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Kumbasar S, Salman S, Çakmak GN, Ketenci Gencer F, Sicakyüz LS, Kumbasar AN. Effect of mRNA COVID-19 vaccine on ovarian reserve of women of reproductive age. Ginekol Pol 2023:VM/OJS/J/94997. [PMID: 37861223 DOI: 10.5603/gpl.94997] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [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: 04/04/2023] [Revised: 06/26/2023] [Accepted: 08/23/2023] [Indexed: 10/21/2023] Open
Abstract
OBJECTIVES To evaluate the effect of messenger ribonucleic acid (mRNA) vaccines developed for severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) on the ovarian reserve of women of reproductive age. MATERIAL AND METHODS This prospective study was conducted between July and December 2022 in a tertiary care hospital affiliated with a university. A total of 117 patients were included in the study. The patients were divided into two groups. The first group (n = 62) consisted of women of reproductive age who received two doses of Pfizer-BioNTech COVID-19 vaccine administered 21 days apart. The control group (n = 55) included women with the same demographic characteristics who did not plan to be vaccinated. Hormonal values and basal antral follicle count were compared between two groups. RESULTS The mean age of the study group was 26.3 ± 3.6 years, and the mean age of the control group was 25.4 ± 6.2 years (p = 0.332). In the vaccinated group, mean follicular stimulating hormone (FSH) on day 2 was 5.29 ± 2.28; luteinizing hormone (LH): 5.18 ± 1.3; E2: 46.43 ± 24.51; anti-Mullerian hormone (AMH): 4.17 ± 2.1; antral follicle count: 16.23 ± 8.04; right ovarian volume: 6.4 ± 1.7; left ovarian volume: 6.2 ± 2.1. FSH measured at D2 in the control group was 5.68 ± 1.89; LH: 5.22 ± 2.2; E2: 48.41 ± 27.12; AMH: 4.30 ± 1.74; number of antral follicles: 15.64 ± 9.04; right ovarian volume: 6.1 ± 1.8; left ovarian volume: 6.3 ± 1.4. There were no statistically significant differences for FSH, LH, E2, AMH, ovarian volume, and number of antral follicles on the second day of menstruation between the groups. CONCLUSIONS According to the results of the present study, the mRNA SARS-CoV-2 vaccine does not affect the ovarian reserve of patients.
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Affiliation(s)
- Serkan Kumbasar
- Department of Obstetrics and Gynecology, Gaziosmanpaşa Taksim Training and Research Hospital, Istanbul, Türkiye, Türkiye.
| | - Suleyman Salman
- Department of Obstetrics and Gynecology, Gaziosmanpaşa Taksim Training and Research Hospital, Istanbul, Türkiye, Türkiye
| | - Gizem Nur Çakmak
- Department of Obstetrics and Gynecology, Gaziosmanpaşa Taksim Training and Research Hospital, Istanbul, Türkiye, Türkiye
| | - Fatma Ketenci Gencer
- Department of Obstetrics and Gynecology, Gaziosmanpaşa Taksim Training and Research Hospital, Istanbul, Türkiye, Türkiye
| | - Leal Selin Sicakyüz
- Department of Obstetrics and Gynecology, Gaziosmanpaşa Taksim Training and Research Hospital, Istanbul, Türkiye, Türkiye
| | - Ayşe Nur Kumbasar
- University of Health Sciences, Ümraniye Training and Research Hospital, Istanbul, Türkiye
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Ketenci Gencer F, Salman S, Kumbasar S, Bacak HB, Khatib O, Kaya C, Yildiz E, Coskun ES. Lateral suspension with V-NOTES for the treatment of pelvic organ prolapse with the Salman-Ketenci Gencer technique. Int Urogynecol J 2023; 34:1583-1591. [PMID: 36625926 DOI: 10.1007/s00192-022-05433-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 11/24/2022] [Indexed: 01/11/2023]
Abstract
INTRODUCTION AND HYPOTHESIS Pelvic organ prolapse (POP) is a common morbidity and 10-20% of the patients need surgical correction. Sacrocolpopexy or sacrohysteropexy procedures are satisfactory but still difficult. Lateral suspension (LS) as a safe and simple technique has become an alternative technique recently. Vaginal natural orifice transluminal endoscopic surgery (V-NOTES) is also a new modality and LS using V-NOTES has not been performed previously and should be promising. METHODS This prospective observational pilot study was conducted with a total of 38 women with stage 3 and 4 POP according to the Pelvic Organ Prolapse Quantification grading system (POP-Q). Lateral suspension via V-NOTES was performed with the Salman-Ketenci Gencer technique using a mesh for POP. The preoperative and postoperative 6-month POP-Q stages together with Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) scores were recorded and compared. RESULTS Comparison of the preoperative and postoperative 6-month POP-Q stages of the patients were statistically significant except for the total vaginal length (p<0.01). Compared with the preoperative total and subscale scores of PISQ-12, the postoperative values were considerably improved (p<0.001). CONCLUSIONS With the Salman-Ketenci Gencer technique not only good anatomical but also good functional results were obtained with V-NOTES. Surgeons may focus on uterine sparing while using the Salman-Ketenci Gencer technique for apical prolapse owing to the higher rate of complications related to the colposuspension and better sexual results after the cervicosuspension.
