Browsing by Author "Karakose, A"

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    Analysis of Radiofrequency Ablation of Small Renal Tumors in Patients at High Anesthetic and Surgical Risk: Urologist Experience with Follow-up Results in the Initial Six Months
    Yuksel, MB; Karakose, A; Gumus, B; Tarhan, S; Atesci, YZ; Akan, Z
    Background: To evaluate the results of various types of radiofrequency ablation (RFA) treatment of renal tumors in patients with excessive anesthetic and surgical risk. Materials and Methods: Data for RFA performed in in high risk patients were retrospectively evaluated. Other RFA applications in patients with no anesthetic and/or surgical risk were excluded. RFA was by ultrasound or CT guided percutaneous (USG/CT-PRFA) and retroperitoneally or transperitoneally laparoscopic (R/T-LRFA) techniques under general or local anethesia. Follow-up data of enhanced CT or MRI after 1, 3 and 6 months were analysed for twelve RFA applications. Results: The RFA applications included 4 (40%) left-sided, 5 (50%) right-sided and 1 (10%) bilaterally RFA (simultaneously 1 right and 2 left). The localizations of tumors were 2 (16.6%) upper, 5 (41.6%) mid and 5 (41.6%) lower pole. The RFA applications included 9 (75%) USG-PRFA, 1 (8.3%) CT-PRFA, 1 (8.3%) T-LRFA and 1 (8.3%) R-LRFA. The mean age was 65.3 +/- 8.5 (52-76) years. The mean tumor size was 29.6 +/- 6.08 (15-40) mm. No complications related to the RFA were encountered in any of the cases. Failure (residual tumour) was determined in 8.3% (1/12) of USG-RFA application. The success rate was thus 91.7% (11/12). Other 1st, 3rd and 6th months follow-up data revealed no residua and recurrence. Conclusions: RFA application appears to be safe as a less invasive and effective treatment modality in selected cases of small renal tumors in individuals with excessive anesthetic and also surgical risk.
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    The Comparison of Short Term Results of Transobturatour Tape and Single Incision Midurethral Sling Procedures
    Yuksel, MB; Kose, O; Karakose, A; Gorgel, SN; Yilmaz, Y; Gumus, B
    Objectives: We aimed to evaluate the efficacy of transobturator tape (TOT) and single incision mini sling (SIMS) procedures in the treatment of stress urinary incontinence (SUI). Materials and Methods: The data of 32 patients who underwent TOT(Promedon (R)) or SIMS (Ophira (R)) operations related to SUI between January 2010 -August 2012 were retrospectively evaluated. The sample divided in two groups according to the operation type. The demographical features, preoperative, perioperative, and postoperative data were analysed and compared between two groups to evaluate the efficacy of the operations in SUI. All patients were assessed with a detailed history, physcical examination, cough test, Q-tip test, ultrasonography, postvoiding residual measurement, cystometry and UDI-6, IIQ-7 questionares. Postoperatively, the patients without any incontinence on cough test or sistometry were defined as the success. Results: The parameters of age, menapousal status, number of vaginal delivery, and body mass index were similar in two groups. The mean operation time was significantly shorter in SIMS group (16 +/- 3 vs 27 +/- 5, p<0.05). Postoperative succes was not different between two groups (88%, %80 respectively, p>0.05). Postoperative UDI-6 and IIQ-7 scores were 3.5 +/- 3.4 vs 3.8 +/- 4.8 and 4.4 +/- 4.2 vs 5.1 +/- 5,6 respectively, and they were similar (p>0.05 in both). In addition, the improvement in these scores were not statistically significant between two groups (p> 0.05 in both). Conclusion: SIMS procedure is safe and as effective as TOT with shorter operation time in the surgical teratment of female SUI.