Browsing by Author "Kilinc, Ferhat"

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    The Course of Renal Function After Radical Cystectomy with Ileal Conduit Diversion for Bladder Cancer
    (2019) Oze, Cevahir; Goren, Mehmet Resit; Egilmez, Tulga; Kilinc, Ferhat; Guvel, Sezgin; 0000-0002-7850-6912; 0000-0002-2001-1386; 0000-0001-6037-7991; AAM-2222-2020; Y-6143-2019
    Objective: We evaluated the course of the renal function and potential risk factors for renal deterioration in patients who had undergone radical cystectomy with ileal conduit diversion. Materials and Methods: A retrospective study evaluated 121 patients, including 114 male and 7 female who underwent radical cystectomy with ileal conduit diversion. Estimated glomerular filtration rate (eGFR) was calculated and postoperative changes in renal function were reviewed. The clinical variables influencing renal function were evaluated. Results: The median follow-up period was 35.6 months (range, 12.2 to 139.6 months). The mean eGFR was 78.37 +/- 27.58 mL/min/1.73 m(2) before surgery and 90.14 +/- 29.68 mL/min/1.73 m(2) at 5 years postoperatively. The comparison of preoperative eGFR and the last follow-up eGFR showed the no statistically significant difference (p=0.195). Statistical analysis showed that development of postoperative urinary tract obstruction and postoperative urinary tract infection were significant adverse factors (p=0.008, p=0.026, respectively). Conclusion: Thirty two patients (53.3%) developed renal deterioration during the follow-up period. Development of urinary tract obstruction and urinary tract infection in the postoperative period were found to be significant adverse factors affecting renal function.
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    Is the Grade of Vesicoureteral Reflux Related with Detrusor Overactivity?
    (2014) Kilinc, Ferhat; https://orcid.org/0000-0001-9506-0046; AAL-6156-2021
    Aim: The videourodynamic study outcomes in patients with vesicoureteral reflux were retrospectively reviewed. The aim of this study is to evaluate the relationship between the idiopathic detrusor overactivity and the grade of vesicoureteral reflux. Material and Method: We reviewed retrospectively the videourodynamic traces of 71 vesicoureteral reflux patients without neuropathic conditions. Patients were divided into two groups: Patients without concomitant detrusor overactivity (Group 1), and patients with concomitant detrusor overactivity (Group 2). The reflux grades were divided into two grades; low-grade reflux (grades 1 and 2), high-grade reflux (grades 3, 4 and 5). Data were analyzed using the chi-square test. Results: Patients ages ranged between 5 and 16 years (mean 8.37 +/- 2.97 years). Of the 71 patients, 39 (54.9%) had a normal detrusor activity (Group 1), 32 (45.1%) had a detrusor overactivity (Group 2). Twenty-five (64.1%) patients in-group 1 had a low-grade reflux, 14 (35.9%) patients had a high-grade reflux. In-group 2, 17 (53.1%) patients had a low-grade reflux, 15 (46.9%) patients had a high-grade reflux. There was no significant difference between the two groups (p=0.488). Discussion: The idiopathic detrusor overactivity can be observed during urodynamic investigation of patients with vesicoureteral reflux, but it has no effect on the grade of reflux.