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  • Küçük Resim
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    For reliable urine cultures in the detection of complicated urinary tract infection, do we use urine specimens obtained with urethral catheter or a nephrostomy tube?
    (Aves Yayıncılık, 2016) Dede, Gülay; Deveci, Özcan; Dede, Onur; Utanğaç, Mazhar; Daggülli, Mansur; Penbegül, Necmettin; Hatipoğlu, Namık Kemal
    Objective: The aim of this study was to compare the results of urine cultures obtained either from urethral, and percutaneous nephrostomy (PCN) catheters. Materials and methods: This study included 328 consecutive patients that underwent PCN at our institution with complicated urinary tract infections (UTIs) between July 2010 and April 2015. Results of urine cultures obtained from the urethral and nephrostomy catheters were compared. Results: This study included 152 male and 176 female patients. Mean age of the patients was 46.2±24.3 years. The main indications were obstructive uropathy due to urolithiasis complicated with pyonephrosis 145 (44%), malignant disease (n=87; 26%), pregnancy (n=26; 8%), and anatomical abnormality (n=23; 7%). One hundred and twenty three patients had diabetes mellitus. The most common causative organisms were Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa. Blood cultures showed the same results for the PCN and bladder urine cultures. The bladder urine culture was positive in 304 patients, while the PCN urine culture in 314 patients. Conclusion: PCN is an important treatment for the management of pyonephrosis. Cultures from the PCN yield valuable information that is not available from urethral urine cultures, and is a guiding tool for antibiotic therapy selection.
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    Penil protez implantasyon cerrahisi klinik sonuçları
    (Dicle Üniversitesi Tıp Fakültesi, 2016) Dede, Onur; Utangaç, Mansur; Atar, Murat; Dede, Gülay; Dağgülli, Mansur
    Amaç: Bu çalışmada çok parçalı şişirilebilir penil protez cerrahisi yapılan hastaların sonuçlarını değerlendirmeyi amaçladık. Yöntemler: Mayıs 2010 Aralık 2015 tarihleri arasında penil protez cerrahisi yapılan 52 hastanın verileri geriye dönük değerlendirildi. Protezlerin cinsi, başarı ve komplikasyon oranları kaydedildi. Hasta memnuniyetini değerlendirmek için EDITS (Erectile Dysfunction Inventory of Treatment Satisfaction) formu kullanıldı. Bulgular: Ortalama hasta yaşı 49,2±14,7 yıl idi. Ortalama takip süresi 34,3±12,5 ay idi. Ortalama hastanede kalış 3,84±1,52 gün olarak bulundu. Çiftlerin değerlendirilmesinde 44 (%84) çift oldukça memnun olduklarını söyledi. Penil protez yerleştirildikten sonra hiçbir hastada protez çıkarılması gerektirecek komplikasyon olmadı. Sonuç: Şişirilebilir penil protez cerrahisi organik erektil disfonksiyon tedavisinde yüksek başarı oranı, hasta ve partner memnuniyeti ve kabul edilebilir komplikasyon ve revizyon oranlarıyla etkili ve güvenli bir tedavi seçeneğidir.
  • Küçük Resim
    Öğe
    Two cases of brucellosis epididymo-orchitis
    (Dicle Üniversitesi, 2015) Dede, Gülay; Dede, Onur; Kapmaz, Mahir; Solay, Aslı Haykır; Utangaç, Mazhar
    Epididymoorchitis caused by Brucella species is a rare infection. In this report two cases of epididymoorchitis due to brucellosis are presented with their clinical and laboratory findings. The patients complained of fever, and painful testicles with swelling, the duration of which varied between 7 to 10 days. They had unilateral epididymoorchitis. Brucellosis was diagnosed serologically in all patients, whereas Brucella spp. was isolated from the blood culture of one patient. One patient was given rifampicin and doxycycline, and the other streptomycin, doxycycline and rifampicin. In all cases, complete resolution was achieved with medical treatment and relapse did not occur. Brucellosis should be considered in differential diagnosis of epididymoorchitis in endemic areas.