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Affiliation(s)
- Fatma Ketenci Gencer
- Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey
| | - Suleyman Salman
- Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey.
| | - Serkan Kumbasar
- Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey
| | - Havva Betul Bacak
- Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey
| | - Ozlem Khatib
- Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey
| | - Cihan Kaya
- Acibadem Bakirkoy Hospital, Department of Obstetrics and Gynecology, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
| | - Elif Yildiz
- Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey
| | - Enes Serhat Coskun
- Istanbul Gaziosmanpasa Training and Research Hospital, Department of Obstetrics and Gynecology, University of Health Sciences, Hizirefendi Street, 34255, Istanbul, Gaziosmanpasa, Turkey
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Kumbasar S, Salman S, Sogut O, Gencer FK, Bacak HB, Tezcan AD, Timur GY. Uterine-sparing laparoscopic lateral suspension in the treatment of pelvic organ prolapse. J Obstet Gynaecol Res 2023; 49:341-349. [PMID: 36196844 DOI: 10.1111/jog.15459] [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: 07/05/2022] [Revised: 09/02/2022] [Accepted: 09/19/2022] [Indexed: 01/19/2023]
Abstract
AIM Apical prolapse is an important component of pelvic organ prolapse. The aim of our study was to investigate the effectiveness of laparoscopic lateral suspension (LLS) surgery, which we performed while sparing the uterus. METHODS LLS surgery was performed on 62 patients due to apical prolapse, preserving their uterus. The patients' pelvic organ prolapse quantification system (POP-Q) points and sexual function using pelvic organ prolapse/urinary incontinence sexual function questionnaire (PISQ-12) prior to and 12 months following the surgery were compared, and the results were evaluated. RESULTS The POP-Q points and PISQ-12 scores evaluating sexual function of the patients who underwent LLS were significantly improved compared to pre-operation values (p ˂ 0.001). No intraoperative complications were observed in the patients. Recurrence was observed in 6 (9.6%) of 62 total cases in post-operative follow-up. Apical prolapse was seen in two patients (3.2%), and anterior vaginal wall recurrence was observed in one patient (1.6%). Posterior vaginal wall recurrence was seen in three patients (4.8%). Pelvic pain complications were observed in four patients (6.4%) in the postoperative follow-up. Mesh erosion was not observed in any of the cases. It was observed that 5 (38%) of 13 patients with stress urinary incontinence (SUI) had improved SUI complaints after surgery. The mean operation time was 66.3 ± 12.3 min. CONCLUSION LLS is an effective and safe method for patients with apical prolapse who want to preserve their uterus. LLS can be applied as an alternative to the sacrocolpopexy procedure, which has risks such as potentially serious neurological and life-threatening vascular injury in the sacral region.
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Affiliation(s)
- Serkan Kumbasar
- Department of Obstetrics and Gynecology, Gaziosmanpasa Research and Training Hospital affiliated with the University of Health Sciences, Istanbul, Turkey
| | - Suleyman Salman
- Department of Obstetrics and Gynecology, Gaziosmanpasa Research and Training Hospital affiliated with the University of Health Sciences, Istanbul, Turkey
| | - Ozlem Sogut
- Department of Obstetrics and Gynecology, Gaziosmanpasa Research and Training Hospital affiliated with the University of Health Sciences, Istanbul, Turkey
| | - Fatma K Gencer
- Department of Obstetrics and Gynecology, Gaziosmanpasa Research and Training Hospital affiliated with the University of Health Sciences, Istanbul, Turkey
| | - Havva B Bacak
- Department of Obstetrics and Gynecology, Gaziosmanpasa Research and Training Hospital affiliated with the University of Health Sciences, Istanbul, Turkey
| | - Ayse D Tezcan
- Department of Obstetrics and Gynecology, Gaziosmanpasa Research and Training Hospital affiliated with the University of Health Sciences, Istanbul, Turkey
| | - Gözde Y Timur
- Department of Obstetrics and Gynecology, Gaziosmanpasa Research and Training Hospital affiliated with the University of Health Sciences, Istanbul, Turkey
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Salman S, Kumbasar S, Yeniocak AS. Uterine preserving technique in the treatment of pelvic organ prolapse: Laparoscopic pectopexy. J Obstet Gynaecol Res 2022; 48:850-856. [PMID: 35001452 DOI: 10.1111/jog.15146] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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: 04/29/2021] [Revised: 11/28/2021] [Accepted: 12/27/2021] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Apical prolapse constitutes an important part of pelvic organ prolapse. In this study, our aim was to investigate the effectiveness of laparoscopic pectopexy that we made by preserving the uterus in the surgical treatment of apical prolapse. METHODS A total of 36 patients with apical prolapse who wanted to preserve their uterus underwent laparoscopic rectopexy. Apical prolapse and sexual function of the patients were evaluated preoperatively and 12 months after surgery using the Pelvic Organ Prolapse Quantification (POP-Q) scale and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12) sexual questionnaire form. Preoperative medical records and postoperative clinical results were recorded. RESULTS There were no intraoperative or postoperative complications in the patients who underwent laparoscopic pectopexy. The average duration of surgery was 48.7 ± 9.8 min. Two patients had a recurrence of apical prolapse. In the Aa, Ba, C, and D points in the POP-Q staging, significant changes were observed. Postoperative PISQ-12 scores improved significantly (p < 0.05). CONCLUSION Uterine-preserving laparoscopic pectopexy is a safe, feasible, and effective method for treating pelvic organ prolapse. It also improved the PISQ-12 and POP-Q scores in POP patients. Laparoscopic pectopexy may increase a surgeon's technical perspective for pelvic organ prolapse surgery.
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Affiliation(s)
- Süleyman Salman
- Department of Obstetrics and Gynecology, Gazi Osman Paşa Taksim Research and Education Hospital, Istanbul, Turkey
| | - Serkan Kumbasar
- Department of Obstetrics and Gynecology, Gazi Osman Paşa Taksim Research and Education Hospital, Istanbul, Turkey
| | - Ali S Yeniocak
- Department of Obstetrics and Gynecology, Başakşehir Çam ve Sakura Research and Education Hospital, Istanbul, Turkey
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Salman S, Babaoglu B, Kumbasar S, Bestel M, Ketenci Gencer F, Tuna G, Besimoglu B, Yüksel S, Uçar E. Comparison of Unilateral and Bilateral Sacrospinous Ligament Fixation Using Minimally Invasive Anchorage. Geburtshilfe Frauenheilkd 2019; 79:976-982. [PMID: 31523098 PMCID: PMC6739201 DOI: 10.1055/a-0846-5726] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2018] [Revised: 01/15/2019] [Accepted: 01/28/2019] [Indexed: 12/03/2022] Open
Abstract
Objective
The aim of this study was to determine the effectiveness of a newly developed anchoring system for unilateral sacrospinous ligament fixation (USSLF) and bilateral sacrospinous ligament fixation (BSSLF) procedures.
