Browsing by Author "Gul, Abdulaziz"

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Comparison of Anterior Uterocervical Angle in Unexplained Primary Infertile and Primigravid Cases
(Bayrakol Medical Publisher, 2022) Kaya, Firat; Babayeva, Gulchin; Purut, Yunus Emre; Gul, Abdulaziz
Aim: The aim of this study was to investigate the hypothesis that narrow angle may prevent sperm passage and thus cause infertility by comparing anterior uterocervical angle (A-UCA) in patients with unexplained infertility and primigravid cases at early gestational week.Material and Methods: This study included 126 cases, including 75 cases of unexplained infertility and 51 cases with a diagnosis of primigravid at early gestational week, who applied to the Van Yuzuncu Yil University Gynecology and Obstetrics Clinic between February 2021 and October 2021. A-UCA values of infertile cases were reviewed. Primigravid cases with beta-hCG values of < 1000 mIU/ml were included in the study. A-UCAs were measured with transvaginal ultrasonography and while the bladder was empty.Results: In our study, no statistically significant difference was found between the increase in beta-hCG value and A-UCA value in the pregnant group (p > 0.05). Discussion: It was found that the A-UCA did not show a significant difference between primigravid cases at early gestational weeks and unexplained primary infertile cases.
The Effects of Microwave Emitted by Cellular Phones on Ovarian Follicles in Rats
(Springer Heidelberg, 2009) Gul, Abdulaziz; Celebi, Hacer; Ugras, Serdar
The aim of this study was to investigate whether there were any toxic effects of microwaves of cellular phones on ovaries in rats. In this study, 82 female pups of rats, aged 21 days (43 in the study group and 39 in the control group) were used. Pregnant rats in the study group were exposed to mobile phones that were placed beneath the polypropylene cages during the whole period of pregnancy. The cage was free from all kinds of materials, which could affect electromagnetic fields. A mobile phone in a standby position for 11 h and 45 min was turned on to speech position for 15 min every 12 h and the battery was charged continuously. On the 21st day after the delivery, the female rat pups were killed and the right ovaries were removed. The volumes of the ovaries were measured and the number of follicles in every tenth section was counted. The analysis revealed that in the study group, the number of follicles was lower than that in the control group. The decreased number of follicles in pups exposed to mobile phone microwaves suggest that intrauterine exposure has toxic effects on ovaries. We suggest that the microwaves of mobile phones might decrease the number of follicles in rats by several known and, no doubt, countless unknown mechanisms.
Exploring the Antimicrobial Effects of Cervical Mucus in Pregnants and Its Relationship With the Course of Pregnancy
(Ortadogu Ad Pres & Publ Co, 2010) Gul, Abdulaziz; Tuncer, Hatice; Berktas, Mustafa
Objective: To investigate whether the cervical mucus in pregnants has antimicrobial activity in vitro and to determine its relationship with prognosis of pregnancy. Material and Methods: Cervical mucus samples were collected from 50 women with single pregnancy during the first trimester. Sterilized Wartman papers were soaked into mucus samples and dried under sterile conditions. Culturing was performed by disk diffusion method which uses Miller Hinton medium and Mac-Farland 0.5 solution prepared with Staphylococcus amens, Escherichia colt, Klebsiella pneumonia and Candida albicans. Positive or negative zones were determined by measuring the diameters of inhibition zones occurred following 18 hours incubation period. Prognosis of pregnants with or without antimicrobial effect of cervical mucus were compared. Results: In 28 cases, it was demonstrated that cervical mucus had antimicrobial effects. During the follow-up period of 27 pregnants, 22(81.5%) gave viable birth in term, 3 (11.1%) had abortus, and 1 (3.7%) had early membrane rupture at 36th week of gestation. In 22 cases, cervical mucus showed no antimicrobial effect. 20 of these followed-up and 14 (70.0%) participants gave viable birth at term, 3 (15.0%) had abortus, and 2 (10.0%) had preterm delivery. There was no statistically significant difference between the two groups in terms of pregnancy prognosis. Conclusion: Cervical mucus prevents infections from vagina to upper genital organs not only mechanically but also by functioning as a chemical barrier. In our study, it is established that presence or absence antimicrobial effect of mucus does not have a significant impact on the prognosis of pregnancy. We think that studies with greater number of participants may give different results.
Local Resection May Be a Strong Alternative To Cesarean Hysterectomy in Conservative Surgical Management of Placenta Percreta: Experiences From a Tertiary Hospital
(Taylor & Francis Ltd, 2017) Karaman, Erbil; Kolusari, Ali; Cetin, Orkun; Cim, Numan; Alkis, Ismet; Yildizhan, Recep; Gul, Abdulaziz
Objective: To evaluate and describe a surgical approach for uterine preservation and management of postpartum hemorrhage in placenta percreta. Methods: We analyzed the data of patients who were diagnosed with placenta percreta prenatally and subsequently underwent cesarean section in which local resection technique was used to manage postpartum hemorrhage and uterine preservation at our tertiary care center between 2013 and 2016. The technique includes local resection of placental invasion site and suturing the new uterine edges. Results: The technique of local resection described above was successful in preserving the uterus and stopping the bleeding in 8 of 12 cases. The diagnosis of placenta percreta in all cases was confirmed intraoperatively and postoperatively by histological examinations. Four cases were resorted to hysterectomy. The mean number of transfused erythrocyte suspension was 4.82.6. One complication of bladder injury was encountered in which treated conservatively. Conclusion: Local resection of percreta site is an effective, safe and fertility preserving approach that can be applied to manage the postpartum hemorrhage and preservation of uterus in patients with placenta percreta.
Mastalgia Prevalence and Effects of Methylxanthine Contain Foods on Symptoms of Mastalgia
(Galenos Yayincilik, 2008) Gul, Abdulaziz; Kahramanoglu, Ihsan; Sucakli, Mustafa Haki
Objective: To evaluate the prevalance of mastalgia and, the effects of methylxsanthine containing food on the frequency and severity of mastalgia. Institution: Obstetrics and Gynecology Clinic of Yuzuncu Yil University Medical Faculty and the First and Forth Healthcare Centers, Van Material and method: 1795 women, aged between 15-44 years were interviewed for the complaints of mastalgia. The severity of mastalgia was scored as mild, moderate and severe. The severity of mastalgia were also questioned for the consumption frequency of tea, coffee, cola and chocolate. Results: Of these 1795 women, 797 (44.4 %) have breast pain, while 998(55.6 %) have not breast pain, 539 (67.6 %) of these 797 women with breast pain have mild, 157 (19.7 %) have moderate, 101 (12.6 %) have severe mastagia. Mastalgia occurred in 324 (40.6 %) during menstrual time, in 281(35.3 %) during luteal phase, while in 192 (24 %) was reported during proliferative phase. There was no significant relation between breast pain and coffee, cola, chocolate consumption frequency. There was not significant relation between breast pain and coffee, cola, chocolate consumption frequency (p=0.061). Conclusion: The prevalence of mastalgia in our region was similar to the reports in the literature. The complaint of breast pain was much higher in women drinking tea than women not drinking tea, but this difference was not statistically different. There was not any statistically significant relation between breast pain and coffee, cola, chocolate consumption.