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Ulubay M.,Gulhane Military Medical Academy | Dede M.,Gulhane Military Medical Academy | Ozturk M.,Etimesgut Military Hospital Etimesgut | Keskin U.,Gulhane Military Medical Academy | And 3 more authors.
Journal of Gynecologic Surgery | Year: 2016

Background: Stress urinary incontinence (SUI) affects ∼30% of all women; 4% need surgery; and SUI is most often seen in women ages 25-50. There are >200 surgical treatment methods. Burch colposuspension (BC) and sling operations are used widely today. Objective: Short-term results of robotic-assisted and abdominal approaches were evaluated in patients who had hysterectomies with BC. Materials and Methods: This cross-sectional study involved 40 patients with SUI and benign gynecologic conditions. The patients received either robotic-assisted hysterectomy with BC (Surgery A; 20 patients) or abdominal hysterectomy and BC (Surgery B; 20 patients). All patients were assessed at the Gulhane Military Medical Academy, in Etlik, Ankara, Turkey. The patients' demographics; intraoperative findings; complications; preoperative and postoperative 6th month Urinary Distress Inventory short form (UDI-6), urinary Incontinence Impact Questionnaire short form (IIQ-7) scores; and postoperative 6th month continence situations and values were assessed. Results: The median ages of the patients who received Surgery A and Surgery B procedure were 50 and 48, respectively. Both surgical groups were similar at baseline with respect to age, body mass index, gravidity, parity, operation time, and suturing time. None of these comparisons appeared to be significantly different (p > 0.05). Blood loss and hospitalization periods were statistically different between groups A and B (p < 0.05). No statistical difference was detected in UDI-6 and IIQ-7 scores before and after Surgeries A and B. No incontinence was observed in either group at their postoperative 6th month continence assessments. Conclusions: In this small sample of patients who appeared to be similar at baseline, similar incontinence cures and improvements were made for robotic-assisted and conventional open BC at 6 months. When treating SUI surgically with robotic-assisted hysterectomy, adding robotic BC seems to be a better approach than performing midurethral sling procedures. © 2016, Mary Ann Liebert, Inc.

Ulubay M.,Gulhane Military Medical Academy and Medical School | Ozturk M.,Etimesgut Military Hospital Etimesgut | Fidan U.,Gulhane Military Medical Academy and Medical School | Keskin U.,Gulhane Military Medical Academy and Medical School | And 2 more authors.
Journal of Clinical and Diagnostic Research | Year: 2015

Introduction: Wood’s light lamp is a device that emits ultraviolet (UV) light and is a useful diagnostic tool for dermatologic disorders. The change in the thickness of vaginal mucosa, in vaginal atrophy, causes a change in its colour under Wood’s light. We wanted to assess the feasibility of Wood’s light (WL) as a diagnostic tool for vaginal atrophy. Materials and Methods: The study was conducted at the Department of Obstetrics and Gynaecology from 1 March 2013 to 1 September 2014. We evaluated 45 healthy postmenopausal women with atrophic vaginitis (study group) and 45 healthy, reproductive-aged women as a control group. All patients underwent WL and routine gynaecological examinations for this study. Results: Ninety patients were selected for this study: 45 postmenopausal women suffering atrophic vaginitis symptoms like vaginal dryness, dyspareunia, vulvar pruritus, and signs like pale, smooth, dry, fragile vaginal epithelium, areas of petechiae, and rash, and 45 healthy reproductive-aged women without vaginal atrophy. Thirty-six of the postmenopausal women’s vaginal mucosa appeared pale royal green under WL indicative of vaginal atrophy. Thirty-nine of reproductive-aged women’s (n: 45) vaginal mucosa were not visualized as pale royal green fluorescent images under the WL. Conclusion: Using Wood’s light to diagnose vaginal atrophy is a new use for the old device and may be a reliable, and cheap tool for diagnosing vaginal atrophy. Diagnostic accuracy and cost-effectiveness of Wood’s light will be better optimized in further trials. © 2015, Journal of Clinical and Diagnostic Research. All rights reserved.

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