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Article ; Online: The Effect of Vulvar Lichen Sclerosus on Urogynecological Functions in Postmenopausal Women

Sema KARAKAŞ / Şükrü YILDIZ / Levent YAŞAR

Namık Kemal Tıp Dergisi, Vol 10, Iss 1, Pp 48-

2022 Volume 52

Abstract: Aim:To examine the relationship between urinary symptoms and vulvar lichen sclerosus.Materials and Methods:This cross-sectional study was performed in our clinic between January 2019 and March 2020. One hundred and ten patients were included in the study. ...

Abstract	Aim:To examine the relationship between urinary symptoms and vulvar lichen sclerosus.Materials and Methods:This cross-sectional study was performed in our clinic between January 2019 and March 2020. One hundred and ten patients were included in the study. They were all postmenopausal women and were divided into two groups: the study group comprised of women diagnosed with lichen sclerosus (n=59), and the control group comprised of postmenopausal women who sought a routine gynecological examination (n=51). In the study group, all patients were dermatopathologically diagnosed with biopsy. Both groups completed two validated questionnaires: the Urogenital Distress Inventory (UDI-6) and the Incontinence Impact Questionnaire (IIQ-7). The total scores from questionnaires and sub-groups of UDI-6 and IIQ-7 were also analyzed in detail.Results:There were no differences in demographic features or in time from the onset of menopause for both groups. Total UDI-6 scores were significantly higher in the study group (p<0.05). Scores in the sections of the UDI-6 that included irritative symptoms and urinary incontinence were also higher in the study group (p<0.01). Total IIQ-7 scores were also significantly higher in the study group (p<0.05). The IIQ-7 sub-scores regarding physical activity and travel were significantly higher in the study group (p<0.01).Conclusion:To the best of our knowledge, this is the first study in the literature reporting the association between vulvar lichen sclerosus and urinary incontinence symptoms through validated objective tests. We demonstrated that both UDI-6 and IIQ-7 scores were significantly higher in patients with vulvar lichen sclerosus.
Keywords	postmenopause ; urogynecology ; vulvar lichen sclerosus ; udi-6 ; iiq-7 ; Medicine ; R
Subject code	796
Language	English
Publishing date	2022-03-01T00:00:00Z
Publisher	Galenos Yayincilik
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Risk Factors and Hysteroscopic Results For Insufficient Tissue From Endometrial Biopsy

Şükrü YILDIZ / İsmail ALAY

Namık Kemal Tıp Dergisi, Vol 8, Iss 2, Pp 204-

2020 Volume 211

Abstract: Aim:The aim of this study was to determine risk factors that may play a role in the diagnosis of insufficient endometrial tissue and to evaluate the office hysteroscopy findings of these patients.Materials and Methods:The clinical data and results of ... ...

Abstract	Aim:The aim of this study was to determine risk factors that may play a role in the diagnosis of insufficient endometrial tissue and to evaluate the office hysteroscopy findings of these patients.Materials and Methods:The clinical data and results of insufficient endometrial tissue in the medical records of patients at Bakırköy Dr. Sadi Konuk Teaching and Research hospital from August 2018 to November 2019 were analyzed retrospectively.Results:Endometrial biopsy procedures were applied to 1560 patients during the period evaluated for the study. The pathology report of 81 patients (5.2%) was evaluated insufficient endometrial tissue. The results of the 64 patients were analyzed in the study. The mean age of the patients in the study was 52.1 years (range= 32-78 years). Results of 64 patients undergoing hysteroscopy; normal hysteroscopic findings (22 patients; 34%), endometrial polyp (18 patients; 28%), appearance of submucous myoma (6 patients; 10%) and atrophic endometrial appearance (18 patients; 28%) were evaluated.Conclusion:We point out that insufficient endometrial tissue diagnosis can be detected more often in postmenopausal cases over 60 years of age and in patients with large uterine fibroids. Additionally, we emphasize that hysteroscopy can guide the clinician for definitive diagnosis in patients with insufficient endometrial tissue.
Keywords	endometrial biopsy ; hysteroscopy ; insufficient endometrial tissue ; inadequate sampling ; Medicine ; R
Subject code	610 ; 616
Language	English
Publishing date	2020-08-01T00:00:00Z
Publisher	Galenos Yayincilik
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A retrospective analysis of 32 women with erosive vulval lichen planus and an assessment of cervical cancer screening results

Şükrü Yıldız / Levent Yaşar

Van Tıp Dergisi, Vol 27, Iss 3, Pp 274-

2020 Volume 280

Abstract: INTRODUCTION: The aim of this study was to analyze the clinical features of erosive vulval lichen planus (LP) and their coexistence with human papilloma virus (HPV) infection via cervical HPV test results. METHODS: The clinical data and results of HPV ... ...