Material and Methods
Ninety-three patients with pelvic prolapse who were treated surgically with the Anchorsure System
®
between 2013 and 2018 were included in the study. USSLF was performed in 52 patients (group 1), and BSSLF was performed in 41 patients (group 2). Pelvic organ prolapse was assessed preoperatively and 6 months postoperatively.
Results
There were no significant differences between groups 1 and 2 with regard to age, parity, and demographic characteristics. Anatomical improvement rates were similar, irrespective of the type of SSLF used. No bleeding requiring blood transfusion or organ injuries occurred in any patient. Three patients in the group that received BSSLF developed small asymptomatic cystoceles (grade 1 to 2); there was no recurrence of rectoceles or enteroceles. Mild cystocele was found in 1 patient from the USSLF group. There was no significant difference between the groups with respect to the recurrence of cystocele. Recurrence of vaginal vault prolapse was found in 2 patients from the USSLF group (3.84%). There was no significant difference between the groups with regard to recurrence. Febrile morbidity, clinical outcomes, blood loss, duration of operation, intraoperative complications, and length of hospital stay were similar for the two groups.
Conclusions
Unilateral and bilateral SSLF techniques produce similar clinical outcomes. USSLF and BSSLF performed using the new anchoring system are safe and effective methods to treat pelvic organ prolapse.
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Affiliation(s)
- Süleyman Salman
- Department of Obstetrics and Gynecology, Gazi Osman Pasa Taksim Research and Education Hospital, Istanbul, Turkey
| | - Bülent Babaoglu
- Department of Obstetrics and Gynecology, Gazi Osman Pasa Taksim Research and Education Hospital, Istanbul, Turkey
| | - Serkan Kumbasar
- Department of Obstetrics and Gynecology, Gazi Osman Pasa Taksim Research and Education Hospital, Istanbul, Turkey
| | - Melih Bestel
- Department of Obstetrics and Gynecology, Gazi Osman Pasa Taksim Research and Education Hospital, Istanbul, Turkey
| | - Fatma Ketenci Gencer
- Department of Obstetrics and Gynecology, Gazi Osman Pasa Taksim Research and Education Hospital, Istanbul, Turkey
| | - Güray Tuna
- Department of Obstetrics and Gynecology, Gazi Osman Pasa Taksim Research and Education Hospital, Istanbul, Turkey
| | - Berhan Besimoglu
- Department of Obstetrics and Gynecology, Gazi Osman Pasa Taksim Research and Education Hospital, Istanbul, Turkey
| | - Semra Yüksel
- Department of Obstetrics and Gynecology, Gazi Osman Pasa Taksim Research and Education Hospital, Istanbul, Turkey
| | - Elif Uçar
- Department of Obstetrics and Gynecology, Gazi Osman Pasa Taksim Research and Education Hospital, Istanbul, Turkey
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Özaltın S, Kumbasar S, Savan K. Evaluation of complications developing during and after transvaginal ultrasound - guided oocyte retrieval. Ginekol Pol 2019; 89:1-6. [PMID: 29411339 DOI: 10.5603/gp.a2018.0001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [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: 09/25/2017] [Revised: 11/30/2017] [Accepted: 01/06/2018] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVES To investigate the complications of the oocyte retrieval procedure currently used in in vitro fertilisation. MATERIAL AND METHODS We examined 1.031 patients who underwent oocyte retrieval in the IVF unit of our hospital for complications developed during and after the procedure. RESULTS No complications developed related to sedation or general anaesthesia. Vaginal bleeding was observed in 3.1% of the patients. There was no intra-abdominal bleeding or pelvic organ injuries requiring surgery. Two patients developed pelvic abscesses. Ovarian hyperstimulation syndrome (OHSS) occurred in 1.45% of the patients. Almost all of the patients tolerated the oocyte retrieval process well. After the procedure, only 2% of the patients described their pain as severe, and 0.4% as the worst pain they had ever experienced. CONCLUSIONS The most common complication during oocyte retrieval is vaginal bleeding, which is largely controlled by buffer application. In conclusion, the oocyte retrieval process can be considered a safe procedure.
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Abstract
Backround A retrospective (case-controlled) study was conducted with the aim of identifying the effect of the use of misoprostol on termination time in patients who did and did not undergo feticide procedures in second trimester pregnancy terminations. Methods The sampling of the study consisted of 144 pregnant women who were diagnosed as having major fetal anomalies incompatible with life, and were recommended for termination of pregnancy. The investigation showed that feticide procedures were performed for 99 women, and feticide procedures were not performed for 45 women. Misoprostol protocol was administered for 48 hours in the termination period; whether the feticide procedure directly affected the termination duration in patients who did and did not undergo feticide was evaluated. Results Abortion/birth was achieved in 103 (71.5%) women during the first 48 hours. There was no significant difference between the termination duration of the misoprostol protocol among the women who did and did not undergo feticide. There was no significant difference between the termination durations and fetal biometric measurements (BPD, HC) except head diameters (p=0.020 and p=0.015). Conclusions The misoprostol protocol is shown to be effective and safe for the termination of pregnancies during the second trimester. Feticide has no affect on the duration of termination.
