA groups, respectively. Two groups were similar concerning complication rates (p = 0,603). CONCLUSION The novel NTU and conventional EPA techniques are similar regarding surgical success and complication rates in the surgical treatment of bulbar urethral strictures shorter than three centimeters.
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Affiliation(s)
- Muhammet Şahin Yılmaz
- Department of Urology, Health Sciences University Samsun Training and Research Hospital, Samsun, Turkey
| | - Alihan Kokurcan
- Department of Urology, Health Sciences University Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Fahrettin Şamil Uysal
- Department of Urology, Health Sciences University Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Görkem Özenç
- Department of Urology, Health Sciences University Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Fatih Yalçınkaya
- Department of Urology, Health Sciences University Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
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Topcuoglu M, Topaloglu H, Kartal İ, Kokurcan A, Sarı H, Yalçınkaya F. Assessments of ReDo buccal mucosal urethroplasty in terms of functional outcomes. Int Urol Nephrol 2022; 54:2547-2553. [PMID: 35838830 DOI: 10.1007/s11255-022-03279-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Accepted: 06/20/2022] [Indexed: 10/17/2022]
Abstract
PURPOSE We aimed to assess the success rates and functional outcomes of ReDo buccal mucosal graft urethroplasty (BMGU) following failed primary BMGU and evaluate the oral morbidity and changes in quality of life (QoL) after this surgery. MATERIALS AND METHODS Data of the patients with recurrent anterior urethral stricture who underwent ReDo BMGU after failed primary BMGU were retrospectively reviewed. The collected data included the results of the urethral stricture surgery patient-reported outcome measure-lower urinary tract symptoms (USS-PROM-LUTS) and euro-quality of life visual analog scale (EQ-VAS) questionnaires performed preoperatively before and one year after surgery. The cohort was divided into two groups according to procedural success, and these groups were compared. RESULTS Thirty-two men patients were included. Among these, twenty-seven (84.3%) cases were considered successful following ReDo BMGU. The pre-ReDo BMGU mean stricture length was significantly longer in the failure group (2.3 ± 0.6 vs. 4.4 ± 1.2 cm, p = 0.001). Except for one patient with persistent oral numbness, no severe complication was reported postoperatively in the first year. The mean USS-PROM-LUTS score decreased significantly, while the mean LUTS-related quality of life score increased significantly following ReDo BMGU (p < 0.001, p < 0.001). In addition, the mean total EQ-VAS score increased significantly from 62.75 to 78.45, indicating remarkable improvement (p < 0.001). CONCLUSIONS Although less favorable outcomes can be anticipated in ReDo BMGU due to extensive scar tissue formation and reduced vascularity, high success and patient satisfaction rates and low oral morbidity rates were detected in ReDo BMGU cases.
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Affiliation(s)
- Murat Topcuoglu
- Department of Urology, University of Health Sciences, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ziraat Mah. Şehit Ömer Halisdemir Cad. No: 20, 06110, Dışkapı, Ankara, Turkey.,Department of Urology, Medical School of Aladdin Keykubat University, Alanya, Antalya, Turkey
| | - Hikmet Topaloglu
- Department of Urology, University of Health Sciences, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ziraat Mah. Şehit Ömer Halisdemir Cad. No: 20, 06110, Dışkapı, Ankara, Turkey.
