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Öğe Ateşli silah ile penis ve skrotum yaralanması ve başarılı tamiri(Dicle Üniversitesi Tıp Fakültesi, 2009) Gedik, Abdullah; Tutuş, Ali; Kayan, Devrim; Bircan, Mehmet KamuranKırk yedi yaşında erkek hasta silah ile yaralanmadan 3 saat sonra acil servisimize başvurdu. Hastada geniş skrotal defekt vardı. Her iki testis ve korpus kavernozum yaralanmıştı. Üretra ve korpus spongiosum tamamen kopmuştu. Opere edilerek penisteki yaralanması onarılan hastanın postoperatif 6. haftada yapılan kontrolünde hasta sonuçtan memnun olduğunu ve ereksiyonların devam ettiğini belirtti. Tek yakınması glans penisteki hafif his kaybı idi. Genital yaralanmaların tedavisinde testis ve penisin korunması için tüm olasılıklar değerlendirilmelidir.Öğe Body mass index, body fat percentage, and the effect of body fat mass on SWL success(Springer, 2007) Akay, Ali Ferruh; Gedik, Abdullah; Tutus, Ali; Sahin, Hayrettin; Bircan, Mehmet KamuranObjectives In the present study, we investigated the effects of the Body Mass Index (BMI), the Body Fat Percentage (BFP), and the Body Fat Mass (BFM) on success of SWL, prospectively. Patients and methods The BMI, BFP, BFM values of patients, who were treated by SWL due to upper urinary system stone disease (pelvis renalis, upper ureter, kidney lower and upper calices) between January and December 2005 in our hospital's urolithiasis center, were measured. Patients with stones smaller than 5 mm or larger than 20 mm and patients who had a stone localized somewhere other than in the upper urinary system, were not included in the study. Patients evaluated to be clinically successful according to the SWL were put in group 1, and the other patients who were not successful were included in group 2. Results About 158 (97 male, 61 female) patients aged between 16 and 92 (mean 36.69 (+/- 13.22) years), put on SWL therapy due to presence of upper urinary system stone disease, were included in the study. While the mean BMI was 23.97 +/- 0.4 in group 1 and 25.98 +/- 0.5 (P = 0.02) in group 2, BFP was 23.85 +/- 0.8 in group 1 and 29.19 +/- 1.1 (P = 0.001) in group 2, and BFM was determined to be 16.74 +/- 0.7 and 21.19 +/- 1.01 (P = 0.001) in group 2. Regarding all the parameters (BMI, BFP, BFM), the statistical analyses carried out between the groups showed significant differences. Conclusion BFP and BFM parameters are also important factors along with the BMI in providing a successful SWL treatment. All the parameters should be considered regarding the success of the treatment and the patients should be informed.Öğe Cerebrospinal fluid prostate specific antigen (CSF PSA) in prostate cancer patients with lower spine metastasis(2005) Şahin, Hayrettin; Aflay, Uǧur; Batun, Sabri; Bircan, Mehmet Kamuran; 0000-0003-3311-3530Aim: In this prospective study, our aim was to investigate the CSF PSA levels and CSF/Serum PSA ratios in patients with prostate cancer with lower spine metastasis. Methods: The study involved patients with prostate cancer (n= 15), benign prostatic hyperplasia (n= 17) and non-prostatic disease (n= 9). Serum and CSF were obtained prior to spinal anesthesia for urological surgery. Total PSA levels in the serum and CSF were measured by electrochemiluminescence immunoassay. The results were tested statistically using the Mann-Whitney U test. Results: The mean serum PSA levels were 20.36 ng/ml in the prostate cancer patients, 5.37 ng/ml in the BPH patients and 0.76 ng/ml non-prostatic disease. The mean CSF PSA levels in groups were 0.127, 0.051 and 0.027 ng/ml, respectively. The mean CSF PSA/serum PSA ratios in groups were 0.007, 0.018 and 0.042, respectively. This result is statistically significant (P< 0.001). Conclusions: Although mean serum PSA and CSF PSA levels in the patients with cancer of the prostate and lower spine metastasis are higher than those in the others, the mean CSF PSA/serum PSA ratio is lower. However, clinical usefulness of CSF PSA value and CSF PSA/ Serum PSA ratio can be limited because CSF PSA values are usually very low, and CSF PSA/Serum PSA ratio of 4 prostate cancer patients are as high as 1 BPH patient.