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Öğe Are obesity, diabetes, and hypertension risk factors for cervical polyps?(OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2016) Gazi Uçar M.; Merve Uçar R.; Ilhan T.T.; Çakir T.; Soykan Sert Z.; Çelik Ç.Objective: To investigate whether diabetes, hypertension, and obesity can be considered risk factors for cervical polyps. Material and Methods: The hospital-based case-control study was carried out. We retrospectively reviewed the records of 307 consecutive patients with cervical polyps. A control group consisting of 3 women per case-matched by the same age, same parity, same menopausal status and the same presenting symptoms. These groups were compared with respect of diabetes, hypertension and obesity prevalence. Results: The study included a total of 212 patients eligible for analysis in cervical polyp group, and a matched control group consisting of 636 women without cervical polyp. Women with cervical polyp had higher body mass index than the controls, but the difference was not statistically significant (p=0.72). The prevalence of obesity was significantly higher in the cervical polyp group than the controls (p=0.016). A statistically significant correlation was found between obesity and cervical polyps (OR: 1.351, CI: 1.062-1,718). There was no significant difference between the groups with respect to the prevalence of diabetes (p=0.795) and hypertension (p=0.703). Conclusion: Obesity appears to be a risk factor for cervical polyps. Obese women should receive special attention for potential coexistence of cervical polyps as part of their gynecological evaluation. This study supports the importance of weight management for the preventive plan of cervical polyps. © 2016 by Türkiye Klinikleri.Öğe Diagnosis and management of isolated tubal torsion: Is salpingectomy mandatory?(Journal of Reproductive Medicine, Inc., 2018) Uçar M.G.; Çelik M.; Şanlikan F.; Ilhan T.T.; Göçmen A.; Çelik Ç.OBJECTIVE: To review the clinical characteristics of patients with isolated fallopian tube torsion (IFTT). STUDY DESIGN: We conducted a retrospective study of a consecutive series of IFTT cases presenting at 2 tertiary referral centers. All patients underwent laparoscopic assessment, and the fallopian tube and its ligamentous support were gently untwisted to assess ischemic lesions. Patients were classified based on the following 3 criteria: complete recovery (Group A), partial recovery (Group B), and without any recovery (Group C). RESULTS: Our series consisted of 9 patients. Group A (2 cases) and Group B (5 cases) were managed conservatively. Two patients were assigned to group C and underwent laparoscopic salpingectomy. During early postoperative period, in the conservatively managed group 4 patients underwent hysterosalpingography examination, and both fallopian tubes were found to be patent. One of these 4 patients had a spontaneous pregnancy and delivered a healthy infant, and another patient had a miscarriage at 6 weeks’ gestation. Imaging revealed no pathological findings in the remaining 3 virgins in the conservatively managed group. No infections, peritonitis, thromboembolic events, or other complications occurred during the follow-up period. CONCLUSION: Conservative management of IFTT can be considered a safe option, even if little evidence of recovery is observed after detorsion. © Journal of Reproductive Medicine®, Inc.Öğe The effect of radical gynecologic surgery on urinary incontinence [Radikal jinekolojik cerrahinin üriner inkontinans’ a etkisi](Gunes Kitap Kirtasiye, 2014) Ilhan T.T.; Kebapçılar A.G.; Bak B.B.G.B.; Ilhan T.; Arzu Y.S.; Çakır T.; Çelik Ç.Objectives: The aim of the study was evaluate the effect of gynecologic cancer treatment on urinary incontinence symptoms. Methods: This study includes 76 patients who underwent lymhnode disection surgery for endometrial cancer and ovarian cancer. At preoperative period urogynecologic examination and “Urinary incontinence score for females” test were performed. Preoperative IIQ-7 (Incontinence Impact Questionnaire-7), UDI-6 (Urogenital Distress Inventory-6) and were performed before treatment and at the 6th week after surgery for all patients. Results: The mean age and parity of patients were 57,7 ±10,5 and 2,6 ± 1,2. Total of 44 patients (57%) who were diagnosed stress or urge incontinence by examination or “Urinary incontinence score for females” test. The percentage of stress urinary incontinence and urge incontinence were 52, 3% and 9%. The percentage of mixed incontinence was 38,7%. Twenty four (31%) of 76 procedures were performed for ovarian cancer and 52 (69%) procedures were performed for endometrial cancer. There was no urinary track injury during procedures. The percentage of urinary incontinence at 6th week after surgery was 71% and difference was significant (p<.05). The difference between preoperative IIQ-7 and UDI-6 score and postoperative IIQ-7 and UDİ-6 scores were significantly different (p<.05). When compare the items of IIQ-7 test, physical activity and travel items were significantly difference. Conclusions: Radical gynecologic surgery has serious adverse effect on urinary incontinence symptoms. Urinary symptoms could impair quality of life after surgery. Preventive approaches should suggest patient early after operation. © 2014, Gunes Kitap Kirtasiye. All rights reserved.Öğe Giant endocervical polyps, a case reports and a brief review of literature [Dev Endoservikal Polip, Olgu Sunumu ve Kisa Literatür Derlemesi](OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2016) Uçar M.G.; Ilhan T.T.; Çakir T.; Soykan Sert Z.; Çelik C.Although endocervical polyps are reportedly quite common benign neoplasm of the cervix in the female adult population, giant cervical polyps with a size greater than 4 cm are rare. They are considered to be a focal overgrowth of epithelium which arises from the endocervical canal or, less often from the ectocervix. Majority of cervical polipoid lesions are incidental findings due to their small size and asymptomatic nature. Although polyps are frequently observed etiology is not yet fully clear. Vaginal discharge, vaginal bleeding, protruding or palpable mass are the symptoms of endocervical polyps. The removal is generally easy to perform in an office procedure. We report the case of a giant cervical polyp of 7 cm occurring in a multiparous 44-years-old woman who clinically presented vaginal bleeding and discharge. In this study, the diagnosis, management and clinical presentation of this rare entity had been reviewed according to the literature. Copyright © 2016 by Türkiye Klinikleri.Öğe The prevalence of hydatids of morgagni in surgically managed patients with gynecological conditions(OrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2018) Uçar M.G.; Ilhan T.T.; Gül A.; ÇAkir T.; Demir G.A.; ÇElik C.Objective: To determine the prevalence of hydatid of Morgagni (HM) and describe its clinical features in patients with gynecological conditions. Material and Methods: A prospective study was designed to investigate the prevalence of HM. The patients who underwent diagnostic or surgical procedures like laparotomy and laparoscopy to visualize the fallopian tubes for malignant or benign obstetrical/gynecological conditions at a tertiary referral health care from January 2015 to October 2016 were included in the study. We defined HM based on the direct visualization of the tubes at the time of surgery. Results: A total of 1,361 patients, 1,066 (78.3%) premenopausal and 295 (21.7%) postmenopausal, were included in this study. The mean age was 39.3 ±14.7 years (range 18-80 years). The overall prevalence of HM was 17.2% (n = 235) and that in premenopausal and postmenopausal women was 18.9% and 11.5%, respectively. HM prevalence was significantly higher among premenopausal women compared to postmenopausal women (p = 0.003). The majority (~96%) of the HMs were = 1 cm and in only three cases (0.2%) the HM exceeded 2 cm in diameter. Conclusion: A systematic examination and appraisal of the adnexa during pelvic surgery may help in accurately identifying such common cysts. The direct evaluation of the fallopian tubes seems to be the best method to determine the prevalence of HM since most cysts are < 1 cm in diameter. Since the prevalence of HM decreased after menopause, their development may be stimulated by hormones. © 2018 by Türkiye Klinikleri.
