Browsing by Author "Atilla, M.K."

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Bazex Syndrome: Acrokeratosis Paraneoplastica in Association With Simultaneous Multiple Genitourinary Tumors
(Elsevier Inc., 2000) Atilla, M.K.; Yilmaz, Y.; Bekerecioglu, M.; Akpolat, N.; Kösem, M.; Aydin, S.
We report a patient with Bazex (Bazex-Dupre-Christol) syndrome in association with multifocal basal cell carcinoma, epidermoid carcinoma of the lung, adenocarcinoma of the prostate, and possibly undifferentiated carcinoma of the bladder. To our knowledge, this is the first report of a patient with Bazex syndrome that consisted of four tumors, including two genitourinary tumors. (C) 2000 Elsevier Science Inc.
Can Ldh Activity in Spermatic Vein Indicate Testicular Damage? a Preliminary Report
(Akademiai Kiado Rt., 1998) Odabaş, Ö.; Yilmaz, Y.; Atilla, M.K.; Tarakçioǧlu, M.; Aydin, S.
We aimed to investigate the relationship between varicocele and lactic dehydrogenase (LDH), an intracellular enzyme that indicates cellular damage. LDH levels were measured in the blood samples of 17 oligoasthenospermic infertile patients with varicocele which were obtained synchronously from spermatic and peripheral veins during operation. Sperm counts ranged from 1 to 74 million/ml, while motility ranged from 10% to 60%. LDH level in spermatic vein was found statistically higher than the level in peripheral vein (p= 0.042). There was no correlation between sperm counts and LDH level in spermatic vein. We found a significant increase in spermatic vein LDH level in varicocele. We think that further studies are needed to reveal the relationship between spermatic vein LDH level and varicocele.
Enuresis
(1998) Aydin, S.; Atilla, M.K.
There has been no clear definition for enuresis although it has been accepted as bed-wetting. Nocturnal enuresis which is the most common type, means bed-wetting during sleep. Approximately 1-2 % of the children continues to be enuretic at puberty. Etiologic studies reveal genetic, organic, social and psychologic causes. Since there have been no clear etiologic factors therapeutical approaches are a lot in number such as, supportive education therapy, psychotherapy, behavioural, hypnotherapy and drug therapy. Anticholinergics, desmopressin, imipramin and piracetam are used in pharmacotherapy.
Evaluation of 42 Patients With Chronic Abacterial Prostatitis: Are There Any Underlying Correctable Pathologies
(Akademiai Kiado Rt., 1998) Atilla, M.K.; Sargin, H.; Odabaş, Ö.; Yilmaz, Y.; Aydin, S.
Forty-two young men with abacterial prostatitis underwent physical examination, semen analyses, rectal US (TRUS) and magnetic resonance imaging (MRI) of the pelvis. Findings on TRUS showed no distinct differences like capsular irregularity, dilatation of the seminal vesicles and calcified foci in the prostate. In MRI pathologic conditions were noted as transitional zone cysts, prostatic utricle cysts and abscesses of the seminal vesicles. MRI had been found superior to TRUS in imaging the prostate and to predict associated pathologic conditions. It is also concluded that some additional factors as a cause of prostatitis must be determined in patients with chronic abacterial prostatitis.
Experimental Testicular Torsion and Its Effects on the Contralateral Testicle
(1997) Aydin, S.; Uǧraş, S.; Odabaş, Ö.; Yilmaz, Y.; Atilla, M.K.; Yeǧin, E.
Objective: Following experimental unilateral torsion of the testis the histologic effects of unilateral testicular torsion on the contralateral testis were investigated. Materials and methods: Utilizing detorsion or orchiectomy at 4 hours and 8 hours after torsion, the effects of early and late treatment modalities on the contralateral testicle were observed. Results: Morphometry of the contralateral testis revealed some alterations including focal sclerosis, decrease in mean seminiferous tubular diameter and a marked increase of the Leydig cells in some subgroups. Conclusion: In spite of some changes, definite evidence for contralateral damage due to ipsilateral torsion contributing to male infertility was hardly observed.