Öğe Coagulation parameters in the patients with Fournier's gangrene(Springer Netherlands, 2005) Şahin, Hayrettin; Aflay, Uǧur; Kılınç, Nihal; Bircan, Mehmet Kamuran; 0000-0003-3311-3530Aim: In this prospective study, we aimed to determine the coagulation parameters in the patients with Fournier's gangrene. Methods: The study group is consisted of 12 consecutive Fournier's gangrene patients (11 men and 1 woman) and control group is consisted of patients with Periurethral abscess (n=2), Scrotal abscess (n=4) and Epididimorchitis (n=4). Fibrinogen, protein C, protein S, antithrombin III, lupus anticoagulant, cardiolipin IgG and IgM, prothrombin time-international normalized ratio, activated partial thromboplastin time, platelet count, proaccelerin, antihemophilic globulin (FVIII), albumin, and calcium were evaluated in all subjects. Tissue specimens were taken from Fournier's gangrene patients. These specimens were tested for arterial and venous thrombosis using light microscopy. Results: All of the patients with Fournier's gangrene had both arterial and venous thrombosis in tissue specimens. The levels of fibrinogen and FVIII were high, the level of protein C was low in 12 patients. Lupus Anticoagulant was positive 11 of 12 patients. Conclusions: According to our findings, we think that some coagulation parameters (FVIII, Lupus anticoagulant, protein C, fibrinogen) may be diagnostic for Fournier's gangrene.Öğe Congenital anomalies of left renal vein and its clinical importance: A case report and review of literature(Wiley-Liss Inc., 1996) Turgut, Hasan Basri; Bircan, Mehmet Kamuran; Iiatipoö Lu, E. Sava; Kru Doo Ruyol, Jam U.Detailed knowledge of the anatomy and anomalies of renal veins is necessary for retroperitoneal surgery and venographic procedures. According to Thomas (1970, Arch. Surg. 100: 738-740), the anomalies of renal veins are more frequent than estimated. The number of surgical procedures and radiologie examinations related to the retroperitoneum are increasing, and therefore pathologic conditions of the retroperitoneal area have been discussed more frequently. We report on a retroaortic left renal vein joining the left common iliac vein, discuss the embryology and clinical importance of renal vein anomalies, and give an overview on the relevant literature.Öğe Diagnosis of urethral strictures: Is retrograde urethrography still necessary?(Kluwer Academic Publishers, 1996) Bircan, Mehmet Kamuran; Şahin, Hayrettin; Korkmaz, K.Different methods are available in the diagnosis and treatment of urethral strictures. True diagnosis is necessary for choosing the most suitable method of treatment and to inform the patient about the method, complications, recurrence rate and costs. In this study we aimed to compare the efficiency, complications and reproducibility of retrograde urethrography with urethroscopy. The retrograde urethrographic (RGU) and urethroscopic findings of 38 male patients were evaluated. Thirty had the same findings with either technique. In 8 patients the RGU was misdiagnosing (p < 0.01). In conclusion, it has been shown that the results of RGU are misleading when it is not combined with urethroscopy and we think that it must not be a routine method in the diagnosis of urethral strictures.Öğe Does the Histopathologic Pattern of the Ureteropelvic Junction Affect the Outcome of Pyeloplasty?(Urol & Nephrol Res Ctr-Unrc, 2015) Issi, Oktay; Deliktas, Hasan; Gedik, Abdullah; Ozekinci, Selver; Bircan, Mehmet Kamuran; Sahin, HayrettinPurpose: To investigate the effects of the histopathologic pattern of obstructed ureteropelvic junction (UPJ) specimens, including collagen type 3, elastin, fibrosis and Cajal cells, on the outcome of pyeloplasty. Materials and Methods: Histopathological specimens obtained following Anderson-Hynes pycloplasty from 52 patients with intrinsic ureteropelvic junction obstruction (UPJO) between January 2005 and January 2008 were evaluated histopathologically. Patients with extrinsic or secondary UPJO were excluded. Preoperative and postoperative radiographic evaluations were performed either via diuretic renography or intravenous pyelography, or both. Six months post-surgery the patients were divided into 2 groups, as successful surgery (group 1) and unsuccessful surgery (group 2). Histopathological findings (collagen type 3, elastin, fibrosis and Cajal cells) in each group were statistically compared. Results: The study included 52 patients (21 female and 31 male). Mean age of the entire study population was 39.42 +/- 14.5 years, versus 39.63 +/- 14.9 years in group 1 (n = 47) and 37.4 +/- 10.0 years in group 2 (n = 5). Median follow-up was 18 months. There weren't any significant differences in collagen type 3, elastin, fibrosis, or Cajal cells between the 2 groups (P > .05). Conclusion: The histopathologic pattern of UPJ was not a factor associated with the success of pyeloplasty. Based on the present findings, we conclude that surgical technique is more important than the histopathologic pattern of UPJ for the successful treatment of UPJO.