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Öğe Adnexal masses in postmenopausal and reproductive age women(2011) Guzel A.I.; Kuyumcuoglu U.; Erdemoglu M.We aimed to evaluate and compare the management and clinical characteristics of adnexal masses in postmenopausal and reproductive age women. This prospective study was performed at Dicle University, School of Medicine, Department of Obstetrics and Gynecology, from January 2007 to June 2009. The data were collected from hospital records and patients files, descriptively. The cases were divided into two groups as cases with adnexal masses in postmenopausal age women (Group 1, n=40), and reproductive age (Group 2, n=40). All of the cases operated for benign adnexal masses. Statistical analyses were carried out by using the statistical packages for SPSS 15.0 for Windows (SPSS Inc., Chicago, IL, USA). The demographic characteristics of the cases that were enrolled in our study are depicted in Table 1. The initial compliant of the cases were abdominal pain in 62 (77.5%) of the cases and 8 (20%) vaginal bleeding and 10 (12.5%) were asymptomatic. The initial diagnose of the cases were; pelvic mass in 34 (75%) of the cases, ovarian cyst 26 (32.5%), dermoid cyst 10 (12.5%), endometrioma 7 (8.75%) and postmenopausal bleeding 4 (5%). The tumor markers were evaluated. All of the cases were subjected to laparotomy or laparoscopy. The frozen section diagnose were made by the pathology department. The postoperative characteristics of the masses were also evaluated. The adnexal masses in postmenopausal woman with benign characteristics can be followed conservatively, without surgery. Surgery may be indicated to women with family history of cancer, a mass that appears enlarging and symptomatic. © 2011 Old City Publishing, Inc.Öğe Clinical experience of adnexal torsion: Evaluation of 143 cases(2011) Erdemoğlu M.; Kuyumcuoglu U.; Guzel A.I.We conducted this retrospective study to evaluate the outcomes, indications and post-operative findings of adnexal torsion cases and compared the features of benign cystic teratoma with the other cases. We analyzed a series of 143 cases of adnexal torsion from 2000 to 2009 at current clinic, retrospectively. The data were collected from the patient's specific files and hospital records descriptively. The demographic characteristics, sonographic findings and post-operative invention were evaluated. Statistical analyses were carried out by using the statistical packages for SPSS 15.0 for Windows (SPSS Inc., Chicago, IL, USA). A total of 143 cases were operated for adnexal torsion during the study period at our clinic. The clinical and demographic characteristics of the cases are shown in table 1. Of all patients, forty of them were diagnosed as benign cystic teratoma and this group of the adnexal torsion cases had statistically different gravidy, mass size and torsion number from the non- benign cystic teratoma group. Age was not a statistically different between two groups. According to this study, benign cystic teratoma increases risk of adnexal torsion. When detecting benign cystic teratoma the patients should be informed about the risk of torsion and explained the signs of this situation. The early diagnosis and appropriate surgical management of adnexal torsion is the only way to prevent complications and to preserve future fertility. Being aware of the different sonographic findings of torsionated adnexa may assist in the correct diagnosis of these patients. © 2011 Old City Publishing, Inc.Öğe Comparative effect of lornoxicam and paracetamol in pain relief in endometrial sampling(2012) Guzel A.I.; Kuyumcuoglu U.; Celik Y.We conducted a study to compare the analgesic effect of oral lornoxicam and oral paracetamol before endometrial sampling for benign conditions. This prospective, doubleblind, randomized study was conducted on sixty women underwent endometrial sampling for benign indications, from November 2010 to April 2011. The patients were divided into two groups (lornoxicam and paracetamol group) and both administered drugs (8 mg oral lornoxicam or 500 mg oral paracetamol) one hour before the procedure. Pain scores, by VAS (Visual analog scale) pain score, were recorded 0, 30 and 60 minutes after the