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Item Management of transient ejaculation failure due to erectile difficulties encountered on the oocyte retrieval day(2020) Ozer, Cevahir; Goren, Mehmet Resit; Aytac, Pinar Caglar; 0000-0002-7850-6912; 0000-0002-2001-1386; 31350169; AAM-2222-2020; Y-6143-2019Introduction: Transient ejaculation failure can be seen on the oocyte retrieval day which might cause the cancetation of oocyte retrieval procedure. The aim of this study was to evaluate the management of these patients and to assess the clinical outcome of intracytoptasmic sperm injection (ICSI) using spermatozoa obtained from them. Methods: The records of the oocyte pick-up (OPU) procedures between November 2014 and January 2017 were reviewed, the management and ICSI outcomes of 26 patients with transient ejaculation failure due to erectile difficulties on the oocyte retrieval day were evaluated. Results: Intracavemosat injection (ICI), percutaneous sperm aspiration (PESA) and microdissection testicular sperm extraction (micro-TESE) were performed to 15, 6 and 5 patients, respectively. The sperm retrieval rate (SRR) and live birth rate (LBR) of ICI, PESA and micro-TESE were 26%, 63.6% and 100% and 40%, 16.7%, 38.4% respectively. Conclusions: Although a limited number of cases were evaluated in this study, micro-TESE appears to be the preferable approach when assessed both in terms of sperm retrieval method success and ICSI results. (C) 2019 Asociacion Espanola de Andrologia, Medicina Sexual y Reproductiva. Published by Elsevier Espana, S.L.U. All rights reserved.Item Outcomes of nerve-sparing laparoscopic sacropexy on one hundred fifteen cases(2020) Serbetcioglu, Gonca Coban; Simsek, Seda Yuksel; Alemdaroglu, Songul; Aytac, Pinar Caglar; Kalayci, Hakan; Celik, Husnu; 0000-0002-3285-5519; 0000-0003-4335-6659; 32474191; AAI-9974-2021; AAI-8400-2021; AAK-7016-2021Study objective: To evaluate the postoperative anatomic and functional outcomes of patients who underwent laparoscopic nerve-sparing sacrocolpopexy or sacrocervicopexy for pelvic organ prolapse (POP) POP-Q stage III and IV apical prolapse, and to delineate the contributing factors for recurrence. Study Design and Classification: The file records of patients who underwent sacropexy in the last five years were reviewed retrospectively and compared in terms of preoperative and postoperative anatomic findings and symptoms. Patients: Patients who underwent laparoscopic nerve-sparing surgery for treatment of POP-Q Stage III and IV/prolapse of uterine or vaginal cuff were included. Interventions: Postoperative anatomic and functional outcomes were evaluated using POP-Q classification and urinary/anal function by questioning during visits. Results: The mean follow-up duration was 24.2 +/- 17.6 months. Anatomic recovery was achieved in 104 (90.4 %) cases. Advanced age (>= 70 years), longer duration of symptoms, and low body mass index were determined as parameters related to recurrence risk. (C) 2020 Elsevier Masson SAS. All rights reserved.