Öğe The effect of l-carnitine on testicular ischemia- reperfusion ınjury due to testicular torsion in rats(2012) Deliktaş, Hasan; Gedik, Abdullah; Bircan, Mehmet Kamuran; Nergiz, YusufYapılan bu deneysel çalışmada testis torsiyonu sonucu gelişen iskemi ve detorsiyon sonrasında gelişecek olan reperfüzyonun tes- tiste neden olacağı hasarı önlemede L-Karnitinin etkinliği araştırılmıştır. Bu çalışmanın amacı, ratlarda oluşturulan tek taraflı torsiyon ve detorsiyonu takiben, torsiyone testiste ve karşı testiste gelişebilecek olan reperfüzyon hasarı üzerine L-Karnitinin etkilerini araştırmaktır. Toplam 20 yetişkin erkek rat kontrol grubu, (Grup 1) iskemi / reperfüzyon grubu (Grup 2) ve iskemi / re- perfüzyon + L-Karnitin grubu ( Grup 3) olmak üzere 3 gruba ayrıldı. Dört saatlik torsiyon periyodundan sonra yapılan detorsiyondan hemen sonra ikinci gruba 1 ml serum fizyolojik, 3. gruba ise 500 mg/kg L-Karnitin intraperitoneal olarak verildi. Ve bu dozlar 8 saat sonra tekrarlandı. Histolojik olarak L-Karnitinin torsiyone testiste ve karşı testiste gelişen iskemi / reperfüzyon hasarını düzelttiği görülmüştür.Öğe The Effect of L-Carnitine on Testicular Ischemia-Reperfusion Injury due to Testicular Torsion in Rats(Modestum Ltd, 2012) Deliktas, Hasan; Gedik, Abdullah; Nergiz, Yusuf; Bircan, Mehmet KamuranThis experimental was study designed to examine the efficacy of L-carnitine in preventing reperfusion injury following testicular torsion. We aimed to evaluate the effects of L-carnitine, administered during the reperfusion period, on the torsed and contralateral non- torsed testes in cases of unilateral testicular torsion in rats. This experimental study was performed in the research laboratory Dicle University, School of Medicine, between March 1, 2007 and May 31 2007. The study included 20 adult male rats those 6 months old that were divided into 3 groups: a sham group (group 1), ischemia/reperfusion group (group 2), and ischemia/reperfusion + L-carnitine group (group 3). In group 2 one ml of serum physiologic was injected intraperitoneally versus 500 mg/kg of L-carnitine in group 3 immediately after detorsion following a 4-h torsion period; the doses were repeated after 8 h later. Histologically, Sections of the left testes in group 2 showed irregularities in germinal epithelial cell configuration and degeneration in several cells, and all the samples of the right testes in group 2 had arrested sperm maturation and primary spermatocytes had a dusky appearance in some tubules, while all remaining groups were normal. L-carnitine had a positive effect on ipsilateral and contralateral testes. The positive effect of L-carnitine in reducing reperfusion damage in ipsilateral and also in contralateral testis was histopathologically observed. We think L-carnitine should always be apllied immediately after repurfusion period and should be repeated after 8 hours in testicular torsion cases.Öğe The effects of cellular telephone use on serum PSA levels in men(2003) Şimşek, Veli; Şahin, Hayrettin; Akay, Ali Ferruh; Kaya, Halil; Bircan, Mehmet Kamuran; 0000-0002-0854-0904; 0000-0003-2005-6100Background: The increasing use of cellular telephones is known to have harmful effects on human health. The aim of this prospective study was to determine whether cellular telephone use affected serum PSA levels in men. Methods: Participants included 20 men with ages ranging from 22 to 65 years who had never previously used cellular telephones. Blood samples were taken prior to and 30 days after the beginning of cellular telephone use. Serum was separated from the blood samples and stored in a deep freezer until the end of the study, at which time serum free and total PSA levels were determined by tandem radioimmunoassay. The results were statistically analyzed by the Wilcoxon Paired Signed Rank Test. Results: Average free and total PSA values were 2.070 ng/ml and 0.500 ng/ml before the study, and 2.0 ng/ml and 0.505 ng/ml at the end of the study, respectively. No significant difference was determined between the initial and final values (p > 0.05). Conclusions: The results indicate that cellular telephone use does not significantly affect PSA values in the short term. Nevertheless, we think that there is a need for longer-term studies on this subject.Öğe The effects of GnRH analogues and antiandrogenes in preventing the gonadotoxic effects of COPP chemotherapy(2001) Göçmen, Mustafa; Akay, Ali Ferruh; Şahin, Hayrettin; Deniz, Mustafa; Nergiz, Yusuf; Bircan, Mehmet Kamuran; 0000-0002-0854-0904Background: In this study we aimed to discuss whether the gonadal suppression is effective or not in preventing the gonadal toxic effects of some chemotherapeutics. Methods: Forty Sprague-Dawley adult male rats were randomised into 4 groups, each consisting of 10. No drugs were given to the first group. The second group received GnRH agonist and antiandrogen, the third group received COPP chemotherapy protocol and the last group received COPP together with GnRH agonist and antiandrogen. Ninety days after drug application we sacrificed all rats. Total body weight, testicular weight and testicular size measurements were all recorded. All testicular tissues were examined histologically for the ratio of active seminiferous tubules. Results: There was no difference in total body weight. The weight and measurements of testicular tissues were decreased in-group 3 and 4 when compared with 1 and 2. The amount of active seminiferous tubules was significantly less in the third group. Conclusions: As a conclusion we think that gonadal suppression applied during chemotherapy regimen could decrease the testicular toxic effects of chemotherapeutic but more clinical investigations needed for routine application.