Abstract	INTRODUCTION: The aim of this study was to analyze the clinical features of erosive vulval lichen planus (LP) and their coexistence with human papilloma virus (HPV) infection via cervical HPV test results. METHODS: The clinical data and results of HPV tests in the medical records of 32 erosive vulval LP patients at Bakırköy Dr. Sadi Konuk Teaching and Research hospital from January 2017 to August 2019 were analyzed retrospectively. RESULTS: The mean age of vulval LP patients was 57.5+- 6.3 years. On examination, the sites of mucosal involvement in vulval LP were the vulva only (56%; 18 patients); vulva, vagina and oral cavity (18%; 6 patients); the vulva and vagina (12%; 4 patients); and vulva and oral cavity (12%; 4 patients). Two patients had only the HPV 16 genotype, one patient had the HPV 11 and 40 genotypes and one patient had the HPV 58 genotype. DISCUSSION AND CONCLUSION: Gynecological evaluation was required for all vulval LP patients. Although only four patients had positive HPV test results in our study, we emphasize that the treatment process of vulval LP may have an effect on HPV infection. Nevertheless, further community-based studies are needed.
Keywords	cervical cancer screening ; human papilloma virus ; lichen planus ; vulval ; Medicine ; R
Subject code	616 ; 610
Language	English
Publishing date	2020-08-01T00:00:00Z
Publisher	Van Yuzuncu Yil University, School of Medicine
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Laparoskopik endometrioma kistektomi cerrahilerinde elektrokoagülasyon veya sütür tekniği ile sağlanan hemostazın rekürrens ve gebelik sağlama oranına etkisi

Şükrü Yıldız / Cihan Kaya / İsmail Alay / Murat Eki̇n / Levent Yaşar

Cukurova Medical Journal, Vol 45, Iss 2, Pp 482-

2020 Volume 487

Abstract: Amaç: Bu çalışmanın amacı, tek veya bilateral endometriomalarda laparoskopik kistektomi sonrası elektrokoagülasyon veya sütür tekniği uygulaması ile sağlanan hemostazın, endometrioma rekürrensi ve spontan gebelik oranlarına etkisinin değerlendirilmesidir. ...

Abstract	Amaç: Bu çalışmanın amacı, tek veya bilateral endometriomalarda laparoskopik kistektomi sonrası elektrokoagülasyon veya sütür tekniği uygulaması ile sağlanan hemostazın, endometrioma rekürrensi ve spontan gebelik oranlarına etkisinin değerlendirilmesidir.Gereç ve Yöntem: 18-42 yaş aralığında herhangi bir yardımcı üreme tedavisi desteği almayan 46 primer infertil hasta retrospektif olarak analiz edildi. Laparoskopik kistektomi operasyonu, sıyırma tekniği ile uygulandı. Over doku kanaması sütür (n=23) veya bipolar elektrokoagülasyon (n=22) ile kontrol edildi. Kist rekürrensi postoperatif olarak ultrason eşliğinde değerlendirildi. Spontan gebelik adet gecikmesi sonrası kan Beta- insan koryonik gonadotropin (B-hCG) seviyesi bakılarak saptandı.Bulgular: Ortalama yaş 31.62±6.55 olarak saptandı. Gruplar arasında istatistiksel olarak yaş, vücut kitle indeksi (BMI), preopertaif endometrioma büyüklüğü, pre/postoperatif hemoglobin (hb) ve hemotokrit (Hct) değeri ile anlamlı bir fark saptanmadı. Sütür grubunda rekürrens oranı fazla çıksa da istatistiksel olarak anlamlı bulunmadı. Spontan gebelik oranı her iki grupta benzer saptandı. Çalışma gruplarında endometrioma lateralitesinde istatistiksel olarak bir fark saptanmadı.Sonuç: Bu çalışma, Endometrioma cerrahisi sonrası uygulanan elektrokoagülasyon veya sütür tekniğinin endometrioma rekürrensi ve spontan gebelik oranlarına farklı etkisinin olmadığını göstermiştir.
Keywords	endometriosis ; recurrence ; haemostasis ; cystectomy ; endometriozis ; rekürrens ; hemostaz ; kistektomi ; Medicine (General) ; R5-920
Language	English
Publishing date	2020-06-01T00:00:00Z
Publisher	Cukurova University
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: A diagnostic dilemma of acute abdomen in pregnancy

