Browsing by Author "Demir, Ö"
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Item Prevalence of metabolic syndrome and its association with erectile dysfunction among urologic patientsBal, K; Öder, M; Sahim, AS; Karatas, CT; Demir, Ö; Can, E; Gümüs, BH; Özer, K; Sahin, O; Esen, AAOBJECTIVES To identify the prevalence of metabolic syndrome (MS) and its association with erectile dysfunction (ED) among urologic patients. METHODS The study population consisted of 393 male patients aged 40 to 70 years, who were admitted to the urology clinics of four different institutions from February to March 2005. The waist circumference (WC) and triglyceride (TG) and high-density lipoprotein (HDL) cholesterol levels were measured. Patients were divided into two groups: group I consisted of patients with a WC greater than 102 cm, and group 2 consisted of patients with a WC of less than 102 cm. The erectile status of the two groups was compared. RESULTS Of the 393 patients, 157 (39.9%) had MS. Of the 393 patients, 124 with MS (79%) and 146 without MS (61.9%) had ED. The presence of MS was significantly associated with ED (P < 0.001). In the presence of an increased WC with normal serum HDL and TO levels, the relative risk of ED was 1.94. If the patient with an increased WC had a pathologic level of HDL or TG, the relative risk of ED increased up to 2.97-fold. The relative risk of ED in the presence of an increased WC, together with pathologic levels of HDI, and TO, was 3.38. CONCLUSIONS In our study, MS was strongly associated with ED. Fasting blood glucose levels, hypertension, and WC are the most significant risk factors predicting the risk of ED. A more pronounced increase in ED risk in the presence of abdominal obesity, together with altered TG and HDL cholesterol levels, may indicate a special metabolic background of ED regarding tipid metabolism.Item Changing the Demographic Characteristics of Males with Erectile Dysfunction During the Coronavirus Disease-2019 Pandemic: A Multi-institutional Comparative Analysis with the Non-pandemic PeriodSen, V; Irer, B; Horsanali, MO; Sahin, MO; Egriboyun, S; Kizer, O; Öztürk, B; Sarikaya, E; Ongun, S; Üçer, O; Bozkurt, O; Demir, ÖObjective: This study aimed to present the impact of coronavirus disease-2019 pandemic on seeking treatment in patients with erectile dysfunction (ED) and compare the clinical characteristics, demographics, and laboratory analysis of patients with ED during and before the pandemic period. Materials and Methods: The clinical and demographic characteristics and laboratory analysis of patients with ED were compared between the time interval of March 9, 2020, to June 1, 2020, and the previous 3 months from the pandemics. The International Index of Erectile Function-5 questionnaire was used to assess ED and the results from two groups were compared. Results: A 76.4% decreased total number of outpatient clinics and a 70.9% decreased number of patients with ED was observed; however a significant increase was detected in the ratio of patients with ED to the total number of patients during the pandemic period (1.7% vs. 2.1%, p=0.008). The median age of patients was smaller in the pandemic period. Mild ED was significantly higher in the pandemic period and moderate ED was detected higher in the period before the pandemic. Conclusion: The admission rate of patients with ED has increased in the pandemic period. The patients presenting with ED during the pandemic period were younger, with milder ED symptoms.Item Clinical Characteristics of the Premature Ejaculation Sufferers in Aegean Region of the Turkey: A Multicentre, Observational StudyCihan, A; Demir, Ö; Sahin, A; Zeren, F; Bolat, D; Özçift, B; Pektas, A; Can, E; Gümüs, B; Turan, T; Bölükbasi, A; Erol, H; Esen, AAObjective Demonstration of the intra-vaginal ejaculation latency time (IELT) distribution in male subjects and its clinical expressions among couples in the Aegean region of the Turkey. Materials and Methods Subjects were recruited to the study from six different urologic centers in the Aegean region. During the enrollment period subjects were recruited in to two group according to presence of premature ejaculation (PE). PE diagnosis was made according to DSM-4 definition. Subjects and their partners were evaluated with patient reported outcome measures (PRO) related to the ejaculation-based questionnaire (Premature ejaculation patient profile questionnaire -PEPQ). Stopwatch measurements were also asked from each couple to record intravaginal ejaculation latency time (IELT). Couples who completed two clinical visits