Primary Non-Mucinous, Non-Papillary Adenocarcinoma of the Ureter
(Akademiai Kiado Rt., 1998) Yilmaz, Y.; Dilek, H.; Odabaş, Ö.; Atilla, M.K.; Aydin, S.
We report a case of primary, non-mucinous, non-papillary ureteral poorly differentiated adenocarcinoma. The primary focus could only be detected during surgical exploration, because computed tomography (CT), ultrasonography (US), intravenous urography (IVU) and other radiologic and endoscopic procedures revealed no primary neoplastic focus, only lymph node and various bone metastases. Total nephroureterectomy with a bladder cuff was performed to decrease pain of the patient and to remove the primary tumoral focus.
The Role of Power Doppler Ultrasonography in the Diagnosis of Acute Pyelonephritis
(1998) Sakarya, M.E.; Arslan, H.; Erkoç, R.; Bozkurt, M.; Atilla, M.K.
Objective: To assess the ability of power Doppler ultrasonography (PDU) to detect acute pyelonephritis and to compare the findings from PDU with those from enhanced computed tomography (CT). Patients and methods: Eleven patients (mean age 18.5 years, range 5-37) admitted to hospital with a clinical diagnosis of pyelonephritis were assessed with PDU and enhanced CT, the latter providing the reference method. Results: The imaging studies showed normal findings in three patients; a single focus of pyelonephritis was detected by CT in six, whereas a matching defect was detected on PDU in five, with PDU failing to detect an infective focus in one. Multifocal diffuse pyelonephritis was diagnosed correctly by enhanced CT and PDU in two patients. Conclusion: Power Doppler ultrasonography had an overall sensitivity of 88% and complete specificity in the evaluation of patients with acute pyelonephritis.
The Role of Power Doppler Ultrasonography in the Diagnosis of Prostate Cancer: a Preliminary Study
(1998) Sakarya, M.E.; Arslan, H.; Unal, O.; Atilla, M.K.; Aydin, S.
Objective. To determine the role of transrectal power Doppler ultrasonography (PDU) in the diagnosis of prostate cancer. Patients and methods. Thirty-six patients (mean age 66.4 years, SD 7.7, range 59-82) with possible prostate cancer, suspected from an abnormal digital rectal examination or elevated prostate specific antigen level, underwent transrectal ultrasonography, transrectal PDU and biopsy. The vascularity on PDU was graded on a scale of 0-2, where grade 1-2 was considered positive and grade 0 negative. Results. The vascularity was grade 2 in 11 patients, grade 1 in 11 and grade 0 in 14; 20 of the 36 (56%) patients had prostate cancer. Of the 22 patients positive on PDU, 18 had malignant disease and four benign; two of 20 patients with histopathologically confirmed malignancy had a normal PDU. The sensitivity of PDU was 90%, the specificity 75% and the positive predictive value 82%, Conclusion. Focal hypervascularity on PDU was associated with an increased likelihood of prostate cancer. Although ultrasonography alone cannot detect all cancers, even using PDU, the technique appears to increase the sensitivity and to help identify appropriate sites for biopsy.
Testicular Needle Biopsy: Is It a Safe and Adequate Method
(1997) Odabaş, Ö.; Uǧraş, S.; Yilmaz, Y.; Aydin, S.; Atilla, M.K.
We aimed to investigate if testicular needle biopsy is adequate and safe for the examination of testis. Needle biopsies were performed on 21 testes of 5 patients with advanced prostate cancer and 11 patients with cryptorchidism before orchiectomy. Biopsies were done with the prostatic tru-cut needle. After needle biopsy, the tract and puncture sites were explored and an incisional biopsy was performed on each testis. Both needle specimens and open biopsy specimens were fixed in Bouin's solution and sent for histologic examination. There were small haematomas in two testes and moderate heamorrhage between tunica vaginalis layers in another. The tissues obtained by needle biopsy were sufficient except for two specimens and diagnostic accuracy was perfect. Nevertheless, measurement of the seminiferous tubules of the lamina propria could not be achieved in many cases.