Hüseyin Cengiz / Şükrü Yıldız / Cihan Kaya / Murat Ekin

Journal of the Turkish-German Gynecological Association, Vol 15, Iss 1, Pp 60-

Leiomyoma of the small intestine

2014 Volume 62

Abstract: Small intestinal tumours are rare and difficult to diagnose. This neoplasms may be responsible for haemorrhage, occlusion, perforation and subsequent emergent surgeries. A 28 year old G2P1 woman in her 22nd week of pregnancy was referred to our emergency ...

Abstract	Small intestinal tumours are rare and difficult to diagnose. This neoplasms may be responsible for haemorrhage, occlusion, perforation and subsequent emergent surgeries. A 28 year old G2P1 woman in her 22nd week of pregnancy was referred to our emergency department with a complaint of left lower abdominal pain that had begun the day before. She underwent an emergent laparotomy with the general surgeons. Histopathological examination defined the diagnosis of leiomyoma of the small intestine. Gastrointestinal pathologies should always be taken into consideration in the differential diagnosis of acute abdomen in pregnancy.
Keywords	acute abdomen ; pregnancy ; small intestinal tumour ; Medicine ; R ; Gynecology and obstetrics ; RG1-991
Language	English
Publishing date	2014-03-01T00:00:00Z
Publisher	Galenos Yayinevi
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Domestic violence against pregnant women

Hüseyin Cengiz / Ammar Kanawati / Sükrü Yildiz / Sema Süzen / Tuba Tombul

Journal of the Turkish-German Gynecological Association, Vol 15, Iss 2, Pp 74-

A prospective study in a metropolitan city, Istanbul

2014 Volume 77

Abstract: Objective: Violence against women, particularly against pregnant women, is increasingly being recognized as a significant problem around the world. Limited studies were found about domestic violence among pregnant women. The aim of this study was to ... ...

Abstract	Objective: Violence against women, particularly against pregnant women, is increasingly being recognized as a significant problem around the world. Limited studies were found about domestic violence among pregnant women. The aim of this study was to determine the prevalence of domestic violence during pregnancy and the factors affecting it.Material and Methods: This prospective study was conducted at the Department of Obstetrics and Gynecology, between January 2012 and April 2013. A total of 1349 pregnant women, irrespective of age and socioeconomic status, were interviewed using a questionnaire in the local language.Results: The incidence of domestic violence in this study was 2.37%. The mean age of women who reported violence was 29.06±5.53 years. Age, marriage duration, gravidity, parity, educational level, partner’s educational level, and monthly income exerted no significant influences on women who experienced domestic violence during their pregnancies (p>0.05). Women who resided in the same houses with large extended families were at significantly higher risk of domestic violence during pregnancy in comparison with the pregnant women who lived within a core family (p=0.018).Conclusion: Domestic violence during pregnancy is a potential public health problem. Education, improvements in economic autonomy, and society’s attitudes may reduce domestic violence. Health-care providers should increase their awareness of risk factors to protect women from domestic violence.
Keywords	abuse ; domestic violence ; pregnant women ; turkey ; Medicine ; R ; Gynecology and obstetrics ; RG1-991
Language	English
Publishing date	2014-06-01T00:00:00Z
Publisher	Galenos Yayinevi
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Vaginal foreign body

Sükrü Yıldız / Murat Ekin / Hüseyin Cengiz / Hediye Dağdeviren / Cihan Kaya

Journal of the Turkish-German Gynecological Association, Vol 14, Iss 1, Pp 46-

Successful management with vaginoscopy

2013 Volume 47

Abstract: The etiology of chronic vaginal discharge in children varies and can be seen as infection, sexual abuse, congenital malformations, vulvar skin disease, vaginal neoplasms and a foreign body. A vaginal foreign body is not a common problem in childhood but ... ...