Öğe Erectile dysfunction rates and requests for treatment in patients attending outpatient urology clinics and those accompanying them(Springer, 2004) Kuru, Ahmet Fevzi; Sahin, Hayrettin; Akay, Ali Ferruh; Bircan, Mehmet KamuranBackground: Erectile dysfunction is a common sexual function disorder in men. The aim of the present study was to determine the rates of erectile dysfunction and requests for treatment in male patients refered to our outpatient urology clinics and those accompanying them who were older than 20 years. Methods: The study comprised 2 groups: group 1 included male patients older than 20 years whom attend to the outpatient urology clinics, and group 2 included their companies whom were older than 20 years. Subjects were asked whether they had erectile dysfunction or not, if so whether they had been treated or not, if not then why, and whether they desired treatment or not at present. Results: Erectile dysfunction was determined in 224 subjects (13.9%) in group 1, and 57 (8.5%) in group 2. It was found that approximately one half (49.1%) of patients with erectile dysfunction did not complaint about this. The main reasons for this were failure to perceive sexual dysfunction as a problem, and shame. Of 281 men who determined to have erectile dysfunction, 71 indicated that they desired treatment. In those who did not desire treatment, the main reasons were failure to perceive it as a problem, and shame. Conclusions: These findings show that the doctor has a great responsibility in determining erectile dysfunction. Therefore discussions of sexual health should be made a routine part of doctor-patient discussions, and patients, especially those over 50, should be asked whether they have a complaint of erectile dysfunction.Öğe The first micturition times of the newborns whose mothers were treated with magnesium sulfate(2001) Şahin, Hayrettin; Akay, Ali Ferruh; Bircan, Mehmet Kamuran; Göçmen, Ahmet; Bircan, Zelal; 0000-0002-0854-0904Background: The aim of this study was to determine whether magnesium sulfate used for the treatment of severe pre-eclampsia or eclampsia had an effect on the first micturition time of the newborn. Methods: The first group included 20 newborns all of whose mothers had severe pre-eclampsia or eclampsia, and all mothers had been treated with magnesium sulfate according to the Parkland Memorial Hospital eclampsia regimen. The second group included 20 newborns all of whose mothers were normal pregnants, and did not receive any drug that had an effect on the contractility of smooth muscles. The first micturition times of all newborns in two groups were determined following delivery and were compared statistically. Results: All newborns urinated in the first 24 hours. There were no statistically significant differences in the micturition times between the two groups (p > 0.05). There was no residual urine after the first micturition, and none of them had any urinary tract abnormality and neurological pathology. Conclusions: From the results, it was concluded that magnesium sulfate had no effect on the first micturition time of the newborns, when applied according to the Parkland Memorial Hospital eclampsia regimen in severe pre-eclamptic or eclamptic pregnants.Öğe The importance of visual erotic stimulation in the differential diagnosis of erectile impotence(Kluwer Academic Publishers, 1997) Aydoǧan, Ş.; Bircan, Mehmet Kamuran; Şahin, Hayrettin; Korkmaz, K.In this study we aimed to determine the importance of visual erotic stimulation (VES) alone, and in combination with intracavernosal papaverine injection (ICPE) in the differential diagnosis of erectile impotence. Sixty- four patients with erection problems were investigated between June 1992 and January 1994. VES could be the fast investigative method in the differential diagnosis of erectile impotence. This will help us in some groups of patients with psychogenic impotence to avoid the application and complications of ICPE. In patients with insufficient erections with VES alone, ICPE must be combined with VES in order to detect the causes of psychogenic erectile impotence more correctly.