| | - İbrahim Kartal
- Department of Urology, University of Health Sciences, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ziraat Mah. Şehit Ömer Halisdemir Cad. No: 20, 06110, Dışkapı, Ankara, Turkey.,Department of Urology, Faculty of Medicine, Kutahya Health Science University, Kutahya, Turkey
| | - Alihan Kokurcan
- Department of Urology, University of Health Sciences, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ziraat Mah. Şehit Ömer Halisdemir Cad. No: 20, 06110, Dışkapı, Ankara, Turkey
| | - Hilmi Sarı
- Department of Urology, University of Health Sciences, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ziraat Mah. Şehit Ömer Halisdemir Cad. No: 20, 06110, Dışkapı, Ankara, Turkey
| | - Fatih Yalçınkaya
- Department of Urology, University of Health Sciences, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ziraat Mah. Şehit Ömer Halisdemir Cad. No: 20, 06110, Dışkapı, Ankara, Turkey
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Kartal I, Çimen S, Kokurcan A, Akay EO, Yiğitbaşı O, Yalçınkaya F. Comparison between dorsal onlay and one-sided dorsolateral onlay buccal mucosal graft urethroplasty in long anterior urethral strictures. Int J Urol 2020; 27:719-724. [PMID: 32533574 DOI: 10.1111/iju.14286] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 05/12/2020] [Indexed: 12/29/2022]
Abstract
OBJECTIVE To compare dorsal onlay (conventional Barbagli) and one-sided dorsolateral onlay (Kulkarni technique) buccal mucosa substitution urethroplasty techniques for the treatment of long anterior urethral strictures. METHODS Demographic data, treatment outcomes and success rates of patients who underwent either conventional Barbagli or Kulkarni urethroplasty for the treatment of an anterior urethral stricture longer than 8 cm between January 2010 and March 2019 in our center were retrospectively reviewed. RESULTS Demographic parameters of patients who underwent the conventional Barbagli (n = 37) or Kulkarni procedure (n = 31) did not differ. The mean surgical duration and hospital stay were shorter for patients treated with the Kulkarni technique (179.5 ± 30.0 and 3.5 ± 1.2 vs 195.5 ± 28.9 min and 4.4 ± 1.8 days; P = 0.037, P = 0.002). Mean intraoperative blood loss and perioperative complication rates were signficantly lower in patients who underwent the Kulkarni technique than those who underwent the conventional Barbagli technique (164.3 ± 62.9 vs 202.4 ± 78.1 mL; P = 0.033 and 16.1% vs 37.8%; P = 0.046). The mean follow-up time period was 59.8 ± 24.7 and 63.5 ± 26.8 months for Kulkarni and conventional Barbagli techniques, respectively. Success rates based these follow-up time periods were 27 (87.1%) and 26 (70.3%) for the Kulkarni and conventional Barbagli techniques, respectively. CONCLUSION The Kulkarni technique should be more preferred for the treatment of long anterior urethral strictures over the conventional Barbagli technique based on surgical outcomes and success rates.
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Affiliation(s)
- Ibrahim Kartal
- Department of Urology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Health Sciences University, Ankara, Turkey.,Department of Urology, School of Medicine, Kutahya Health Sciences University, Kutahya, Turkey
| | - Sertaç Çimen
- Department of Urology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Health Sciences University, Ankara, Turkey
| | - Alihan Kokurcan
- Department of Urology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Health Sciences University, Ankara, Turkey
| | - Emin Ozan Akay
- Department of Urology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Health Sciences University, Ankara, Turkey
| | - Orhan Yiğitbaşı
- Department of Urology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Health Sciences University, Ankara, Turkey
| | - Fatih Yalçınkaya
- Department of Urology, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Health Sciences University, Ankara, Turkey
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Kartal I, Baylan B, Çakıcı MÇ, Sarı S, Selmi V, Ozdemir H, Yalçınkaya F. Comparison of semirigid ureteroscopy, flexible ureteroscopy, and shock wave lithotripsy for initial treatment of 11-20 mm proximal ureteral stones. ACTA ACUST UNITED AC 2020; 92:39-44. [PMID: 32255321 DOI: 10.4081/aiua.2020.1.39] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2019] [Accepted: 11/22/2019] [Indexed: 11/23/2022]
Abstract
OBJECTIVE We aimed to retrospectively evaluate the effectiveness and safety of flexible ureteroscopy (f-URS), semirigid ureteroscopy (sr-URS), and shock wave lithotripsy (SWL) to treat single 11-20 mm stones in the proximal ureter. MATERIALS AND METHODS Patients treated at our clinic for 11-20 mm single stones in the proximal ureter who underwent f-URS, sr-URS or SWL as initial lithotripsy methods were compared in terms of their clinical characteristics and treatment outcomes. RESULTS A comparison among 201 patients who had undergone f-URS, 119 patients who had undergone sr-URS, and 162 patients who had undergone SWL showed no significant baseline differences in patients' demographic and stone characteristics. Stone-free rates on the 15th day and 3rd month were higher with f-URS (89.6% and 97%, respectively) than with sr-URS (67.2% and 94.1%, respectively) and SWL (41.4% and 79.0%, respectively; all p < 0.001). Retreatment rates were significantly higher with SWL than with the other two modalities (p < 0.001); auxiliary procedure rates were significantly lower with f-URS than with the other two modalities (p < 0.001). Treatment-related complication rate at the end of the 3rd month was lower with f-URS than with SWL (p = 0.022). Furthermore, f-URS was more effective than sr-URS for treating impacted stones. CONCLUSIONS We found that f-URS was highly successful as an initial lithotripsy procedure for medium-sized proximal ureteral stones, and it helped achieve early stone-free outcomes with a lower need for retreatment and auxiliary procedures, lower complication rates, and higher effectiveness on the impacted stones compared with sr-URS and SWL.
