Time filter

Source Type

Akselim B.,Dr Zekai Tahir Burak Womans Health Research And Education Hospital | Doganay M.,Dr Zekai Tahir Burak Womans Health Research And Education Hospital | Ozcan N.,Dr Zekai Tahir Burak Womans Health Research And Education Hospital | Akselim S.,Ankara Physical Medicine and Rehabilitation Training and Research Hospital | Cavkaytar S.,Dr Zekai Tahir Burak Womans Health Research And Education Hospital
International Urogynecology Journal and Pelvic Floor Dysfunction | Year: 2016

Introduction and hypothesis: The aim of the study was to investigate the correlation between mean bladder wall thickness (BWT) and treatment success in patients diagnosed with urinary incontinence, based on urodynamic test results. Methods: In this prospective study, patient urinary incontinence type was identified using urodynamic tests. Patients (N = 125) were categorized into three groups: urodynamic stress incontinence (SUI), detrusor over-activity (DO) and mixed urinary incontinence. Measurements from the bladder dome, anterior wall and trigone were averaged to calculate BWT. Student’s t test and Mann–Whitney U test were used to compare pre-treatment BWT. Receiver operating characteristic (ROC) curve analysis was used to determine optimal cut-off values for BWT to predict treatment success. Results: Mean pre-treatment BWT significantly differed between success and non-success groups for each urinary incontinence type (p value for the SUI, DO and MUI groups was 0.043, 0.001 and 0.002 respectively). Using ROC curves to anticipate the treatment success, a threshold was calculated for mean pre-treatment BWT; 5.05 mm for SUI (sensitivity 74 %, specificity 66 %, positive predictive value [PPV] 85 %, negative predictive value [NPV] 50 %), 4.98 mm for DO (sensitivity 73 %, specificity 92 %, PPV 95 %, NPV 63 %) and 5.31 mm for mixed type (sensitivity 88 %, specificity 73 %, PPV 79 %, NPV 85 %). Conclusions: The study results suggest a significant relationship between the pre-treatment BWT and the success of urinary incontinence treatment. The mean BWT may be used as a benchmark in assessing the responsiveness to treatment of urinary incontinence types. © 2016 The International Urogynecological Association


Gokturk U.,Karamursel State Hospital | Cavkaytar S.,Dr Zekai Tahir Burak Womans Health Research And Education Hospital | Danisman N.,Dr Zekai Tahir Burak Womans Health Research And Education Hospital
Journal of Maternal-Fetal and Neonatal Medicine | Year: 2015

Aim: The purpose of this study was to evaluate sonographic cervical length, posterior cervical angle and fetal head position in predicting successful induction of labor at term can be an alternative method to Bishop score. Methods: This prospective observational study recruited 223 women with singleton gestations scheduled for induction of labor at 37-42 weeks. Parity, body mass index, Bishop score, fetal head position, cervical angle measurement and cervical length was investigated to predict successful labor induction. Multiple regression analysis was performed to determine the parameters in the prediction of successful vaginal delivery within 24 hours. Results: Forty-five patients were excluded because of cesarean section performed for other reasons than arrest of dilation or fetal head descent (43 fetal distress, 2 cord prolapsus). Remaining 178 patients were divided into two groups according to duration of delivery time. 139 patients delivered within 24 hours were classified as group I, 39 patients delivered after 24 hours were classified as group II. Percentage of multiparity was statistically significantly higher in group I than in group II [59 (42.4%), 9 (23.0%) respectively, p = 0.009]. Cervical length was statistically significantly shorter in group I than in group II [23.1 ± 7.42 mm, 31.3 ± 6.83 mm respectively, p < 0.001]. Bishop score was statistically significantly higher in group I than in group II [3 (1-4), 1 (1-4) respectively, p < 0.001]. Posterior cervical angle was statistically significantly higher in group I than in group II [100.1 ± 17.2, 92.7 ± 21.4 respectively, p = 0.007]. According to the fetal head position, there was no statistically significant difference in labor duration between the groups (p = 0.787). In the multivariate regression analysis of variables, multiparity, cervical length and Bishop score were statistically significantly predictive in successful labor induction. Conclusion: Multiparity status, cervical length, posterior cervical angle and Bishop score can predict successful labor induction, but fetal head position is not predictive in successful labor induction. © 2014 Informa UK Ltd. All rights reserved.

Loading Dr Zekai Tahir Burak Womans Health Research And Education Hospital collaborators
Loading Dr Zekai Tahir Burak Womans Health Research And Education Hospital collaborators