Browsing by Author "Kaba, M."

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Evaluation of Urethral Traumas in Children: a Retrospective Analysis
(Logos Medical Publishing, 2024) Kaba, M.; Kılıç, S.; Gecit, İ.
Objectives: This study aimed to evaluate posttraumatic urethral injuries treated at two centers and evaluate the findings in light of the existing literature. Patients and methods: The records of 14 male patients (mean age: 10.2±2.9 years; range, 4 to 13 years) who underwent treatment for urethral trauma between 2010 and 2015 at the first clinic and between 2017 and 2022 at the second clinic were retrospectively analyzed. Variables including age, sex, etiology of trauma, location of urethral injury, presence of associated injuries, surgical interventions performed, and treatment outcomes were systematically assessed. Results: Motor vehicle accidents emerged as the most frequent cause of injury with eight (57.1%) patients. Urethral injuries were observed in seven patients at the bladder neck, six at the posterior urethra, and one at the anterior urethra. Two patients sustained complete injuries, whereas partial injuries were identified in the remaining 12 cases. All patients initially received either a cystofix catheter or a urethral catheter. Two patients underwent open urethroplasty, while internal urethrotomy was performed in 10 patients. Two patients experienced spontaneous recovery without the need for surgical intervention. The patients achieved complete recovery from their initial presentation. Conclusion: Although open repair of urethral injuries may offer a lower risk of recurrence, delayed internal urethrotomy, which is a less invasive approach, should be considered the primary treatment choice in children. © 2024 Logos Medical Publishing. All rights reserved.
Laparoscopic Transperitoneal Nephrectomy in Non-Functioning Inflammatory Kidneys With or Without Renal Stone
(verduci Publisher, 2015) Kaba, M.; Pirincci, N.; Taken, K.; Gecit, I.; Demiray, O.; Eren, H.
OBJECTIVE: To compare our laparoscopic simple nephrectomy results in non-functioning inflammatory kidneys with or without renal stones. PATIENTS AND METHODS: Patients, who underwent laparoscopic transperitoneal nephrectomy for non-functioning kidney between June, 2010 and October, 2014 were included to study. Overall, data of 32 patients including 15 patients with renal stone (Group 1) and 17 patients without renal stone (Group 2) were retrospectively reviewed. RESULTS: Mean age was 44.4 +/- 18.5 years (10-71) in group 1 and 35.2 +/- 21 years (9-77) in group 2. Mean operation time was 95.0 +/- 25.9 minutes (70-175) in group 1 and 86.7 +/- 15.1 minutes (70-125) in group 2. Mean estimated blood loss was found to be 64.13 +/- 26.67 ml (30-120) in group 1 and 58.94 +/- 24.24 ml (30-100) in group 2. Both groups had inflammatory findings in pathological analysis. There was no significant difference between groups regarding estimated blood loss, operation time, pre-operative and post-operative hemoglobin values, percent hemoglobin decrease, complications and hospitalization times (p > 0.05). CONCLUSIONS: Non-functioning kidney with or without renal stone could be operated safely with comparable complication rates and success via laparoscopy in experienced hands.
Modified Raz Operation Backed With Periurethral Roll Mesh in Female Stress Urinary Incontinence
(verduci Publisher, 2012) Pirincci, N.; Kamberoglu, H.; Kaya, C.; Kaba, M.; Gecit, I.; Gunes, M.; Karaman, M. I.
OBJECTIVES: With the modifications that we made, the aim is to increase the effectiveness and the success rate of the Raz operation in the treatment of stress urinary incontinence (SUI) and to present a new approach in the treatment by reducing the complication rates. PATIENTS AND METHODS: Between November 2002 and December 2010, the Raz operation that we modified with the changes such as the placement of cystostomy catheter with the Lowsley clamp, vaginal incision of the bilateral oblique, the placement of periurethral roll mesh, the use of a single 0-degree stamey needle instead of a double needle applicator, binding the sutures mutually and on the support of the polypropylene mesh in suprapubic region was performed to 81 female patients with SUI in lithotomy position under the regional anesthesia. RESULTS: We performed the modified Raz operation to 81 female patients with SUI, who had the complaint of urinary incontinence with the effort lasting for about 4.5 years (between 1-16 years) and whose ages were 28-83 years (mean 55.2 years), childbirth numbers were 0-11 (mean 4.8), weights were 60-85 kg (mean 69.3 kg), and 32 of whom (39.5%) were of grade 1, 49 of whom (60.5%) were of grade 2 with the anamnesia of SUI, and whose stres test was (+) in the physical examination. While the duration of the operation was 39.8 minutes (20-85 minutes) and the duration of the hospitalization was 2.9 days (2-4 days), the duration of the stay of the patients with the cystostomy catheter was determined to be 4.8 days (3-11 days). We found the rate of our success as 93.8% according to the objective criteria. CONCLUSIONS: With the modifications that we made, we increased the success rate of the Raz operation and reduced the rates of the complication. We believe that the place of our modification method in incontinence surgery becomes more clearly with the comparison of the other anti-incontinence surgery techniques in patient groups with the same characteristics.
Retroperitoneal Castleman Disease With Paravertebral Localization Mimicking Nephrolithiasis: a Rare Case
(Yuzuncu Yil Universitesi Tip Fakultesi, 2014) Kaba, M.; Pirinççi, N.; Yavuz, A.; Bora, A.; Soyoral, L.; Bulut, G.
Castleman’s Disease (CD), is a rare condition of uncertain etiology, involves a massive proliferation of lymphoid tissues and typically presents as mediastinal masses. In general, CD is an incidentally diagnosed disease with an asymptomatic course in most cases. We aimed to present a 48-year old woman who presented with left flank pain and had calcifications at the localization of left kidney on abdomen x-ray. The retroperitoneal mass with paravertebral localization was evaluated, because the size of mass in our case was larger than traditional sizes seen in Castleman Disease and calcifications and localization of the mass on KUB x-ray can mimic renal stone disease. © 2014, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.