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Affiliation(s)
- Aytek Şık
- Istanbul Aydın University, Department of Obstetrics and Gynaecology, Istanbul, Turkey
| | - Sedat Bilecan
- Süleymaniye Research and Education Hospital, Department of Obstetrics and Gynaecology, Istanbul, Turkey
| | - Serkan Kumbasar
- Sakarya University School of Medicine, Sakarya Research and Education Hospital, Department of Obstetrics and Gynaecology, Sakarya, Turkey
| | - Yaşam Kemal Akpak
- Ankara Mevki Military Hospital, Department of Obstetrics and Gynaecology, Ankara, Turkey
| | - Yilda Arzu Aba
- Bandırma Onyedi Eylül Üniversitesi, Health Science Faculty, Balikesir, Turkey
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Kumbasar S, Şık BŞ. The effectiveness of extended fetal echocardiography in evaluating fetal cardiac morphology. CLIN EXP OBSTET GYN 2018. [DOI: 10.12891/ceog3787.2018] [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: 11/01/2022]
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Şık BA, Özcan A, Kumbasar S, Bozkurt M, Bilecan S. Intrauterine interventions with the aid of ultrasonography. ARCHIVES OF CLINICAL AND EXPERIMENTAL MEDICINE 2018. [DOI: 10.25000/acem.376841] [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: 11/23/2022] Open
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Dervisoglu P, Kosecik M, Kumbasar S. Effects of gestational and pregestational diabetes mellitus on the foetal heart: a cross-sectional study. J OBSTET GYNAECOL 2018; 38:408-412. [DOI: 10.1080/01443615.2017.1410536] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Pinar Dervisoglu
- Department of Pediatric Cardiology, Sakarya University School of Medicine, Sakarya Research and Education Hospital, Sakarya, Turkey
| | - Mustafa Kosecik
- Department of Pediatric Cardiology, Sakarya University School of Medicine, Sakarya Research and Education Hospital, Sakarya, Turkey
| | - Serkan Kumbasar
- Department of Obstetrics and Gynecology, Sakarya University School of Medicine, Sakarya Research and Education Hospital, Sakarya, Turkey
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Hatiboğlu F, Kumbasar S, Şık B, Sever E, Temur M, Salman S, Çot Ö, Özcan A, Yazıcıoğlu F. Maternal serum soluble CD40 ligand concentration as a predictor of preeclampsia at first trimester. CLIN EXP OBSTET GYN 2017. [DOI: 10.12891/ceog3596.2017] [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: 11/01/2022]
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Akın H, Kumbasar S, Şık B, Salman S, Temur M, Çakıroğlu F, Özyurt R, Küçükbaş M. Comparison of GnRH antagonist and agonist mini-dose long protocols in infertile cases undergoing controlled ovarian hyperstimulation. CLIN EXP OBSTET GYN 2017. [DOI: 10.12891/ceog3434.2017] [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: 11/01/2022]
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Kumbasar S, Gül Ö, Şık A. Evaluation of the effect of indomethacin and piroxicam administration before embryo transfer on pregnancy rate. J Obstet Gynaecol Res 2017; 43:536-542. [PMID: 28160506 DOI: 10.1111/jog.13244] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [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: 06/25/2016] [Revised: 10/02/2016] [Accepted: 10/21/2016] [Indexed: 02/02/2023]
Abstract
AIM The aim of this study was to evaluate the effect of non-steroidal anti-inflammatory drug (NSAID) administration before embryo transfer (ET) on pregnancy rates in women undergoing in vitro fertilization/intracytoplasmic sperm injection ET. METHODS Our study included 255 patients diagnosed with primary or secondary infertility caused by a male or tubal-related factor, endometriosis or unexplained factors. The patients were divided randomly into three groups. Two groups were administered oral piroxicam (10 mg capsules) or 100 mg indomethacin (rectal suppository), respectively, 1-2 h before ET. As a control, the third group did not receive any form of treatment before ET. Basal levels of follicle-stimulating hormone, luteinizing hormone, and level 17β-estradiol on the day of human chorionic gonadotropin administration, the collected and transferred number of embryos, and the number of grade A embryos obtained were determined in all patients. RESULTS The implantation, clinical pregnancy, and miscarriage rates of the groups were compared. The clinical pregnancy rate per ET and the implantation rate were 35.2% and 12.15% in the piroxicam group, 31.7% and 10.9% in the indomethacin group, and 32.9% and 12.5% in the control, respectively. The miscarriage rates of groups 1, 2 and 3 were 12%, 11.7% and 11.7%, respectively (P = 0.964). The differences in clinical pregnancy rates among the groups were not statistically significant (P = 0.887). There were also no significant differences in the implantation rates (P = 0.842). CONCLUSION These results suggest that NSAID administration before ET has no additional effect on pregnancy outcome in patients undergoing in vitro fertilization.
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Affiliation(s)
- Serkan Kumbasar
- Department of Obstetrics and Gynecology, Sakarya Research and Education Hospital, Sakarya, Turkey
| | - Özer Gül
- Department of Obstetrics and Gynecology, Istanbul Suleymaniye Research and Education Hospital, Istanbul, Turkey
| | - Aytek Şık
- Department of Obstetrics and Gynecology, Istanbul Aydın University, İstanbul, Turkey
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Abstract
In this study, we aimed to compare the serum urocortin-2 (UCN2) levels in women with polycystic ovary syndrome (PCOS) and healthy women. Thirty-eight patients with PCOS and 41 healthy women were included in the study whose age and BMI matched. The fasting serum glucose, insulin, free testosterone, hs-CRP and UCN2 levels of the all participants were examined. HOMA-IR formula was used in order to calculate the insulin resistance. Circulating UCN2 levels were significantly elevated in women with PCOS compared with controls (142.93 ± 59.48 versus 98.56 ± 65.01 pg/ml, p = 0.002). FBG, serum insulin, hs-CRP and HOMA-IR levels were found to be increased in women with PCOS. There was a positive correlation between UCN2 and free-testosterone in only PCOS group (r = 0.235, p = 0.027). Multivariate logistic regression analyses revealed that the odds ratio for PCOS was 2.31 for patients in the highest quartile of UCN2 compared with those in the lowest quartile (OR = 2.31, 95% CI = 1.88-2.83, p=0.021). Multiple linear regression analysis revealed that HOMA-IR, hs-CRP and free-testosterone independently predicted UCN2 levels (p < 0.05). UCN2 levels were significantly higher in PCOS cases when compared to control group. UCN2 is thought to be effective on pathophysiology of PCOS by paracrine and autocrine pathways.
