Browsing by Author "Akar,B."

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Citation Count: 0
An effective method of teaching cystoscopy to obstetrics and gynecology specialists
(Galenos Publishing House, 2022) Akar,B.; Saribacak,A.; Ceylan,Y.; Çalişkan,E.
Objectives: In this study, it was aimed to evaluate the knowledge and skills of gynecologists and obstetricians about cystoscopy theoretically and practically during the two-day urogynecology course. Materials and Methods: Thirty-eight gynecologists and obstetricians aged 29–55 were simultaneously enrolled in cystoscopy training and evaluation in the urogynecology course, which includes theoretical, fresh cadaver and live surgery training stages. In addition, a theoretical evaluation was made with quizzes before and after fresh cadaver training. Finally, 6 months after the training, all trainees were called by phone and detailed information about their surgical experiences was obtained after the course. Results: After the cadaver training, it was observed that the time and motion scores and instrument handling scores of the trainees increased significantly on the patients. Conclusion: With surgical courses and simulations, the use of cystoscopy should be increased in the diagnosis and management of complications in urogynecological surgical procedures during and after the residency training of gynecologists and obstetricians. © 2022 by the International Society for Pelviperineology / Pelviperineology published by Galenos Publishing House.
Citation Count: 0
The evaluation of uterine leiomyoma prevalence and its effect on cervical length during mid-trimester ultrasound scan
(Ortadogu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2020) Karadag,C.; Akar,B.; Gönenç,G.; Çaliskan,E.
Objective: This study aims to investigate the effects of uterine leiomyomas' on cervical length in pregnant women during mid-trimester ultrasound scan. Material and Methods: In this study, 1908 pregnant women aged 18-44 years were evaluated via abdominal and transvaginal ultrasounds in the mid-trimester (18-24 weeks). The number, size, type and location of the leiomyomas were screened and recorded. Cervical length was measured transvaginally on an empty bladder. Short cervix was defined as lower than 25 mm. Pregnant women with leiomyoma were compared with pregnant women without leiomyoma regarding cervical length and short cervix incidence. Results: Eighty (4.2%) patients were diagnosed with uterine leiomyoma and the mean diameter of uterine leiomyomas was 31.4 mm. The mean cervical length of the leiomyoma group was significantly lesser than that in pregnant women without leiomyomas (p=0.001). The number of women with a short cervix was higher in the leiomyoma group than the controls (p=0.001). There was a significant positive correlation between age and leiomyoma prevalence (r=0.294, p=0.021). There was a significant negative correlation between myoma size and cervical length in women with only one leiomyoma (r=-0.325, p=0.015). Conclusion: Pregnant women with leiomyoma have higher incidence of short cervix. Leiomyomas could negatively affect cervical length. Copyright © 2019 by Türkiye Klinikleri.
Citation Count: 0
Female genital aesthetic surgery: comparison of cadaver and live surgery training models
(Galenos Publishing House, 2022) Akar,B.; Ceylan,Y.; Ellibeş Kaya,A.; Çalişkan,E.
Objective: In this study, it was aimed to search the efficiency of fresh cadaver course and live surgical operations for female genital aesthetic surgery application. Materials and Methods: Seventy-three obstetrics and gynecology specialists underwent a two-day course about genital cosmetic surgery that includes theoretical lectures, fresh cadavers and live surgeries. These surgeons divided into two group. First group trained on cadavers (n=33), second group was involved in live surgeries (n=40). Skills in genital cosmetic surgery, applied procedures, number of participating colleagues in a procedure, ability to learn and motivations to take the course were compared before and after the training course. At the 6th month of education every trainee were called and interviewed about the progress they got after the education. Results: After the fresh cadaver and live surgery training, numbers of trainees who performed genital cosmetic procedures (GCP) before the course and 6 months after the course were compared. A meaningful increase on numbers of trainees after the course who performed all GCP applications was observed. According to the statistics of participants, it was observed that a live surgical course is more beneficial than a cadaver course. Numbers of trainees who performed genital aesthetic surgery before and 6 months after the course were compared. A meaningful raise was observed in the statistics of trainees’ numbers who performed all surgical applications apart from anterior and posterior compartment repair. Conclusion: Fresh cadaver and live surgical courses have positive effects in the long term for the surgeons who have lack of surgical confidence and skills. © 2022 by the International Society for Pelviperineology / Pelviperineology published by Galenos Publishing House.
Citation Count: 0
Female sexual function outcomes in patients operated for pelvic floor dysfunction: Comparison of synthetic mesh with native tissue repair
(Galenos Publishing House, 2023) Akar,B.; Köle,E.; Karagün,G.; Aslan,E.; Çalişkan,E.
Objectives: We aimed to evaluate the impact of urogynecologic mesh implantations on sexual function using female sexual function index (FSFI) questionnaire Materials and Methods: In this cross-sectional retrospective study, a total of 187 patients which found to have pelvic organ prolapse or stress urinary incontinence (SUI) surgery were investigated between 2015 and 2022. Patients whose main complaint was SUI and had tension free vaginal tape operation (n=21) or transobturator tape operation (n=17) constituted the “Midurethral mesh group” (n=38). Those who had cystocele repair with double obturator trapezoid mesh formed the “Cystocele repair with mesh’’ group (n=35). Patients who had cystocele repair with natural tissue repair without any mesh implant in the vagina or elsewhere in the pelvis constituted the “Natural tissue repair’’ group (n=79). The patients were informed about the study and their consent was obtained. Results: The mean time elapsed since surgery till FSFI measurement was 32±6.5 months in Midurethral Mesh group; 34±7.1 months in the “Cystocele repair with mesh group and 33±7 months in the natural tissue repair group (p>0.05). Total FSFI scores 22.8±6.8, 22.2±7.5, 22.5±7.9 and the frequency of patient with scores lower than 26.5, which is the cut-off for disfunction, was 27 (71.1%), 20 (57.1%) and 47 (59.5%) similar in the three groups (p>0.05). The FSFI subdomain scores such as desire, arousal, lubrication, orgasm, satisfaction, pain was similar in the three groups (p>0.05 for all comparisons). Discussion: Our study demonstrated that surgical repair of symptomatic pelvic organ prolapse and SUI surgery using mesh implants or natural tissue repair had similar results of major parameters of sexual function after surgery. © 2023 by the International Society for Pelviperineology.