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Biomedical subjects

M K Atikeler

Publications and source records attributed to M K Atikeler.

6 recordsLinked to original sources
PubMed2005

Complications of circumcision performed within and outside the hospital.

OBJECTIVE: Comparison of incidence of complications observed in circumcisions performed by traditional unlicensed individuals outside the hospital under the non-sterile conditions and in those performed by surgeons within hospital under surgical procedures. PATIENTS AND METHODS: This is a retrospective study to determine the sort of complications and their incidence in 407 cases performed in two towns in our region by unlicensed traditional circumcisers (group 1) and 782 circumcision cases performed in Urology clinic by licensed surgeons (group 2) between April 1999 and August 2002. The complications were proportionally and statistically compared. Correlation between groups was assessed by Pearson correlation test and to compare the complication parameters chi-square test was used (p < 0.05 was considered statistically significant). RESULTS: The incidence of complications was higher in group 1. All complication parameters were found high in group 1 at a statistically significant extent. CONCLUSION: We could conclude that if the circumcision is performed by unlicensed traditional circumcisers instead of surgeons at the sterile hospital conditions it could result in severe early phase complications such as life-threatening or some late phase disorders with life long negative influences.

Adolescent↗
PubMed2002

Optimum usage of prilocaine-lidocaine cream in premature ejaculation.

Premature ejaculation is a common male sexual disorder in which orgasm and ejaculation occur before the desired moment. The primary therapeutic approach to premature ejaculation has been behavioural and pharmacotherapy. In this study, we evaluated the efficacy and optimum usage of lidocaine-prilocaine cream 5% in preventing premature ejaculation. Forty patients were examined in the study group and randomized into four groups, each comprising 10 patients. Patients in group 1 applied lidocaine-prilocaine cream 5% for 20 min, the patients in group 2 applied it for 30 min, and the patients in group 3 applied the cream for 45 min before sexual contact, with all patients covering the penis with a condom. Patients in the fourth group applied a base cream as placebo. In group 1, the pre-ejaculation period increased to 6.71 +/- 2.54 min without any adverse effects. In group 2, although the pre-ejaculation period increased in four patients up to 8.70 +/- 1.70 min, six patients in this group and all patients in group 3 had erection loss because of numbness. In the placebo group, there was no change in their pre-ejaculation period. Therefore, lidocaine-prilocaine cream 5% is effective in premature ejaculation and 20 min of application time before sexual contact is the optimum period.

Administration, Topical↗
PubMed2001

Increased morbidity after circumcision from a hidden complication.

OBJECTIVE: To describe a late complication of circumcision and to elucidate the role of surgical materials or any foreign body in the development of a subcutaneous mass in circumcised boys. PATIENTS AND METHODS: From May 1998 to March 2001, 646 boys were circumcised and 523 (mean age 6.5 years, range 0-13) re-examined for the possible development of a subcutaneous mass. Twenty-six (5%) of the re-examined patients had such a mass under the penile skin; it was removed in all patients under local anaesthesia and examined histopathologically. RESULTS: The mean (sd, range) delay after circumcision before developing or detecting the mass was 3.2 (0.7, 1-7) months. All patients were asymptomatic but there was purulent discharge in four. On removing the mass, histopathology showed the development of granulation tissue with foreign-body giant cells. CONCLUSION: There may be minor complications after circumcision which cannot be avoided even when the procedure is undertaken by surgeons. Awareness of such complications occurring long after circumcision may aid in the early detection of this asymptomatic mass and prevent a more severe outcome.

Adolescent↗