Öğe Is percutaneous cystostomy always necessary in transvaginal repair of benign vesicovaginal fistulae?(E-Century Publishing Corp, 2016) Gedik, Abdullah; Deliktas, Hasan; Celik, Nurettin; Kayan, Devrim; Bircan, Mehmet KamuranPurpose: To retrospectively evaluate benign, primary vesicovaginal fistulas (VVF), to determine the outcomes of using only a urethral catheter without cystostomy as a urinary diversion. Methods: Twenty-five women with VVF were treated between April 2008 and October 2014 and evaluated retrospectively. Only primary, benign fistulas were included in this study. Patients with a malignant etiology and/or prior irradiation were excluded, as they required a more complex repair. All included VVFs were treated without replacing a percutaneous cystostomy. All patients were called back on postoperative day 10 for urethral catheter removal. Cystography was not performed before catheter removal. Patients were followed in our clinic postoperatively for one year. Results: Twenty-five patients with VVF were treated using a transvaginal technique without percutaneous cystostomy. All patients, except for two, were discharged the day after surgery. There were no major complications, Clavien Class 2 or greater and no recurrent fistulas were detected. Conclusion: We used only a urethral catheter for 10 days postoperatively in transvaginal VVF repairs. The results show that transvaginal repair of benign VVFs only with urethral catheter is successful and cost effective. Cystography was not necessary before catheter removal.Öğe Premature ejaculation rates and treatment needs in males aged 20 years and over attending urology outpatient clinic(2004) Kuru, Ahmet Fevzi; Şahin, Hayrettin; Akay, Ali Ferruh; Bircan, Mehmet Kamuran; 0000-0002-0854-0904; 0000-0003-3311-3530Aim: The purpose of this study was the assessment of the rates of premature ejaculation and desires for treatment in male patients 20 years and over attending urology outpatient clinic. Methods: All subjects included in the study were asked whether they had a complaint of premature ejaculation; if so, whether they had sought a doctor's assistance; if not, why they had not; why they did not mention their complaint during the first visit; whether they desired treatment; and if not, why they did not. Results: A total of 1608 subjects were questioned. Premature ejaculation was present in 333 (20.7%). Premature ejaculation was the primary complaint of 33 of those attending the urology outpatient clinic. The most common reasons for not seeking a doctor's assistance were failure to see the condition as a problem, and embarrassment. Fifty four (16.2%) of these patients did not desire treatment. The most common reason for not desiring treatment was regarding it as unnecessary at present, and old age. Conclusion: The questioning of all men aged 20 and over attending urology outpatient clinic concerning premature ejaculation will greatly increase diagnoses and treatments.Öğe A retroperitoneal abscess with cutaneous fistula developed after stercoral fistula operation: A case report(Akademiai Kiado Rt., 1998) Şahin, Hayrettin; Bircan, Mehmet Kamuran; Gedik, AbdullahA 25-year-old male patient presented to our clinic with purulent discharge from the right lumbar area in May 1994. He had a gunshot wound and his ascending colon had been repaired primarily by tube caecostomy in May 1992. In November 1992 he had a stercoral fistula and following this he had a right hemicolectomy and ileotransversostomy and tube ileostomy with anal dilatation. One month postoperatively he had purulent discharge from the right lumbar area and was treated conservatively. The patient presented to our clinic after two years and on physical examination he had a fistula 1 cm in diameter with purulent discharge and had a median incision scar.Öğe Risk factors for lower urinary tract infection and bacterial stent colonization in patients with a double J ureteral stent(Springer, 2007) Akay, Ali Ferruh; Aflay, Ugur; Gedik, Abdullah; Sahin, Hayrettin; Bircan, Mehmet KamuranObjectives We investigated the potential risk factors for lower urinary tract infection and bacterial stent colonization in patients with double-J stents. Patients and Methods A total of 195 double-J stents from 190 patients (95 men and 95 women, mean age 40.22 years) were examined. In all patients, prophylactic antimicrobial therapy was administered at the time of stenting. The stents and urine samples were removed aseptically and the proximal and distal tip segments of the stents were obtained. Three culture specimens were obtained from each stent segment and urine sample. Chi-square tests, odds ratio, and relative risk were used for the statistical analysis. Results