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Affiliation(s)
- Muzaffer Temur
- a Department of Obstetrics and Gynecology , Manisa Merkezefendi Hospital , Manisa , Turkey
- b Department of Obstetrics and Gynecology , Sakarya University Faculty of Medicine , Sakarya , Turkey
| | - Özgür Yılmaz
- c Manisa Merkezefendi State Hospital Department of Obstetrics and Gynecology , Manisa , Turkey
| | - Saliha Aksun
- d Department of Medical Biochemistry İzmir , İzmir Katipcelebi University Medical School , İzmir , Turkey
| | - Mehmet Calan
- e Department of Endocrinology İzmir , İzmir Bozyaka Education and Research Hospital , İzmir , Turkey
| | - Pelin Özün Özbay
- f Aydın Private Ege Liva Hospital Department of Obstetrics and Gynecology Aydın , Aydın , Turkey , and
| | - Serkan Kumbasar
- g Department of Obstetrics and Gynecology , Sakarya University School of Medicine, Sakarya Research and Education Hospital , Sakarya , Turkey
| | - Erman Sever
- g Department of Obstetrics and Gynecology , Sakarya University School of Medicine, Sakarya Research and Education Hospital , Sakarya , Turkey
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Akin H, Kumbasar S, Sik BA, Salman S, Temur M, Cakiroglu F, Ozyurt R, Kucukbas M. Comparison of GnRH antagonist and agonist mini-dose long protocols in infertile cases undergoing controlled ovarian hyperstimulation. CLIN EXP OBSTET GYN 2017; 44:116-121. [PMID: 29714879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
AIM The purpose of the present study was to determine if there is a difference between multi-dose gonadotropin releasing hormone (GnRH) antagonist protocol and long GnRH agonist protocol. MATERIALS AND METHODS This retrospective study compared the data pertaining to patients chosen as per predetermined acceptance criteria, 113 of whom were administered multi-dose antagonist protocol for controlled ovarian hyperstimulation (COH) while 133 were administered long agonist protocol for COH at Suleymaniye Teaching Hospital of Obstetrics and Gynecology. RESULTS While cancellation rate was found to be significantly higher in antagonist group (17.7% vs 11.28%), the number of follicles > 14 mm and > 16 mm, E2 level, and the number of retrieved oocytes on the day of hCG trigger were significantly lower in the same group. However, there was no difference between fertilization rates and embryonic development rates. The pregnancy rates per transfer and per cycle were found to be 40.9% and 31.7%, respectively; in the antagonist group they were lower, though not significantly, when compared to agonist group (44.1% and 39.1%, respectively). Ongoing pregnancy rates were found to be similar between the groups. CONCLUSION GnRH antagonist treatment protocol has a level of efficacy similar to agonist treatment protocol in terms of pregnancy results for all groups.
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Aygül C, Özyurt R, Şık BA, Kumbasar S. Evaluation of the efficacy of transobturator tape surgery in the treatment of stress urinary incontinence using urodynamics and questionnaires. Turk J Obstet Gynecol 2016; 13:172-177. [PMID: 28913117 PMCID: PMC5558288 DOI: 10.4274/tjod.46034] [Citation(s) in RCA: 4] [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: 07/09/2016] [Accepted: 11/06/2016] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE To measure the efficiency of transobturator tape (TOT) surgery using urodynamics and questionnaires in stress urinary incontinence. MATERIALS AND METHODS Ninety-two patients with stress and mixed urinary incontinency who underwent TOT surgery were selected for the study. We retrospectively examined the patients' urodynamics, ultrasonography, demographic characteristics, incontinency surveys, life quality scores [incontinence impact questionnaire, (IQ-7) and urinary distress inventory (UDI-6)], diagnostic findings, Q-type test, surgical records, and complications. Patients treatment adherence, life quality scores, and urodynamics were evaluated as per the findings and complications following discharge of the patients between 12 and 36 months. Patients with a surgical history as the result of incontinence were excluded from the study. RESULTS Prior to surgery, 57 (61%, 95) patients had stress urinary incontinence (SUI), and 35 (38%, 05) patients had mixed urinary incontinence (MUI). During surgery, 45 (48%, 91) patients underwent extra pelvic surgical intervention. The mean follow-up time was 22.17±7.55 months. Our subjective success rate was 91%, 3 and the objective success rate was 78%, 3. In the life quality evaluation, a statistically significant improvement was found between IIQ-7 and UDI-6 scores. Parity over 4 was an important failure reason. Two (2%, 17) patients developed vaginal erosion, 2 (2%, 17) of the patients developed temporary urine retention, and 1 (1%, 08) patient developed nova urge incontinence. CONCLUSION Our study demonstrates that TOT surgery provides high objective and subjective success and has a positive impact on life quality. The ease of application and lower complication rate makes TOT a valuable alternative for other treatment approaches in the surgical treatment of SUI.