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Affiliation(s)
- Ibrahim Kartal
- Department of Urology, Dıskapı Yıldırım Beyazıt Training and Research Hospital, Health Sciences University, Ankara.
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Kartal I, Çimen S, Karakoyunlu N, Sandıkçı F, Eraslan A, Yalçınkaya F. Factors affecting the effectiveness and success of retrograde holmium laser endopyelotomy as the primary treatment of ureteropelvic junction obstruction in adults. Urologia 2020; 88:34-40. [PMID: 32048558 DOI: 10.1177/0391560320904259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE To evaluate the factors affecting the effectiveness, safety, and success of retrograde holmium:yttrium-aluminum-garnet laser endopyelotomy as the primary treatment of ureteropelvic junction obstruction in adults. METHODS Adult patients who underwent retrograde holmium:yttrium-aluminum-garnet laser endopyelotomy as the primary treatment of ureteropelvic junction obstruction between January 2012 and June 2016 at our clinic were retrospectively analyzed. Success was defined as the relief of symptoms and the resolution of obstruction, as assessed via radiography. Factors affecting success were analyzed, such as the clinical characteristics, procedural outcomes, complications, and the type of ureteroscopy used in the procedure. RESULTS Procedural success was achieved in 29 (74.4%) out of 39 patients, with a mean age of 38.3 ± 12.3 years during a median follow-up duration of 44 (33-65) months. Failure occurred at a median of 4.5 (3-22) months. It was detected that the presence of primary obstruction, ipsilateral kidney function being >30% of normal, and the length of obstruction being <1 cm positively affected procedural success (p = 0.009, p = 0.011, and p = 0.019, respectively). In the postoperative period, two Grade I and four Grade II complications were observed according to the Clavien-Dindo classification. There was a difference only in the operation time between semirigid (24) and flexible ureteroscopes (15), with the operation time being shorter with the use of a semirigid ureteroscope than with the use of a flexible uteroscope (p < 0.001). CONCLUSION Retrograde holmium:yttrium-aluminum-garnet laser endopyelotomy is a minimally invasive method that can be used effectively and safely as the primary treatment of patients with ureteropelvic obstruction, when long-term results are also taken into consideration. The decision of performing laser endopyelotomy should be made after a detailed evaluation of the characteristics of the patient as well as of the obstruction.
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Affiliation(s)
- Ibrahim Kartal
- Department of Urology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Sertaç Çimen
- Department of Urology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Nihat Karakoyunlu
- Department of Urology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Fatih Sandıkçı
- Department of Urology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Aşır Eraslan
- Department of Urology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Fatih Yalçınkaya
- Department of Urology, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
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Mekik Akar E, Aydın F, Tüzüner A, Fitöz S, Öztürk S, Kurt Şükür ED, Şanlıdilek U, Çelikel E, Özçakar ZB, Çakar N, Yalçınkaya F. Renal Autotransplantation in a Patient with Bilateral Renal Artery Stenosis Secondary to Takayasu Arteritis. Int J Organ Transplant Med 2020; 11:37-41. [PMID: 33324476 PMCID: PMC7724773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023] Open
Abstract
Involvement of the renal artery is common in Takayasu arteritis. We, herein, present on a patient with Takayasu arteritis causing severe renal failure and a successful auto-transplantation. This case shows that early diagnosis and immediate appropriate interventions are life-saving in patients with Takayasu arteritis. Renal auto-transplantation performed in selected cases increases dialysis-free survival.