Bacterial colonies were found in 24% (47 of 190) of the urine samples, 31% (61 of 195) of the proximal stent segments, and 34% (67 of 195) of the distal stent segments. Of the pathogens identified, Escherichia coli (34 of 47) was the most common. Diabetes mellitus (P < 0.01), chronic renal failure (P < 0.001), and pregnancy (P < 0.01) were found to be risk factors for lower urinary tract infection in patients with stents. An increased stent colonization rate was associated with implantation time, age, and female sex, but these were not statistically significant for lower urinary tract infection Conclusions Diabetes mellitus, chronic renal failure, and pregnancy are associated with a higher risk of lower urinary tract infection. Therefore, patients in these categories should be monitored carefully for infectious complications.Öğe Semi-rigid ureterorenoscopy in children without ureteral dilatation(Springer, 2008) Gedik, Abdullah; Orgen, Seyfettin; Akay, Ali Ferruh; Sahin, Hayrettin; Bircan, Mehmet KamuranObjectives We aimed to retrospectively review the efficiency of ureterorenoscopy (URS) applied without ureteral dilatation for evaluating pediatric ureteral pathologies. Methods The files of pediatric patients hospitalized in our clinic between January 2000 and June 2006 due to ureteral stone disease were reviewed and evaluated retrospectively. The ages, medical histories, physical examination results, preoperative routine blood and urinary tests, and culture results were recorded. Ureteral orifice dilatation was not needed in any of the patients. Due to the risk of mucosal trauma and edema development in the ureteral orifice and intramural ureter, 3F and 4F catheters were applied in all patients following the ureterenoscopy. These catheters were removed 24 h after the procedure. Results The files of 54 pediatric patients with a mean age of 8.5 years (range 1-16 years) were evaluated retrospectively. While diagnostic URS was applied in 12 (22.2%) of the patients, ureteral calculi were determined in 42 (77.8%) patients and the stones were fragmented by pneumatic lithotripter. Twenty-five of the stones were localized in the lower ureter, 16 in the mid-ureter, and 3 in upper ureter. The mean stone size was found to be 7.1 mm (range 4-12). None of the stones migrated to the proximal region. In 2 patients open ureterolithotomy was applied; stones were localized in the upper ureter in both of these patients. Conclusions Ureterorenoscopy can be successfully and safely applied without the need for ureteral dilatation in ureteral pathologies of children.Öğe Which Surgical Technique Should be Preferred to Repair Benign, Primary Vesicovaginal Fistulas?(Urol & Nephrol Res Ctr-Unrc, 2015) Gedik, Abdullah; Deliktas, Hasan; Celik, Nurettin; Kayan, Devrim; Bircan, Mehmet KamuranPurpose: To evaluate and compare the outcomes of benign, primary vesicovaginal fistulas (VVFs) treated using the transabdominal transvesical technique and the transvaginal technique without tissue interposition. Materials and Methods: A total of 53 consecutive women with VVF who were treated between September 1999 and October 2014 were evaluated retrospectively. Patients with a malignant etiology and/or prior irradiation were excluded because they required a more complex repair. In the first group, the repair was performed using the transabdominal transvesical technique (n = 28). After one of our fellows had completed his urogynecology training, he began to perform the repairs using the transvaginal technique (n = 25). All included VVF patients were treated without a tissue interposition. Results: Vesicovaginal fistula repair was performed in 53 patients, with a mean age of 41.4 +/- 15.2 years. There was no significant difference in terms of the patients' age, fistula size, and the number of deliveries between the groups. All cases failed in terms of conservative management. The size of the fistulas ranged from 15 to 20 mm. The admission time was between 3 days and 21 years, and it was longer in less educated patients. The success rate was 96.4% (27/28) in the transabdominal transvesical group and 100% (25/25) in the transvaginal group (P = 1.00). The hospitalization period and complications were significantly reduced in the transvaginal group (P = .00 and P = .004, respectively). No patients converted from a transvaginal to a transabdominal repair. There was only one recurrence in the transabdominal transvesical group. The patients were followed up for 1 year. Conclusion: Transvaginal repair of benign, primary VVFs is more advantageous than transabdominal transvesical repair. There was a significant decrease in the hospitalization period and complications rates using the transvaginal technique without tissue interposition.