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Affiliation(s)
- Cihan Aygül
- İstanbul Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey
| | - Ramazan Özyurt
- İstanbul Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey
| | - Bulat Aytek Şık
- İstanbul Aydın University Faculty of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey
| | - Serkan Kumbasar
- Sakarya Training and Research Hospital, Clinic of Obstetrics and Gynecology, Sakarya, Turkey
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Sever E, Döğer E, Kumbasar S, Şık BA, Temur M, Yılmaz HT, Yılmaz Ö, Özbay PO, Yücesoy İ. Chromosome aberrations [dup(1q)] in endometrial cancer: Gene analysis of 54 surgical specimens in Turkey. Taiwan J Obstet Gynecol 2016; 55:357-62. [DOI: 10.1016/j.tjog.2016.02.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/18/2015] [Indexed: 12/18/2022] Open
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Kumbasar S, Salman S, Al RA, Ozturk C, Yarali O, Alp HH, Altuner D, Suleyman B. The effect of metamizole on ischemia/reperfusion injury in the rat ovary: An analysis of biochemistry, molecular gene expression, and histopathology. Indian J Pharmacol 2016; 48:32-6. [PMID: 26997719 PMCID: PMC4778203 DOI: 10.4103/0253-7613.174515] [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] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
Objectives: In this study, we investigated the effect of metamizole on ischemia/reperfusion (I/R) injury an analysis of biochemistry, molecular gene expression, and histopathology in the rat ovary of female albino Wistar rats. Materials and Methods: Animals were divided into four groups; control group with induced ischemia-reperfusion (IRC), ischemia-reperfusion +100 mg/kg metamizole sodium (MS) (IRM-100), ischemia-reperfusion +200 mg/kg MS (IRM-200), and healthy group applied sham operation (SG). Results: Myeloperoxidase (MPO) activity and gene expression increased significantly in IRC and IRM-100 group rat ovarian tissue compared with the SG group (P < 0.0001). However, MPO activity and gene expression in IRM-200 group ovarian tissue decreased significantly compared with the IRC and IRM-100 groups (P < 0.0001). Histopathologically, pronounced congestion, dilated vessels, hemorrhage, edema, degenerative cells, and neutrophil migration and adhesion to the endothelium were observed in the IRC and IRM-100 group ovarian tissues. A small number of congested dilated vessels, mild congestion, and edema were observed in the IRM-200 group, but no neutrophil migration and adhesion to the endothelium or degenerative cells. Conclusions: At 200 mg/kg dose metamizole prevented ovarian injury induced with I/R. This data show that metamizole can be used in the ovarian I/R injury treatment.
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Affiliation(s)
- Serkan Kumbasar
- Department of Obstetrics and Gynecology, School of Medicine, Sakarya University, Sakarya, Turkey
| | - Suleyman Salman
- Department of Obstetrics and Gynecology, Gaziosmanpasa Taksim Education and Research Hospital, Istanbul, Turkey
| | - Ragip Atakan Al
- Department of Obstetrics and Gynecology, Faculty of Medicine, Ataturk University, Erzurum, Turkey
| | - Cengiz Ozturk
- Department of Anatomy, Erzurum Region Education and Research Hospital, Erzurum, Turkey
| | - Oguzhan Yarali
- Department of Medical Genetics, İstanbul Medeniyet University Goztepe Training and Research Hospital, Istanbul, Turkey
| | - Hamit Hakan Alp
- Department of Biochemistry, Faculty of Medicine, 100. Yil University, Van, Turkey
| | - Durdu Altuner
- Department of Pharmacology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
| | - Bahadir Suleyman
- Department of Pharmacology, Faculty of Medicine, Erzincan University, Erzincan, Turkey
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Var A, Özyurt R, Şık BA, Kumbasar S, Sever E, Deveci M, Çöt Ö, Salman S, Güzel Y. Retrospective analysis of factors that affect the success of single-dose methotrexate treatment in ectopic pregnancy. Turk J Obstet Gynecol 2015; 12:215-219. [PMID: 28913072 PMCID: PMC5588474 DOI: 10.4274/tjod.10576] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Accepted: 11/26/2015] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE Detection of factors that affect the success of single-dose methotrexate treatment in ectopic pregnancy. MATERIALS AND METHODS We investigated 99 patients who had been treated with single-dose methotrexate for ectopic pregnancy in our clinic between January 2009 and June 2014. Demographic, clinical, and laboratory results of possible factors that affect treatment success were retrospectively analyzed. Successfully and unsuccessfully treated patients were compared based on their pre-treatment results. RESULTS The success rate of single-dose methotrexate treatment was found to be 70.7%. No significant difference was found between succesfully and unsuccessfully treated patients before treatment in terms of factors such as gestational weeks, mass size, presence of yolk sac, and presence of free fluid (p=0.224, p=0.201, p=0.200, p=0.200). Serum β-hCG values in patients whose treatment was unsuccessful was found to be higher compared with the successfully treated group (mean β-hCG value of unsuccessful group: 4412±3501 mIU/mL; mean β-hCG value of successful group: 1079±942 mIU/mL; p<0.001). CONCLUSION Single-dose methotrexate treatment is an effective and reliable method in the treatment of ectopic pregnancy. Elevation of serum β-hCG value stands as the main prognostic factor that affects the success of single-dose methotrexate treatment.
