Browsing by Author "Sekmenli, Tamer"

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Comparison of Dartos Flap and Dartos Flap Plus Spongioplasty To Prevent the Formation of Fistulae in the Snodgrass Technique
(Springer, 2011) Bilici, Salim; Sekmenli, Tamer; Gunes, Mustafa; Gecit, Ilhan; Bakan, Vedat; Isik, Daghan
The aim of our study was to evaluate the role of paraurethral spongial tissue plus dartos flap using an additional urethral cover to prevent fistula formation in patients who underwent surgery with the Snodgrass technique. A retrospective study was performed on 161 patients aged 10 months to 15 years who underwent midpenile and distal hypospadias repair using the Snodgrass technique. The patients were assigned to one of two groups. In Group I (75 patients), the neourethra was covered with the dartos flap, and in Group II (86 patients), the neourethra was covered with the dartos flap plus spongioplasty. Urethral fistulae were encountered in six cases (8%) in Group I, and no fistulae were encountered in Group II. The use of corpus spongiosum as an intermediate layer in urethral coverage, combined with the dartos flap, reduces the likelihood of fistula formation. This procedure can be applied easily and effectively to prevent the formation of fistulae.
A Rare Cause of Prepubertal Scrotal Swelling; Mature Cystic Teratoma
(Duzce Univ, 2012) Sekmenli, Tamer; Bilici, Salim
In this report we aimed to present a case with testicular mature cystic teratoma via clinical, surgical, and histopathological findings. A 10-years-old boy complaining of left scrotal swelling for the last two years admitted to our department. Physical observation revealed a painless, firm, smooth surfaced scrotal swelling. The distention of the left hemiscrotum did not allow the palpation of the testicle. At the preoperative period the case was considered as a non-communicating hydrocele. Surgical exploration was done via a left sided inguinal incision. Surgical exploration revealed a thick capsulated mass with a diameter of 10x8x6 cm. The mass was containing hairy pieces, gelatinous fluid and tooth like calcifications no testicular tissues present. The mass was totally excised. Histopathological examination of the specimen revealed a mature cystic teratoma. If testes could not be palpated or the swelling of the scrotum could not allow making the physical examination, mature cystic teratoma that is a rare cause of testicular mass should be considered.