with 4 wk interval were recruited to the data analysis. Results Among 141 eligible subjects, mean age was 36.5 +/- 9.7 years and mean partner age was 32.9 +/- 9.8 years. Following the initial evaluation 80 subjects recruited to group 1(PE) and 41 subjects recruited to the group 2 (non-PE). Geometric mean IELT of the subjects was significantly differed between PE and non-PE group (64.7 +/- 66.8 vs. 521.5 +/- 414.7 seconds, p<0.001). All of the PEPQ domain scores were also differed between groups. Subjects in the PE group gave poor ratings than non-PE subjects. Partner responses were similar pattern. Correlation analyses of the PEPQ scores demonstrated significant positive correlations between perceived control over ejaculation and satisfaction with sexual intercourse domains of the PEPQ and with IELT. Conclusion Geographic distribution of IELT and its impacts among couples by the several subjective aspects of PRO measures should be assessed during PE investigations.Item Assessment of Proportion of Hidden Patients Having Symptoms of Overactive Bladder and Why Has It Been Hidden in Female Outpatients Admitted to HospitalÜçer, O; Demir, Ö; Zeren, MF; Ceylan, Y; Çelen, I; Zümrütbas, AE; Temeltas, G; Bozkurt, O; Günlüsoy, B; Çelik, Ö; Ekin, G; Mertoglu, OPurpose: To determine the proportion of patients with undetected symptoms of overactive bladder by using the overactive bladder-validated 8 (OAB-V8) screening questionnaire and investigate these symptoms were undetected in female patients who were hospitalized. Methods: We invited 2,250 female patients hospitalized in the Aegean region of Turkey to answer a self-administered questionnaire. The questionnaire included questions on evidence of lower urinary tract symptoms (OAB-V8), relevant medical history, and demographic data. Patients with a total OAB-V8 score >= 8 were defined as having OAB symptoms. Results: The proportion of patients with OAB symptoms in this study was 40.6%. Nearly 57% of the patients with OAB symptoms had not been previously admitted to any hospital for lower urinary tract symptoms (LUTS). The two most common reasons why women with OAB symptoms did not admit themselves to a hospital because of LUTS were as follows: I did not think I had a disease and The symptoms did not bother me, with a response rate of 74.7%. The mean OAB-V8 scores of the patients with these two responses were significantly lower than those of the other patients (P<0.001). Conclusions: This is the first study to demonstrate a significant proportion of women with undetected OAB symptoms. The main reasons the women did not admit themselves to a hospital were their unawareness of the disease and because the LUTS were not bothersome. Public awareness programs on this disease may resolve this problem.Item Reliability and Validity of the Turkish Language Version of the International Consultation on Incontinence Questionnaire - Male Lower Urinary Tract SymptomsMertoglu, O; Üçer, O; Ceylan, Y; Bozkurt, O; Günlüsoy, B; Albaz, AC; Demir, ÖPurpose: Patients receiving treatment for benign prostate hyperplasia may have persistent storage symptoms. There has been increasing debate on the precision and accuracy of the International Prostate Symptom Score questionnaires over other questionnaires in evaluating all the complaints of lower urinary tract symptoms (LUTS). The aim of this study was to perform the validity and reliability analysis of the Turkish version of the Internatinal Consultation on Incontinence Questionnaire-Male LUTS (ICIQ-MLUTS). Methods: Linguistic validation was studied (i.e., translation and back translation). Intelligibility was completed between October 2013 and November 2013. Data was collected between November 2013 and March 2014. The stability and reliability of the form were measured with the Cronbach test. Results: In total, 117 male patients were included in the study. At the first visit, the mean age of the patients was 59 years (range, 18-84 years). For reliability, the Cronbach alpha value was 0.798, demonstrating the internal consistency of the form (r>0.7). The internal consistency of each question was examined separately and found to be over 0.7. For the evaluation of test-retest reliability, the test was administered to 116 patients for a second time with an interval of 2-4 weeks. The first and second test scores for each question were found to be correlated (r=0.741). Conclusions: ICIQ-MLUTS is a new questionnaire, which can be used for evaluating male LUTS in Turkey. We believe that the Turkish version of the ICIQ-MLUTS is an important breakthrough in our country.