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Affiliation(s)
- Altan Var
- İstanbul Research and Education Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey
| | - Ramazan Özyurt
- İstanbul Research and Education Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey
| | - Bulat Aytek Şık
- İstanbul Aydın University Faculty of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey
| | - Serkan Kumbasar
- Sakarya University Faculty of Medicine Research and Education Hospital, Department of Obstetrics and Gynecology, Sakarya, Turkey
| | - Erman Sever
- Sakarya University Faculty of Medicine Research and Education Hospital, Department of Obstetrics and Gynecology, Sakarya, Turkey
| | - Mustafa Deveci
- İstanbul Research and Education Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey
| | - Özgür Çöt
- Sakarya University Faculty of Medicine Research and Education Hospital, Department of Obstetrics and Gynecology, Sakarya, Turkey
| | - Süleyman Salman
- Gaziosmanpaşa Taksim Research and Education Hospital, Clinic of Obstetrics and Gynecology, İstanbul,Turkey
| | - Yılmaz Güzel
- İstanbul Aydın University Faculty of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey
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Yapca OE, Kumbasar S, Salman S, Yarali O, Sener E, Mammadov R, Tekin YB, Aksoy A, Albayrak A, Cetin N. Controlled reperfusion for different durations in the treatment of ischemia-reperfusion injury of the rat ovary: evaluation of biochemical features, molecular gene expression, and histopathology. Can J Physiol Pharmacol 2015; 93:269-74. [PMID: 25730518 DOI: 10.1139/cjpp-2014-0359] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [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: 11/22/2022]
Abstract
High numbers of proinflammatory cells (PMNLs), which are carried by the blood to ischemic tissue during reperfusion, are considered responsible for inducing the inflammatory response that occurs in ischemia-reperfusion (I/R) injury. Our objective was to determine the controlled reperfusion (CR) interval duration (CRID) that would minimize the injury caused by the PMNLs that infiltrate ischemic tissue. Animal groups were divided into the following groups: Sham group, ovarian I/R group (OIR), and ovarian ischemia controlled-reperfusion groups OICR-1, OICR-2, OICR-3, OICR-4, OICR-5, OICR-6, which had their ovarian artery opened and then closed for 10, 8, 6, 4, 2, or 1 s, respectively. The results show that the COX-2 activity and the gene expression decreased while the COX-1 activity and the gene expression were found to be increased in parallel to the shortening of the period in CRID. From the histopathological examinations, the findings of hemorrhage, edema, congested vascular structures, degenerated cells, and migration and adhesion of PMNLs were scaled as follows: Sham group < OICR-6 < OICR-5 < OICR-4 < OICR-3 < OICR-2 < OICR-1. The results from the histopathological assessments were consistent with the molecular and biochemical findings. In conclusion, our findings suggest that increased COX-2 activity plays a role in I/R injury of the rat ovary, and that controlled reperfusion for 3, 2, or 1 s following 2 h of ischemia may attenuate the effects of I/R injury.
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Affiliation(s)
- Omer Erkan Yapca
- Department of Obstetrics and Gynecology, Faculty of Medicine, Ataturk University, Erzurum 25250, Turkey
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Salman S, Kumbasar S, Hacimuftuoglu A, Ozturk B, Seven B, Polat B, Gundogdu C, Demirci E, Yildirim K, Akcay F, Uslu T, Tuncel Daloglu F, Suleyman H. The effect of metyrosine/prednisolone combination to oophorectomy-induced osteoporosis. Iran J Reprod Med 2012; 10:363-72. [PMID: 25246899 PMCID: PMC4165955] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/21/2011] [Revised: 09/16/2011] [Accepted: 10/23/2011] [Indexed: 10/25/2022]
Abstract
BACKGROUND Osteoporosis is a chronic disease characterized by a decrease in bone mineral density (BMD) and corruption of the microarchitectural structure of bone tissue. OBJECTIVE It was investigated whether methylprednisolone had a favorable effect on osteoporotic bone tissue in Oophorectomy induced osteoporotic rats whose endogenous adrenaline levels are suppressed with metyrosine. MATERIALS AND METHODS Bone Mineral Density, number of osteoblast-osteoclast, bone osteocalcin levels and alkaline phosphatase (ALP) measurements were performed. Obtained results were compared with that of alendronate. RESULTS Oophorectomy induced osteoporosis was exacerbated by methylprednisolone. Alentronate prevented ovariectomised induced osteoporosis, but it couldn't prevent methylprednisolone +ovariectomised induced osteoporosis in rats. CONCLUSION Combined treatment with methylprednisolon and metyrosine was the best treatment for preventing osteoporosis but metyrosine alone couldn't prevent osteoporosis in ovariectomised rats.
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Affiliation(s)
- Suleyman Salman
- Department of Obstetrics and Gynecology, Igdir National Hospital, Igdir, Turkey.
| | - Serkan Kumbasar
- Department of Obstetrics and Gynecology, Igdir National Hospital, Igdir, Turkey.
| | - Ahmet Hacimuftuoglu
- Department of Pharmacology, Ataturk University, Medical Faculty, Erzurum, Turkey.
| | - Berna Ozturk
- Department of Pharmacology, Ataturk University, Medical Faculty, Erzurum, Turkey.
| | - Bedri Seven
- Department of Nuclear Medicine, Ataturk University, Medical Faculty, Erzurum, Turkey.
| | - Beyzagul Polat
- Department of Pharmacology, Ataturk University, Medical Faculty, Erzurum, Turkey.
| | - Cemal Gundogdu
- Department of Pathology, Ataturk University, Medical Faculty, Erzurum, Turkey.
| | - Elif Demirci
- Department of Pathology, Ataturk University, Medical Faculty, Erzurum, Turkey.
| | - Kadir Yildirim
- Department of Physical Medicine and Rehabilitation, Ataturk University, Medical Faculty, Erzurum, Turkey.
| | - Fatih Akcay
- Department of Biochemistry, Ataturk University, Medical Faculty, Erzurum, Turkey.
| | - Turan Uslu
- Department of Physical Medicine and Rehabilitation, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey.
| | | | - Halis Suleyman
- Department of Pharmacology, Ataturk University, Medical Faculty, Erzurum, Turkey.
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Salman S, Kumbasar S, Yilmaz M, Kumtepe Y, Borekci B, Bakan E, Suleyman H. Investigation of the effects of the chronic administration of some antihypertensive drugs on enzymatic and non-enzymatic oxidant/antioxidant parameters in rat ovarian tissue. Gynecol Endocrinol 2011; 27:895-9. [PMID: 21271941 DOI: 10.3109/09513590.2010.551564] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE In this study, effects of chronic antihypertensive drug (clonidine, methyldopa, amlodipine, ramipril, and rilmenidine) treatment on antioxidant-oxidant parameters were investigated in rat ovarian tissue. STUDY DESIGN Chronic drug administration for 30 days and at the end, biochemical examinations (total glutathione (tGSH), glutathione peroxidase (GPO), glutathione reductase (GR), glutathione s-transferase (GST), superoxide dismutase (SOD), nitric oxide (NO), catalase (CAT), malondialdehyde (MDA), and myeloperoxidase (MPO) analyses) were performed. RESULTS The levels of glutathione (GSH) and NO, and the activities of GPO, GR, GST, SOD, and CAT were measured the lowest in ramiprile group. Also in ramiprile group, the level of MDA and the activity of MPO was the highest. CONCLUSION We divided the drugs into four groups according to their biochemical side effect potentials in ovarian tissue: (I) Drugs which have no clear negative effect on ovarian tissue: clonidine, rilmenidine; (II) Drugs which have mild negative effect on ovarian tissue: methyldopa; (III) Drugs which have moderate negative effect on ovarian tissue: amlodipine; (IV) Drugs which have severe negative effect on ovarian tissue: ramipril. These data might be useful in the selection of the least toxic antihypertensive drug in pregnant and/or normal females.