Abstract	The etiology of chronic vaginal discharge in children varies and can be seen as infection, sexual abuse, congenital malformations, vulvar skin disease, vaginal neoplasms and a foreign body. A vaginal foreign body is not a common problem in childhood but it should always be considered when a little girl consults a physician with a chronic vaginal discharge problem. We present the diagnosis and treatment management via vaginoscopy applied to a 6 year old girl who complained of a foul smelling vaginal discharge that had been resistant to medical treatment for the last two years.
Keywords	chronic vaginal discharge ; foreign bodies ; vaginoscopy ; diagnosis ; treatment ; Medicine ; R ; Gynecology and obstetrics ; RG1-991
Language	English
Publishing date	2013-03-01T00:00:00Z
Publisher	Galenos Yayinevi
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Awareness and perceptions of Turkish women towards delivery methods

Şükrü Yıldız / Sema Süzen Çaypınar / Hüseyin Cengiz / Hediye Dağdeviren / Ammar Kanawati

Journal of Clinical and Experimental Investigations, Vol 5, Iss 2, Pp 173-

2014 Volume 178

Abstract: Objective: Our aim is to identify the causes of the women’s preferences of vaginal delivery vs. cesarean section and their attitudes for an elective cesarean section. Methods: 400 healthy woman who had applied for antenatal care were included in the ... ...

Abstract	Objective: Our aim is to identify the causes of the women’s preferences of vaginal delivery vs. cesarean section and their attitudes for an elective cesarean section. Methods: 400 healthy woman who had applied for antenatal care were included in the study. A questionnaire which is consisted of 21 questions, focused on preference toward mode of delivery and the etiology of these preferences was conducted as a face to face interview. According to history of delivery methods, women have separated into three groups as; women have never given birth/nulliparous (group 1), women who had only vaginal deliveries (group 2), and women who had at least one cesarean deliveries/previous cesarean section (group 3). Results: Of the 400 women questioned, 348 () opted for vaginal delivery, whereas only 52 () opted for an elective caesarean delivery. Ratios of cesarean delivery preference is high in group 3 (.5) than group 1( ) and 2 (%2.7) . Main reasons for vaginal delivery preference: feeling of less pain, fast and easy recovery and less bleeding and infection risc for mothers were the most common preference reasons among all 3 groups. The most common reasons for choosing caesarean delivery were: ‘more comfortable and easy’ in group 1 and ‘tubal ligation demand’ in group 3. ‘Less pain’ and ‘fear of tearing (episiotomy)’ also other common reasons for choosing cesarean delivery among all 3 groups. Conclusion: In order to reduce the rate of implemented cesarean section, it is substantially important to encourage educated women and those who have experienced advanced maternal age for increasing the rate of vaginal delivery. J Clin Exp Invest 2014; 5 (2): 173-178
Keywords	Cesarean ; mode of delivery ; patient preference ; Medicine ; R
Subject code	300
Language	English
Publishing date	2014-06-01T00:00:00Z
Publisher	Modestum Publishing LTD
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: The use of Bettocchi type hysteroscope in office hysteroscopy

sukru Yildiz / Murat Ekin / Huseyin Cengiz / Ali Yesil / Yagmur Yucebas Yildiz

Çukurova Üniversitesi Tıp Fakültesi Dergisi, Vol 39, Iss 4, Pp 765-

2014 Volume 771

Abstract: Aim: To evaluate clinical characteristics of 264 patients whom underwent 5 mm Bettocchi office hysteroscopy due to abnormal uterine bleeding, postmenapausal bleeding, infertility and measure diagnostic of transvaginal ultrasonography and successful rate ... ...

