Browsing by Author "Celik, Nilufer Yigit"

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Comparing Trans Obturator Tension Free Vaginal Tape Surgery with Needleless Suburethral Sling
(2015) Bakay, Kadir; Aytekin, Fatih; Celik, Nilufer Yigit; 0000-0002-0300-0810; H-9018-2018
Aim: Urinary incontinence is described by the International Continence Society as an involuntary urinal discharge that can be objectively proved to cause hygenic and social problems. We aim to share our surgical experience in 51 patients in which trans obturator tension free vaginal tape procedure [TOT] is compared with needleless suburethral sling placement, also known as minisling. Material and Method: 51 patients complaining of genuine stress incontinence between December 2011 and December 2012 were retrospectively involved in the study group. All patients were examined and urodynamically tested for diagnosis. After getting positive results as genuine stress incontinence, surgery was planned. Patients were operated using outside-inside TOT technique and minisling technique, results were compared in terms of blood loss, operation time, and the surgical effectiveness of the technique. Results: Operation time was 27 +/- 6 minutes for TOT and 11 +/- 4 minutes for minisling respectively. Comparison of operation time and blood loss was in favor of the minisling group. Disscussion: TOT and minisling are both described as minimally invasive procedures that can be performed under regional anesthesia to an outpatient with minisling bearing all the advantages of TOT without needle complications.
Differences fin Geographical Distribution and Risk Factors for Urinary Incontinence in Turkey: Analysis of 6,473 Women
(2014) Dursun, Polat; Dogan, Nasuh Utku; Kolusari, Ali; Dogan, Selen; Ugur, Mete Gurol; Komurcu, Ozge; Altuntas, Baris; Gultekin, Murat; Celik, Nilufer Yigit; Karaca, Mehmet; Guzel, Ahmet Baris; Cim, Numan; Ege, Serhat; Koc, Onder; Yigit, Filiz Altinok; https://orcid.org/0000-0001-5139-364X; 24051428
Objective: To assess the prevalence, types and risk factors for urinary incontinence (UI) and to evaluate the impact of incontinence on quality of life by using validated and objective questionnaires in the western and eastern parts of Turkey. Methods: In this multicenter observational study, 6,473 women from 38 cities in the western and eastern parts of Turkey were included. UI was assessed by ICIQ-SF (International Consultation on Incontinence Questionnaire Short Form) and IIQ-7 (Incontinence Impact Questionnaire). Results: The UI rate was 20.9% (10% for stress, 8.3% overactive bladder and 2.6% for mixed type). In all, stress incontinence was the most common type. The rate of UI in women residing in the west was higher than in women living in the east (p < 0.001). ICIQ scores were comparable in the two groups but women in the west scored higher in each item of the IIQ. Age >40 years (p < 0.001), number of siblings >5 (p < 0.001) and low educational status (p < 0.001) increased the rate of incontinence. In binary logistic regression analysis menopausal status, age >40 years, number of siblings >5, being overweight, region of residence, and educational status were associated with UI. Conclusion: The rate of UI in women residing in the western part of Turkey was higher than women living in the east. Residing in a different geographical region (in our case living either in the western or eastern part of Turkey) seemed to be an independent risk factor for UI. Moreover, UI deteriorates quality of life and more attention should be paid to this vulnerable population. (C) 2013 S.Karger AG, Basel
Progesterone Supplement and Luteal Phase Deficiency in Unifollicular Intrauterine Insemination Cycles
(2015) Bakay, Kadir; Aytekin, Fatih; Celik, Nilufer Yigit; 0000-0002-0300-0810; H-9018-2018
Aim: Intrauterine insemination is a widely used technique with advantages of being a simple and less invasive method with a lower cost when compared to other assisted reproductive techniques. In the present prospective randomized controlled study we aim to prove that progesterone supplementation is a beneficial factor in pregnancies achieved with intra uterine insemination and also we want to emphasise that luteal phase deficiency does not always occur in multifollicular cycles but can be seen in unifollicular cycles as well. Material and Method: Patients diagnosed with unexplained infertility between December 2011 and December 2012 were admitted to the study group. 278 IUI cycles with COH using recombinant FSH induction were recorded. Results: The effect of progesterone supplement on achieving pregnancy was statistically significant (p<0.05) with a rate of 33.66% when compared to the non-receiving group that had a rate of 12.22%. Discussion: Progesterone supplementation, either in defective luteal phase or not has a chance of improving pregnancy rates in general and contrary to the notion that luteal phase deficiency mainly occurs in multifollicular cycles, it can be seen in unifollicular patients as well.