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Affiliation(s)
- E. Mekik Akar
- Pediatric Nephrology Department, School of Medicine, Ankara University, Ankara, Turkey
| | - F. Aydın
- Pediatric Rheumatology Department, School of Medicine, Ankara University, Ankara, Turkey
| | - A. Tüzüner
- General Surgery Department, School of Medicine, Ankara University, Ankara, Turkey
| | - S. Fitöz
- Pediatric Radiology Department, School of Medicine, Ankara University, Ankara, Turkey
| | - S. Öztürk
- Pediatrics Department, and School of Medicine, Ankara University, Ankara, Turkey
| | - E. D. Kurt Şükür
- Pediatric Nephrology Department, School of Medicine, Ankara University, Ankara, Turkey
| | - U. Şanlıdilek
- Radiology Department, School of Medicine, Ankara University, Ankara, Turkey
| | - E. Çelikel
- Pediatric Rheumatology Department, School of Medicine, Ankara University, Ankara, Turkey
| | - Z. B. Özçakar
- Pediatric Nephrology Department, School of Medicine, Ankara University, Ankara, Turkey
| | - N. Çakar
- Pediatric Nephrology Department, School of Medicine, Ankara University, Ankara, Turkey
| | - F. Yalçınkaya
- Pediatric Nephrology Department, School of Medicine, Ankara University, Ankara, Turkey
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Demirci A, Raif Karabacak O, Yalçınkaya F, Yiğitbaşı O, Aktaş C. Radiation exposure of patient and surgeon in minimally invasive kidney stone surgery. Prog Urol 2016; 26:353-9. [PMID: 27178347 DOI: 10.1016/j.purol.2016.04.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2015] [Revised: 02/16/2016] [Accepted: 04/06/2016] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Percutaneous nephrolithotomy (PNL) and retrograde intrarenal surgery (RIRS) are the standard treatments used in the endoscopic treatment of kidney stones depending on the location and the size of the stone. The purpose of the study was to show the radiation exposure difference between the minimally invasive techniques by synchronously measuring the amount of radiation the patients and the surgeon received in each session, which makes our study unique. MATERIALS AND METHODS This is a prospective study which included 20 patients who underwent PNL, and 45 patients who underwent RIRS in our clinic between June 2014 and October 2014. The surgeries were assessed by dividing them into three steps: step 1: the access sheath or ureter catheter placement, step 2: lithotripsy and collection of fragments, and step 3: DJ catheter or re-entry tube insertion. RESULTS For the PNL and RIRS groups, mean stone sizes were 30mm (range 16-60), and 12mm (range 7-35); mean fluoroscopy times were 337s (range 200-679), and 37s (range 7-351); and total radiation exposures were 142mBq (44.7 to 221), and 4.4mBq (0.2 to 30) respectively. Fluoroscopy times and radiation exposures at each step were found to be higher in the PNL group compared to the RIRS group. When assessed in itself, the fluoroscopy time and radiation exposure were stable in RIRS, and the radiation exposure was the highest in step 1 and the lowest in step 3 in PNL. When assessed for the 19 PNL patients and the 12 RIRS patients who had stone sizes≥2cm, the fluoroscopy time in step 1, and the radiation exposure in steps 1 and 2 were found to be higher in the PNL group than the RIRS group (P<0.001). CONCLUSION Although there is need for more prospective randomized studies, RIRS appears to be a viable alternate for PNL because it has short fluoroscopy time and the radiation exposure is low in every step. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- A Demirci
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Urology Clinic, 06110 Ankara, Turkey.
| | - O Raif Karabacak
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Urology Clinic, 06110 Ankara, Turkey
| | - F Yalçınkaya
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Urology Clinic, 06110 Ankara, Turkey
| | - O Yiğitbaşı
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Urology Clinic, 06110 Ankara, Turkey
| | - C Aktaş
- Dışkapı Yıldırım Beyazıt Training and Research Hospital, Radiation Oncology Clinic, 06110 Ankara, Turkey
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Özçakar ZB, Cakar N, Uncu N, Celikel BA, Yalçınkaya F. Familial Mediterranean Fever associated diseases in children. Pediatr Rheumatol Online J 2015. [PMCID: PMC4599974 DOI: 10.1186/1546-0096-13-s1-p84] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Özçakar ZB, Şahin-Kunt S, Özdel S, Yalçınkaya F. Musculoskeletal complaints in patients with Familial Mediterranean Fever. Pediatr Rheumatol Online J 2015. [PMCID: PMC4599770 DOI: 10.1186/1546-0096-13-s1-p85] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Demirel F, Yalçınkaya F, Çakan M, Topcuoğlu M, Tuygun C, Altuğ U. Assessment of Technical Difficulty and Complications of Urological Laparoscopic Operations According to “European Scoring System”: 228 Cases. jus 2015. [DOI: 10.4274/jus.2015.271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Karabacak OR, Yalçınkaya F, Altuğ U, Sertçelik N, Demirel F. Does the modıfıed STING method increase the success rate in the management of moderate or hıgh-grade reflux? Korean J Urol 2014; 55:615-9. [PMID: 25237464 PMCID: PMC4165925 DOI: 10.4111/kju.2014.55.9.615] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2014] [Accepted: 08/05/2014] [Indexed: 11/19/2022] Open
