Browsing by Author "Kaplan, Ş."

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Comparison of Focused and Unfocused Eswt in Treatment of Erectile Dysfunction
(Taylor and Francis Ltd., 2020) Eryilmaz, R.; Kaplan, Ş.; Aslan, R.; Demir, M.; Taken, K.
Recently, extracorporeal shock wave therapy (ESWT) is more commonly used in noninvasive treatment of erectile dysfunction (ED). There is no definitive treatment protocol on the use of ESWT. In this study, we aimed to compare focused and unfocused ESWT in ED. We created two groups, each including 20 patients with similar demographics. Focused ESWT is performed in one group, while unfocused ESWT is performed for the other group. Patients are assessed with IIEF-5 and EHS. Mean score of IIEF-5 was increased by 6.3 ± 3.3 (p <.05) from 9.6 ± 2.9 to 15.0 ± 5.0 in 3-month follow-up in the unfocused group. In the focused group, IIEF-5 score increased by 5.34 in average from 10.01 ± 2.5 to 15.4 ± 3.1. In conclusion, IIEF-5 score was significantly higher in the unfocused ESWT group than the focused ESWT group. © 2019 Informa UK Limited, trading as Taylor & Francis Group.
The Effect of Neuromuscular Electrical Stimulation Therapy on Stress Urinary Incontinence Recurrence: a Randomized Prospective Study
(Yuzuncu Yil Universitesi Tip Fakultesi, 2020) Karaman, E.; Kaplan, Ş.; Kolusarı, A.
The urinary incontinence poses a health problem in community. The standard care for stress urinary incontinence (UI) i s surgical therapy. However there are several methods for prevetion of UI recurrence in these patients. Here, we aimed to evaluate the effect of functional electrical stimulation therapy on stress urinary incontinence recurrence in the postoperative period. Patients who had stress UI and underwent anti-incontinence surgery in our University's Hospital Gynecology Department were randomly divided into two groups. The group 1 received postoperative electrical stimulation of pelvic floor muscles twice in a week (30 minutes) for 4 weeks plus Kegel's exercise and group 2 received only postoperative Kegel's exercise for prevetention of UI recurrence. After completion of therapy, the patients were assesed for urinary recurrence by Wagner's Quality of Life scores Turkish version, pad test and urinary diary. A total of 48 patients were included in the study. All patients had anti-incontinence surgery of which 39 had transvaginal tape (TVT), 7 had transobturator tape (TOT) procedure an 2 had Burch colposuspension. The main predominant diagnosis was Stress UI in all cases. 20 patients included in group 1 and underwent electrical stimulation with Kegel's exercise and 28 patients included in group 2 which had only Kegel's exercise in postoperative period of one month. The demographic characteristic in terms of age, body mass index, gravidity, parity and co-morbid disease did not show any statistical difference(P>0.05). The rate of recurrence in UI was significantly lower in Group 1 than Group 2, respectively (2/20, 10% vs 5/28, 17.8%, p<0.05). The mean Qulaity of life scores in group 1 was statistically significantly lower than group 2(7.3±6.2 vs 18.4±6.52, p<0.05). The pad test result did not show any statistical difference (5.4±4.2 gr vs 7.4±6.4 gr, p>0.05). The electrical stimulation of pelvic floor muscles in postoperative period seems to be effective in prevention of UI recurrence and may be a good strategy to improve the Quality of Life of patients. © 2020, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Reliability of Youtube Videos on Knee Joint Injection
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Özkan, S.; Adanaş, C.; Kaplan, Ş.; Şah, V.
Intra-articular injection requires a visual learning and the knee is the most commonly used joint for t his application. YouTube videos have become a source of visual learning. However, there is a obscurity whether YouTube videos on medical education provide safe and useful information. Therefore, this study aim to evaluate the reliability of YouTube videos on knee joint injection according to the current approach. The term ʺknee joint injection techniqueʺ was used to search the related YouTube videos. The videos were grouped in terms of the uploader, uploading years, and the number of views. The procedure was evaluated and scored for positioning of the patient, palpation of the landmarks, washing hands and wearing gloves, needle approach and entry, drug injection, removing the needle and placing the sponge and finally bandaging. Of the 61 videos, only 11 (18%) had enough quality. The score of videos uploaded by an institution was significantly higher than others (p=0.006). The score of videos viewed over (n=31) and lower (n=30) than 10000 times was 4.5 (IQR 2.0) and 3.5 (IQR 2.0), respectively (p=0.018). There was no statistical significance between the groups according to uploading years (p=0.694). YouTube videos are not enough qualified enaugh reliable visual learning of knee joint injection. The institutional YouTube videos are more educational sources than others. YouTube videos with higher views count also have higher reliability. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.