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Affiliation(s)
- Suleyman Salman
- Ministry of Health, Obstetrics and Gynecology Hospital, Iğdır, Turkey
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Salman S, Kumbasar S, Kumtepe Y, Karaca M, Borekci B, Yildirim K, Alp HH, Cadirci E, Suleyman H. Role of adrenal gland hormones in the anti-inflammatory effect mechanism of tamoxifen, a partial antagonist for oestrogen receptors, and relation with COX levels. Gynecol Endocrinol 2011; 27:241-7. [PMID: 20528212 DOI: 10.3109/09513590.2010.490610] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE There is limited study about anti-inflammatory effect mechanism of tamoxifen. We aimed to investigate the anti-inflammatory activity of tamoxifen to see whether adrenal gland hormones have roles in the anti-inflammatory effect mechanism of tamoxifen and to evaluate the relationship between anti-inflammatory activity and cyclooxygenase (COX) level. STUDY DESIGN Effects of tamoxifen, indomethacin and prednisolon on carrageenan-induced inflammatory paw oedema were investigated in intact and adrenalectomised rats. Also blood adrenalin and corticosterone levels and paw tissue COX levels determined biochemically. RESULTS Tamoxifen (5, 10 and 20 mg/kg), indomethacin (5, 10 and 20 mg/kg) and prednisolon (5 mg/kg) produced anti-inflammatory effects in intact rats, however, they could not in adrenalectomized rats. 20 mg/kg tamoxifen produced low anti-inflammatory effect. Tamoxifen and indomethacin decreased COX-2 levels in intact rats, but not in adrenalectomised rats. Tamoxifen produced anti-inflammatory effects by decreasing adrenalin levels, as indomethacin does. 20 mg/kg tamoxifen decreased corticosterone levels. CONCLUSIONS Tamoxifen was seen to suppress carrageenan-induced inflammation significantly. The dose of tamoxifen that decreases adrenalin levels maximally and decreases corticosterone levels minimally was found to produce the most potent anti-inflammatory effect. The reason why indomethacin is more potent in high doses may be that it decreases adrenalin levels strongly at these doses, without decreasing corticosterone levels.
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Affiliation(s)
- Suleyman Salman
- Ministry of Health, Obstetrics and Gynecology Hospital, Igdır, Turkey.
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Salman S, Kumbasar S, Gursan N, Kumtepe Y, Borekci B, Polat B, Hakan Alp H, Talip Sener M, Suleyman H. Investigation of the relationship of some antihypertensive drugs with oxidant/antioxidant parameters and DNA damage on rat uterus tissue. Int J Fertil Steril 2011; 5:96-103. [PMID: 24963366 PMCID: PMC4059956] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2010] [Accepted: 04/23/2011] [Indexed: 11/29/2022]
Abstract
BACKGROUND In this study, we investigated the effects of treatment with chronic antihypertensive drugs (clonidine, methyldopa, amlodipine, ramipril and rilmenidine) on oxidant-antioxidant parameters and toxic effects on DNA in rat uterus tissue. In addition, uterus tissues were examined histopathologically. MATERIALS AND METHODS A total of 36 albino Wistar rats were divided into the following six groups: 0.075 mg/kg clonidine group; 100 mg/kg methyldopa group; 2 mg/kg amlodipine group; 2.5 mg/kg ramipril group; 0.5 mg/kg rilmenidine group; and the healthy group. Rats underwent chronic drug administration for 30 days and at the end, biochemical and histopathological examinations were performed. All data were subjected to one-way ANOVA test. RESULTS We divided these drugs into the following three groups according to their effects on rat uteri: (I) mild negative effects (clonidine), (II) moderate negative effects (rilmenidine, methyldopa) and (III) drugs which had severe negative effects (amlodipine, ramipril). CONCLUSION These data may help with selection of antihypertensive drugs, in order to determine which drugs have the lowest toxicity in pregnant and non-pregnant (pre-pregnancy) women.
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Affiliation(s)
- Suleyman Salman
- Ministry of Health, Obstetrics and Gynecology Hospital, Igdir, Turkey
| | - Serkan Kumbasar
- Ministry of Health, Obstetrics and Gynecology Hospital, Igdir, Turkey
| | - Nesrin Gursan
- Department of Pathology, Ataturk University Medical Faculty, 25240 Erzurum, Turkey
| | - Yakup Kumtepe
- Department of Obstetrics and Gynecology, Ataturk University Medical Faculty, 25240 Erzurum, Turkey
| | - Bunyamin Borekci
- Department of Obstetrics and Gynecology, Ataturk University Medical Faculty, 25240 Erzurum, Turkey
| | - Beyzagul Polat
- Department of Pharmacology, Ataturk University Medical Faculty, 25240 Erzurum, Turkey
| | - Hamit Hakan Alp
- Department of Biochemistry, Ataturk University Medical Faculty, 25240 Erzurum, Turkey
| | - Mustafa Talip Sener
- Department of Forensic Medicine, Ataturk University Medical Faculty, 25240 Erzurum, Turkey
| | - Halis Suleyman
- Department of Pharmacology, Ataturk University Medical Faculty, 25240 Erzurum, Turkey,Department of PharmacologyAtaturk University Medical Faculty25240ErzurumTurkey
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