Browsing by Author "Engin-Üstün, Y."

Now showing 1 - 2 of 2

Comparison of Presence of Autoimmune Activity in Patients With Premature Ovarian Failure and Menopause
(2003) Engin-Üstün, Y.; Üstün, Y.; Iltemir, C.; Demirel, L.C.; Kurtay, G.
Objective: To assess and compare autoimmune activity in patients with premature ovarian failure (POF) and menopause. Method: Thirteen women with premature ovarian failure but with no history of autoimmune disease were recruited into the study group and 15 women with natural menopause into control group between January 1999 and November 2000. The mean FSH levels of patients with premature ovarian failure were 73.95±29.11 (range: 41-130.7 U/L). Nuclear (antinuclear antibody=ANA, double-stranded DNA antibody=anti-dsDNA) and cardiolipin antibodies (IgM, IgG), immunoglobulins (IgM, IgG, IgA) and complement (C3, C4) levels were determined. Student's t test was used to compare the groups. Results: Antinuclear antibody was positive in 30.7% of patients with premature ovarian failure and in 13.3% of controls. There was no significant difference in anticardiolipin antibodies, immunoglobulins and complement levels between the groups (p>0.05). Conclusion: In our study, no autoimmune deficiency was found in patients with POF.
Tension-Free Vaginal Tape Compared With Laparoscopic Burch Urethropexy
(Journal of the American Assoc. of Gynecologic Laparoscopists, 2003) Üstün, Y.; Engin-Üstün, Y.; Güngör, M.; Tezcan, S.
Study Objective. To compare laparoscopic Burch colposuspension and tension-free vaginal tape (TVT) procedure in women with genuine stress incontinence. Design. Randomized clinical study (Canadian Task Force classification I). Setting. Tertiary care university hospital. Patients. Forty-six consecutive women. Intervention. Laparoscopic Burch colposuspension (23) and TVT procedure (23). Measurements and Main Results. Valsalva leak-point pressure increased after surgery in both groups, but TVT substantially decreased maximum urinary flow rate. Other urodynamic studies showed no statistical differences. The groups did not differ significantly with respect to intraoperative complications or objective and subjective cure rates. Operating time was significantly longer for laparoscopic Burch (p = 0.001), and three patients in that group required conversion to laparotomy. Length of hospital stay (p = 0.003) and duration of catheterization (p = 0.003) were shorter in the TVT group. Conclusion. TVT holds promise in women with genuine stress incontinence, with several advantages over laparoscopic Burch.