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Yayın The dilemma of cesarean myomectomy: Is it safe or not?(Ondokuz Mayis Universitesi, 2021) Gürsoy, A.; Atasayan, K.; Doğan, Tekbaş E.; İlter, E.To evaluate the safety and effectiveness of myomectomy during cesarean section. The data of fifty-four pregnant who underwent cesarean myomectomy and twenty-six pregnant with uterine leiomyoma who had cesarean section without myomectomy between the years of 2017 and 2020 in our tertiary clinic were examined retrospectively. There was no significant difference in terms of maternal age, weeks of gestation, gravida, parity, use of additional uterotonics, type of leiomyoma, size of leiomyoma, cesarean indications, blood transfusion requirement, postoperative fever, preoperative hemoglobin (g/dl), change in hemoglobin (g/dl), preoperative hematocrit (%), change in hematocrit (%), length of hospital stay between the two groups (p>0.05). While no significant difference was observed according to the location of the leiomyomas between the anterior, fundal and posterior location between the two groups, cervical leiomyomas were significantly higher in the CS group (p<0.05). This study shows that cesarean myomectomy is a safe procedure in selected cases. It also offers the advantage of avoiding a second operation in patients. © 2021 Ondokuz Mayis Universitesi. All rights reserved.Yayın Impact of face mask use during the non-stress test in pregnancy(Publishing Office of the University of Rzeszow, 2023) Gürsoy, A.; Tekbas, E.D.Introduction and aim. Face masks used to protect against the COVID 19 pandemic have become a daily routine. The aim of this study was to examine the possible effects of mask use on non-stress test (NST) results during pregnancy. Material and methods. A total of 951 pregnant women were included in the study. They were divided into two groups as those who wear masks and those who do not. These pregnant women were also divided into subgroups as preterm and term periods. Results. The mean age of the pregnant women was 31.2±4.9 and their gestational weeks were between 34+0 and 40+6. There was no significant difference between 34 and 37 gestational weeks pregnants in terms of FHR, reactivity, non-reactivity, deceleration, FHR category distribution and number of fetal movements (p>0.05). The variability was significantly higher in those who did not wear a mask (p<0.05). In pregnancies >37 gestational weeks there was no significant difference in terms of FHR, reactivity, non-reactivity, variability, deceleration and FHR category distribution (p>0.05). The number of fetal movements was significantly (p<0.05) lower in the mask-wearing group. Conclusion. Mask use should be considered in NSTs where variability is reduced or fetal movements are low. Thus, misinterpretation of the NST can be avoided. © 2023 The Author(s).Yayın Overactive Bladder Syndrome in Women(Springer International Publishing, 2022) Peker, B.H.; Gürsoy, A.; İlter, E.; Çelik, A.; Yucel, E.; Bozkurt, S.; Özekici, U.Functional electrical stimulation (FES) is one of the first options for conservative treatment in overactive bladder syndrome (OAB). The role of FES in patients whom not exactly satisfied with anticholinergic treatment is unclear. In this study, pre- and post-treatment assessment of women whom not satisfied with anticholinergics was compared. Adding FES treatment to patients whom not full satisfied with anticholinergic treatment can increase cure rates of OAB cases. © MIPS MediterraneanIncontinence Pelvic Floor Society 2022.Yayın Protective effects of glutathione administration on ischemia-reperfusion injury in rat ovaries(Ondokuz Mayis Universitesi, 2023) Gürsoy, A.; Ipek, B.O.; Sade, A.G.; Atasayan, K.; Dogan, Tekbaş E.; Sitar, M.E.We aimed to examine the biochemical and histopathological potential beneficial effects of glutathione administration on the ovarian ischemia/reperfusion injury (IRI) model. Thirty Wistar Albino female rats were used in this experimental study and were divided into five groups. Group 1 (sham) underwent observational laparotomy. Group 2 (torsion) had their left ovaries torsioned. Group 3 (torsion + detorsion) was detorsioned after torsion. Groups 4 and 5 received the same procedure as group 3. 0,2 ml glutathione was applied to the left ovaries of group 4 (torsion + detorsion + intraovarian glutathione injection) after detorsion. Group 5 (torsion + detorsion + intraperitoneal glutathione injection) was administered 1 ml glutathione intraperitoneally five times. Fifteenth-day blood samples were taken to examine total antioxidant status, total oxidant status, oxidative stress index, anti-mullerian hormone (AMH), and malondialdehyde (MDA) values. Besides, the left ovaries were resected for histopathological examination. Total antioxidant status was significantly higher in the intraperitoneal injection group (p<0.05). The AMH values of the sham and intraovarian groups were similar (p>0.05). MDA value did not differ significantly between the sham, intraovarian, and intraperitoneal injection groups (p>0.05). In histopathological examination, no significant benefit of glutathione application on follicle numbers was shown. The main limitations of our study were the relatively small size of our series, the absence of serial blood measurement, the absence of a group in which intraovarian and intraperitoneal injections were administered together, and the absence of a sham + drug group. Glutathione administration reduces the detrimental effects of ovarian IRI. © 2023 Ondokuz Mayis Universitesi. All rights reserved.Yayın Single-Incision Slings(Springer International Publishing, 2022) Peker, B.H.; Gürsoy, A.; İlter, E.; Çelik, A.; Yucel, E.; Bozkurt, S.; Özekici, U.Recently, single-incision slings (SIMs) are introduced for surgical treatment of stress urinary incontinence. In this study, the long-term results and complications of transobturator tension-free vaginal tape (TVT-O, Gynecare) and a single-incision tape procedure (Contasure-Needleless, Neomedic Int.) were compared. Both procedures are found to have similar outcomes except that single-incision slings had lower rate of de novo urgency. © MIPS MediterraneanIncontinence Pelvic Floor Society 2022.