Abstract
Purpose To evaluate the efficacy of subureteral injection types in patients with middle- to high-grade vesicoureteral reflux (VUR). Materials and Methods Between June 1999 and September 2010, subureteral dextranomer was applied at our clinic to 149 patients (214 refluxing ureters) with grades II, III, and IV VUR. Group 1 consisted of 54 patients (80 ureters), and group 2 consisted of 95 patients (134 ureters). The standard subureteric transurethral injection (STING) procedure was applied to group 1, and the modified STING procedure was applied to group 2. A second and if needed a third injection was applied to unsuccessfully treated patients. The mean follow-up period was 2 years. Patients were evaluated by cystography and ultrasonography in the third month of follow-up. Results VUR was resolved completely after a single injection in 54/80 ureters (67.5%) in group 1 and in 94/134 ureters (70.1%) in group 2. Overall successes after a second or a third injection were 61/80 (76.2%) and 111/134 (82.8%), respectively. There was a statistically significant difference between the groups only for grade IV reflux following multiple injections (p<0.05). Conclusions Endoscopic treatment of VUR is a recommended treatment because it is minimally invasive, efficient, and repeatable. Our study confirmed that a modified STING procedure can be an alternative treatment to the standard technique.
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Affiliation(s)
- Osman Raif Karabacak
- Department of Urology, Ministry of Health Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
| | - Fatih Yalçınkaya
- Department of Urology, Ministry of Health Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
| | - Uğur Altuğ
- Department of Urology, Ministry of Health Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
| | - Nurettin Sertçelik
- Department of Urology, Ministry of Health Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
| | - Fuat Demirel
- Department of Urology, Ministry of Health Ankara Diskapi Yildirim Beyazit Education and Research Hospital, Ankara, Turkey
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Karabacak OR, Dilli A, Saltaş H, Yalçınkaya F, Yörükoğlu A, Sertçelik MN. Reply. Urology 2013. [DOI: 10.1016/j.urology.2013.04.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Bozkurt İH, Yalçınkaya F, Sertçelik MN, Zengin K. Comparison of uni-and bilateral buccal mucosa harvesting in terms of oral morbidity. Turk J Urol 2013; 39:43-7. [PMID: 26328077 DOI: 10.5152/tud.2013.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2012] [Accepted: 08/14/2012] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To evaluate the intraoral morbidity associated with uni- or bilateral buccal mucosa graft harvesting in the treatment of urethral stricture. MATERIAL AND METHODS Forty-two men with anterior urethral stricture who were treated with dorsal onlay buccal mucosal graft urethroplasty were enrolled in this study. The graft was harvested from both cheeks in patients with a stricture length of ≥7 cm and from one cheek, if the stricture length was <7 cm. The postoperative pain scores, the time required both to return to a regular diet, and also to achieve full mouth opening, intrtaoral numbness and the salivary changes were compared between two groups. RESULTS The bilateral buccal mucosal graft harvest group was disadvantaged in terms of the 7(th) day pain score, the time required both to return to a regular diet also to achieve full mouth opening (p<0.05). No significant intergroup differences were found in the terms of salivary changes and intraoral numbness. CONCLUSION Although, intraoral morbidity of bilateral buccal mucosa graft harvesting is more marked than that of the unilateral harvesting, in the short term, it is well tolerated by the patients in the long term.
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Affiliation(s)
| | - Fatih Yalçınkaya
- First Urology Clinic, Yıldırım Beyazıt Ankara Dışkapı Training and Research Hospital, Ankara, Turkey
| | - Memduh Nurettin Sertçelik
- First Urology Clinic, Yıldırım Beyazıt Ankara Dışkapı Training and Research Hospital, Ankara, Turkey
| | - Kürşad Zengin
- First Urology Clinic, Yıldırım Beyazıt Ankara Dışkapı Training and Research Hospital, Ankara, Turkey
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Kendirli T, İkincioğullari A, Ekim M, Doğu F, Yalçınkaya F, Yüksel S, Özçakar Z, Güloğlu D, Doğanay B, Babacan E. Soluble CD27 Levels in Children with Acute and Chronic Renal Failure. J Allergy Clin Immunol 2009. [DOI: 10.1016/j.jaci.2008.12.869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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