Browsing by Author "Odabas, O"

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Acupuncture and Hypnotic Suggestions in the Treatment of Non-Organic Male Sexual Dysfunction
(Scandinavian University Press, 1997) Aydin, S; Ercan, M; Caskurlu, T; Tasci, AI; Karaman, I; Odabas, O; Sevin, G
We have examined the effects of acupuncture and hypnotic suggestions, and compared them with placebo in the treatment of male sexual dysfunction with no detectable organic cause. The study comprised 15 men (mean age 36.7 +/- 10.43 years) who received acupuncture treatment, 16 men (mean age 38.4 +/- 10.75 years) who underwent hypnosis (mean age 35.3 +/- 11.52 years) and 29 men (mean age 36.2 +/- 11.38 pears) who served as controls. They were interviewed periodically; the patients' reports were verified by interviewing their partners. Men who received placebo had a 43-47% improvement in sexual function, while the rates of improvement in the treated groups were higher, but not significantly so. The success rates of acupuncture and hypnotic suggestions were 60% and 75%, respectively. Although the improvement was nor statistically significant, treatment with acupuncture could be used as an adjuvant therapy in non-organic male sexual dysfunction. The only treatment superior to placebo seemed to be hypnosis. A more effective treatment may be obtained by combining these therapeutic modalities, but this needs further study.
Assessment of Testicular Cytology by Fine-Needle Aspiration and the Imprint Technique: Are They Reliable Diagnostic Modalities
(Blackwell Science Ltd, 1997) Odabas, O; Ugras, S; Aydin, S; Yilmaz, Y; Atilla, MK
Objective To investigate whether testicular cytology may be considered diagnostic in the evaluation of infertile men. Patients and methods Specimens of testicular tissue obtained either surgically (imprint smear) or through fine-needle aspiration (FNA) were used as a source of cytological smears; 58 testes from 24 men with azoospermia or severe oligospermia and from five men with advanced prostate cancer were evaluated cytologically and compared with the histological diagnosis. Results FNA caused no apparent trauma, The results from FNA smears generally agreed with the histological findings but four patients with no spermatozoa in the FNA smears were diagnosed histologically as hypospermatogenic and two others judged histologically as having Sertoli-cell-only (SCO) syndrome and spermatogenic arrest had detectable spermatozoa in their FNA smears. There was complete agreement between the results of imprint smears and histological findings in those patients with SCO syndrome and spermatogenic arrest, There were no evident differences in sperm counts between hypospermatogenesis and normal spermatogenesis on the imprint slides, but FNA smears detected this difference. Conclusion FNA of the testis is a relatively non-invasive and reproducible technique for evaluating qualitative and quantitative cytology. However, it is insufficient for diagnosing some testicular pathologies. Imprint smears supplement the histological diagnosis, especially if the histological slides are stained unsatisfactorily.
The Efficacy of Fluoxetine in the Treatment of Premature Ejaculation: a Double-Blind Placebo Controlled Study
(Williams & Wilkins, 1996) Kara, H; Aydin, S; Agargun, MY; Odabas, O; Yilmaz, Y
Purpose: The efficacy of the selective serotonin re-uptake inhibitor fluoxetine in the treatment of premature ejaculation was examined. Materials and Methods: The study comprised 17 patients with premature ejaculation who presented to the urology clinic of our medical school. In this double-blind study the patients were randomized into treatment groups receiving 20 mg. fluoxetine daily for 1 week and 40 mg. daily afterward (group 1) or 1 capsule placebo daily for 1 week and 2 capsules daily afterward (group 2). The groups were evaluated according to the latent period of intravaginal ejaculation. Results: The latent period of intravaginal ejaculation in group 1 was significantly longer than that in group 2. Nausea, headache and insomnia were reported side effects. Conclusions: Fluoxetine may be regarded as a safe and effective alternative in the treatment of premature ejaculation.
Efficacy of Testosterone, Trazodone and Hypnotic Suggestion in the Treatment of Non-Organic Male Sexual Dysfunction
(Blackwell Science Ltd, 1996) Aydin, S; Odabas, O; Ercan, M; Kara, H; Agargun, MY
Objective To examine the effects of hypnotic suggestions or the administration of testosterone or trazodone to impotent men with no detectable organic cause for the impotence. Patients and methods The study comprised 79 men in whom clinical and laboratory examinations revealed no organic cause for their impotence; 20 men (mean age 38.7 +/- 11.47 years) received testosterone. 21 men (mean age 39.5 +/- 10.73 years) received trazodone, 20 men (mean age 34.2 +/- 11.69 years) underwent hypnosis and 18 men (mean age 39.1 +/- 11.46 years) served as controls. They were assessed by interview 4, 6 and 8 weeks after starting treatment; the patient's reports were verified by interviewing their partners. Results Men who received a placebo had a 39% improvement in sexual function, while the rates of improvement in the treated groups were higher, but not significantly so. The success rates of testosterone and trazodone treatment and hypnotic suggestions were 60%, 67% and 80%, respectively. Conclusion Although the improvement was not statistically significant, treatment with testosterone and trazodone could be used as an adjuvant therapy in nonorganic male sexual dysfunction. The only treatment superior to placebo seemed to be hypnosis. A more effective treatment may be obtained by combining these therapeutic modalities, but this needs further study.