procedure and compared. All patients gave informed consent to the study. Statistical analyses were carried out by using the statistical packages for SPSS 15.0 for Windows (SPSS Inc., Chicago, IL, USA). There was no statistically significant difference between the groups about the demographic parameters (p > 0.05). Lornoxicam group showed lower VAS pain score than the paracetamol group (p < 0.05). A total of thirteen patients took additional analgesic in two groups (p < 0.05). According to the current study, oral lornoxicam is more effective in pain relief than oral paracetamol in patients underwent endometrial sampling. © 2012 Old City Publishing, Inc.Öğe A rare case of acute abdomen: Torsionated ovarian myoma(Old City Publishing, 2014) Guzel A.I.; Yalinkaya A.; Alomeroglu M.Ovarian leiomyoma is a rare ovarian tumor and also rare cause of acute abdomen. A 64 year old, postmenopausal woman applied to our clinic with severe acute abdominal pain. On abdominal examination, there were abdominal tenderness, defense and rebound. On ultrasonographic examination, we detected a 6 cm of pelvic mass. Because she had acute abdomen we performed laparotomy by midline incision and excised a 6 cm ovarian mass on right ovary. The mass had been reported as ovarian leiomyoma on frozen section by pathology department. © 2014 Old City Publishing, Inc.Öğe Risk factors for persistent gestational trophoblastic neoplasia(2011) Kuyumcuoglu U.; Guzel A.I.; Erdemoglu M.; Celik Y.This retrospective study evaluated the risk factors for persistent gestational trophoblastic disease (GTN) and determined their odds ratios. This study included 100 cases with GTN admitted to our clinic. Possible risk factors recorded were age, gravidity, parity, size of the neoplasia, and ?-human chorionic gonadotropin levels (?-hCG) before and after the procedure. Statistical analyses consisted of the independent sample t-test and logistic regression using the statistical package SPSS ver. 15.0 for Windows (SPSS, Chicago, IL, USA). Twenty of the cases had persistent GTN, and the differences between these and the others cases were evaluated. The size of the neoplasia and histopathological type of GTN had no statistical relationship with persistence, whereas age, gravidity, and ?-hCG levels were significant risk factors for persistent GTN (p < 0.05). The odds ratios (95% confidence interval (CI)) for age, gravidity, and pre- and post-evacuation ?-hCG levels determined using logistic regression were 4.678 (0.97-22.44), 7.315 (1.16-46.16), 2.637 (1.41-4.94), and 2.339 (1.52-3.60), respectively. Patient age, gravidity, and ?-hCG levels were risk factors for persistent GTN, whereas the size of the neoplasia and histopathological type of GTN were not significant risk factors. © 2010 Old City Publishing, Inc.Öğe Urodynamic evaluation after abdominal hysterectomies for gynecological malignancies(2011) Kuyumcuoglu U.; Caca F.N.; Guzel A.I.The aim of this study was to evaluate the effect of abdominal hysterectomy made for gynecological malign diseases on lower urinary tract functions in asymptomatic patients by preoperative and postoperative urodynamic measurements. Thirty four asymptomatic women, who were operated for gynecological malignancies by abdominal hysterectomy from September 2008 to June 2009, in Dicle University Hospital Department of Obstetrics and Gynecology, were included in this study. Urodynamic measurements were performed before the operation and in the sixth week of surgery. No statistically significant changes were detected in first urge, normal urge, and strong urge, bladder capacity before and after surgery. The evaluation of functional urethral length showed a significant difference by UPP between pre and postoperative values (p=0.003). The decreases in values of the maximum urethral pressure and the maximum urethral closing pressure were significant (p=0.004 and p=0.048). The voiding time was found to be statistically increased (p=0,002), voided volume and residual urine volume were remained unchanged. There were no significant differences in other measurements. Preoperative and postoperative urodynamic studies are necessary to determine and cure urinary dysfunctions caused by abdominal hysterectomy. © 2010 Old City Publishing, Inc.
