Which one is responsible for pain during transrectal guided prostate biopsy: prostate or anal canal.
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Anal Canal↗
Biomedical subjects
Y Ceylan
Publications and source records attributed to Y Ceylan.
Does asymptomatic inflammation increase PSA? A histopathological study comparing benign and malignant tissue biopsy specimens.
AIM: To determine the effect of inflammation on postage-specific antigen (PSA) levels in patients who were performed transrectal ultrasonography (TRUSG) guided prostate biopsy because of high PSA levels. MATERIALS AND METHOD: 376 tissue specimens of 47 patients with BPH and 176 tissue specimens of 22 patients with prostate adenocancer were analysed histopathologically. Digital rectal examination, TRUSG, and PSA measurements were performed to all the patients before biopsy. Sextant biopsy was performed. Two pathologists examined all the biopsy specimens in blinded fashion. Inflammation pattern was categorized as glandular, periglandular, stromal and perivascular and intensity of inflammation graded from 1 to 3. RESULTS: The mean age of the patients was 66.2 years. The mean serum PSA level of the initial biopsy was 8.7 ng/ml in the BPH and 13.4 ng/ml in the prostate Ca. No relation was found between the serum total PSA levels and prostate volume or patient's age in BPH patients (P = 0.258). In BPH patients stromal, periglandular, glandular inflammations did not increase PSA levels. Perivascular inflammation increased PSA levels significantly. CONCLUSION: The inflammation in perivascular field increases serum PSA levels (P = 0.007). Although high serum PSA levels shows correlation with cancer in biopsy, there is no such significant relation with rebiopsy results and PSA levels at last studies. Because of this, these patients' biopsy samples must be reinspected for infection findings and atipic biopsy or high grade PIN. The result of our study showed that histological perivascular infection within the prostatic gland is a significant factor to serum PSA levels in BPH. If you have negative biopsy sample, pathology must indicate the place of the infection. Follow up of this patient and rebiopsy time are decided according to the result of this negative biopsy sample.
Aged↗
Changes in the mandibular angle in the dentulous and edentulous states.
STATEMENT OF PROBLEM: Reliable measurement of individual gonial angles is difficult because of the superimposed images appearing on the lateral cephalograms. However, this disadvantage is not encountered in orthopantomography. PURPOSE: This study determined whether the mean measurements of the mandibular angles of a group of totally edentulous patients were greater than those of unilaterally and posteriorly partially edentulous patients. Changes in the gonial angle between denture wearers and nondenture wearers in each group were also compared. MATERIAL AND METHODS: A total of 134 panelipse radiographs were used for measurements of mandibular angles. All radiographs used in this study were taken with the same panelipse machine by the same person. Of the 134 radiographs, 49 were of unilaterally and posteriorly partially edentulous adults and 85 were of totally edentulous adults. RESULTS: No significant differences were found between the mandibular angles when comparing partially edentulous and totally edentulous subjects. CONCLUSION: Within the limits of this study, there was no significant difference between the dentulous and edentulous states.
Adult↗
Prevalence of hepatitis B virus infection in pregnant Turkish women and their families.
A total of 5,366 pregnant Turkish women were screened for hepatitis B surface antigen (HBsAg) and 225 (4.2%) of them were found to be positive. Hepatitis B e antigen (HBeAg) was detected in 6.2% of HBsAg-positive pregnant women. the overall prevalence of HBsAg and antibody to HBsAg (anti-HBs) among the spouses, previous children, mothers and first degree relatives of the HBsAg-positive pregnant women was 56%, 49%, 79% and 74% respectively. The prevalence of HBsAg is thus high in pregnant Turkish women with familial clustering of hepatitis B virus infection.
Adult↗
[Assistance in labor-delivery positions, traditions and its evolution throughout history].
The birth of a child has been one of the most important events for all societies during the adventure of mankind along history. Delivery which was considered to be a part of magic, superstition and tradition in the past has made a progress in time and reached the modern standard. In this article, I would like to remind my young colleagues, working with all the supports of modern facilities, the pioneers of our proffession who, in spite of deprivation, earnestly tried to help and soothe pregnants suffering from labor pains. By the way, I tried to comment on the surgical interventions practiced throughout the history in the light of modern operation techniques. I also dealt with the question of which position is ideal for delivery, i.e. vertical delivery position preferred in rural areas and in the primitive societies; or horizontal delivery position preferred in the modern societies.
Female↗
Is it necessary to use sexual health inventory for men (SHIM) routinely?
This study was conducted to evaluate the prevalence of erectile dysfunction (ED) according to the Sexual Health Inventory for Men (SHIM) and its relationship with age and education. Six hundred and thirty-nine male patients aged > or = 20 years attending a urology clinic were studied. After a detailed history and physical examination, all patients were evaluated with SHIM. Scores were categorized into 5 groups: severe (1-7), moderate (8-11), mild-moderate (12-16), mild (17-21) and normal (22-25). The patients were classified into three groups according to their application to the urology clinic: A--patients attending specifically for ED; B--patients not ED based on SHIM and attending not for ED; C--patients ED based on SHIM, but attending not for ED. In addition, patients were partitioned into 3 age groups according to their age: 20-35, 35-55 and >55 years. Educational levels were of 2 groups: lower education and higher education. Erectile dysfunction was determined in 3.7% in the 20-35 years group, 55% in 35-55 years and 41% in >55 years (P < 0.01). In men having ED through SHIM and attending not for ED, the ratio of ED was higher in the lower education than in the higher education groups (p = 0.01). SHIM is a diagnostic tool used for ED, and routine application of SHIM for patients attending the urology clinic is advisable.
Adult↗