Eighteen-Month Follow-Up of Cystovaginoplasty: a New Augmentation Operation for Repair of Vesicovaginal Fistulae
(Scandinavian University Press, 1997) Yilmaz, Y; Atan, A; Odabas, O; Aydin, S; Gurel, SA; Aydin, M
We present an 18-month follow-up of a cystovaginoplasty case. Surgery was performed because of a large vesicovaginal fistula. A new technique using the vagina as a pouch was utilized.
A Further Study of Seminal Plasma: Lactate Dehydrogenase and Lactate Dehydrogenase-X Activities and Diluted Semen Absorbance
(Walter de Gruyter & Co, 1997) Aydin, S; Yilmaz, Y; Odabas, O; Sekeroglu, R; Tarakcioglu, M; Atilla, MK
Activities of total lactate dehydrogenase, which plays an important role in providing energy for cell metabolism, lactate dehydrogenase-X, an isoenzyme of lactate dehydrogenase supposed to be specific for germinal epithelium activity, diluted semen absorbance and some other properties have been measured in 51 seminal plasma samples. Aiming to study its clinical use as a marker of seminiferous epithelium activity, determination of isoenzyme-X and investigation of correlation between it and the spermiogram properties were carried out. Besides lactate dehydrogenase and lactate dehydrogenase-X activity, their ratio and diluted semen absorbance were correlated with the different properties of the spermiogram, the best correlation of the enzymes being obtained with the total sperm count and motile sperm count. Correlation of diluted semen absorbance with the total sperm count and motile sperm count was also noted, whereas it did not correlate with sperm concentration and motility rate. The data suggests the clinical utility of these properties as reliable markers for both germinal activity and spermatozoid quality when ''total sperm count'' and ''motile sperm count'' are used to define sperm properties instead of just sperm concentration and motility rate.
A Nonsurgical Approach To the Treatment of Phimosis: Local Nonsteroidal Anti-Inflammatory Ointment Application
(Williams & Wilkins, 1997) Atilla, MK; Dundaroz, R; Odabas, O; Ozturk, H; Akin, R; Gokcay, E
Purpose: We evaluated the effectiveness of topical application of nonsteroidal anti-inflammatory ointment for phimosis. Materials and Methods: A total of 52 children with phimosis was included in this study. Phimosis was graded according to severity. Of the patients 32 were given locally a nonsteroidal anti-inflammatory ointment prepared in ophthalmic usage form from sterile diclofenac sodium ampules (not commercially available). The control group comprised 20 patients given sterile petrolatum ointment. Patients were seen before and after treatment, and graded according to retractibility and appearance of the foreskin. Treatment continued for 4 weeks with 3 applications daily. Results: Of the 32 patients 24 responded to therapy and 8 remained unchanged or had insufficient improvement. Three controls responded to therapy and 17 did not. There were no side effects. Conclusions: Nonsteroidal anti-inflammatory ointment application for phimosis may be an alternative to surgery and steroid application.
A Suspected Case of Bilateral Crossed Renal Ectopia or Bilateral Jet Effect
(Karger, 1996) Aydin, S; Odabas, O; Yilmaz, Y; Bozkurt, M; Atilla, MK; Onur, D; Dogdu, GA
Crossed renal ectopia is a relatively unusual congenital anomaly. Bilateral crossed renal ectopia is considered the rarest form of this anomaly. A 19-year-old girl with intermittent flank pain was admitted to our department. Various clinical and laboratory examinations were carried out. Excretory urography showed a normal upper urinary tract anatomy, whereas the distal ends of the ureters crossed each other in the pelvis, which suggested bilateral crossed renal ectopia.
Undescended Testes in Adults: Clinical Significance of Resistive Index Values of the Testicular Artery Measured by Doppler Ultrasound as a Predictor of Testicular Histology
(Williams & Wilkins, 1997) Atilla, MK; Sargin, H; Yilmaz, Y; Odabas, O; Keskin, A; Aydin, S
Purpose: We evaluated the clinical significance of arterial impedance as a predictor of testicular histology in adults with undescended (inguinal) testes. Materials and Methods: We performed arterial impedance and testicular diameter measurements with the use of color Doppler ultrasonography on 22 adults with undescended testes. Arterial impedance of the contralateral descended testes served as controls. All patients later underwent inguinal orchiectomy and the testes were examined histologically. Results: Of the 22 undescended testes, 7 had arterial impedance values below 0.50, and the other 15 had values equal to or above 0.50. All testes with arterial impedance values below 0.50 had histologic scores between 2 and 3, whereas the others had scores of 3 and 8. Arterial impedance values and testicular volumes in the contralateral testes were significantly higher than the undescended testes. Although some of the testes with arterial impedance values above 0.50 had histologic score 3, testes with arterial impedance values below 0.50 never exceeded score 3. Volume differences of the undescended testes were not statistically significant. Conclusions: Arterial impedance of an undescended testis may have a predictive value and provide more accurate information about its histology than the volume measurement itself.
Use of Fibrin Glue in Dog Kidney Model
(indian veterinary Journal, 2004) Bakir, B; Odabas, O; Genccelep, M; Kosem, M; Aslan, L
It is difficult to-obtain adequate haemostasis in the presence of friable tissues and coagulopathy as any attempts to control bleeding by the placement of additional sutures may further aggravate the situation. Therefore, to control bleeding, topical haemostatic agents are generally used. In this study, the effect of fibrin glue on controlling bleeding during partial nephrectomy and wound healing has been investigated.