Abstract	Aim: To evaluate clinical characteristics of 264 patients whom underwent 5 mm Bettocchi office hysteroscopy due to abnormal uterine bleeding, postmenapausal bleeding, infertility and measure diagnostic of transvaginal ultrasonography and successful rate and patient acceptance in office hysteroscopy. Methods: A retrospective cohort study on office hysteroscopy was performed. The medical records and patient files were detected in Bakirkoy Dr. Sadi Konuk Research and Educational Hospital between January 2012 and May. The data was analizied in computerised database with IBM SPSS Statistics 21.0 programme. Results: Endometrial polyp was found to be the most frequent pathology in patients whom underwent office hysteroscopy. The rate was 50.8 %. The endometrial polyp and myoma sensitivity of office hysteroscopy were found 97.0 % and 83.9 % respectively. The duration of operation was 4.83 minutes. Only 1 out of 264 cases was a marked discomfort. The complication rate of procedures is 0.4 % and due to one perforation of uterus. Conclusion: Office hysteroscopy is a successful and well-tolerated procedure. Through adequate expertise, it should be considered the method of choice at the same time when exploration of the uterine cavity is needed. [Cukurova Med J 2014; 39(4.000): 765-771]
Keywords	Endometrial polyp ; Hysteroscopy ; Transvaginal-ultrasonography ; Abnormal uterine bleeding ; Medicine ; R ; Medicine (General) ; R5-920
Language	English
Publishing date	2014-08-01T00:00:00Z
Publisher	Cukurova University
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Uterin kavite değerlendirilmesinde Bettocchi tip ofis histeroskopi

Şükrü YILDIZ / Murat EKİN / Hüseyin CENGİZ / Ali YEŞİL / Yağmur Yücebaş YILDIZ

Cukurova Medical Journal, Vol 39, Iss 4, p

2014

Abstract: Amaç: Anormal uterin kanama, postmenopozal kanama, infertilite ve endometrial kalınlık artışı nedenli başvuran ve 5 mm Bettocchi ofis histeroskopi yapılan 264 hastanın klinik özellikleri, ofis histeroskopinin başarılı diagnostik değeri ve hasta ... ...

Abstract	Amaç: Anormal uterin kanama, postmenopozal kanama, infertilite ve endometrial kalınlık artışı nedenli başvuran ve 5 mm Bettocchi ofis histeroskopi yapılan 264 hastanın klinik özellikleri, ofis histeroskopinin başarılı diagnostik değeri ve hasta toleransının değerlendirilmesi amaçlanmıştır. Materyal ve Metod: Araştırma retrospektif kohort çalışması olarak düzenlenmiştir. Ofis histeroskopi yapılan hastaların medikal özgeçmişleri ve hasta dosyaları Ocak 2012 ile Mayıs 2013 tarihleri arasında Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi arşivinden elde edilmiştir. Elde edilen veriler bilgisayar ortamında IBM SPSS Statistics 21.0 programı kullanılarak analiz edilmiştir. Bulgular: Ofis histeroskopi yapılan hastalarda en sık histopatolojik tanı % 50,8 oranı ile endometrial polip olarak saptanmıştır. Endometrial polip ve myomun ofis histeroskopi sensitivitesi sırası ile % 97,0 ve % 83,9 olarak saptanmıştır. Ortalama operasyon süresi 4,83 dakika olarak saptanmıştır. 264 olgu içerisinde sadece 1 (% 0,4) hasta operasyonu tolere edememiştir ve sadece 1 (% 0,4) hastada perforasyon nedenli komplikasyon gelişmiştir. Sonuçlar: Ofis histeroskopi oldukça başarılı ve iyi tolere edilebilen bir prosedürdür. Yeterli tecrübe sahibi kliniklerde uterin kavite değerlendirilmesini gerektiren durumlarda tanı seçenekleri arasında öncelikle göz önünde bulundurulmalıdır.
Keywords	- ; endometrial polyp ; hysteroscopy ; transvaginal-ultrasonography ; abnormal uterine bleeding ; endometrial polip ; histeroskopi ; transvaginal-ultrasonografi ; anormal uterin kanama ; Medicine (General) ; R5-920
Language	English
Publishing date	2014-07-01T00:00:00Z
Publisher	Cukurova University
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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