Cengiz Canakci
Istanbul Medeniyet University
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Urology | 2013
Gokhan Atis; Cenk Gurbuz; Ozgur Arikan; Mert Kilic; Sabri Pelit; Cengiz Canakci; Samet Gungor; Turhan Caskurlu
OBJECTIVE To evaluate the efficacy and safety of retrograde intrarenal surgery (RIRS) in the treatment of renal stones in patients with a solitary kidney. MATERIALS AND METHODS From December 2008 to March 2012, 24 patients with a solitary kidney who were treated with RIRS for renal stones were included in the study. All patients were preoperatively evaluated with urine culture, serum biochemistry, urinary ultrasonography, noncontrast computed tomography or intravenous urography, or both. The procedure was considered as successful in patients with complete stone disappearance or fragments <4 mm on computed tomography. Preoperative, operative, and postoperative data of the patients were retrospectively analyzed. The mean serum creatinine levels before and after the procedures were compared using a paired sample t-test. RESULTS The study included 24 patients with a mean age of 44.41 ± 12.15 years (range, 24-70). The mean stone size was 19.83 ± 5.90 mm (range, 10-35). The mean operative time was 55.83 ± 10.90 minutes (range, 40-75). The success rates were 83.3% and 95.8% after the first and second procedures, respectively. A pigtail stent was placed in all patients. The mean serum creatinine levels before the procedures and at 2 weeks after removal of the pigtail stents were 1.54 ± 0.55 mg/dL (range, 0.7-2.8) and 1.56 ± 0.50 mg/dL (range, 0.9-2.6), respectively (P = .92). Minor complications, classified as Clavien I or II, occurred in 4 patients (16.6%). No major complications (Clavien III-V) occurred in the study group. CONCLUSION RIRS is an effective and safe procedure that can be used to manage renal stones in patients with a solitary kidney.
Case reports in urology | 2014
Murat Tolga Gulpinar; Asif Yildirim; Berrin Gucluer; Ramazan Gokhan Atis; Cengiz Canakci; Cenk Gurbuz; Turhan Caskurlu
Primary adrenal leiomyosarcoma is extremely rare tumor. We report a case with adrenal leiomyosarcoma. Our case was a 48-year-old man who presented with lower urinary tract symptoms. Ultrasonography and magnetic resonance imaging revealed approximately 9 cm solid mass originating from right adrenal gland. He underwent right adrenalectomy. Pathology of the specimen showed histologic and immunohistochemical features of adrenal leiomyosarcoma.
Türk Üroloji Dergisi/Turkish Journal of Urology | 2014
Caner Doğan; Eyyüp Sabri Pelit; Asif Yildirim; Itır Ebru Zemheri; Cengiz Canakci; Erem Kaan Basok; Turhan Caskurlu
OBJECTIVE In this study, we investigated the efficacy of nuclear matrix protein 22 (NMP22) in the diagnosis and surveillance of bladder cancer. MATERIAL AND METHODS Patients with hematuria or who applied for cystoscopic control of proven bladder cancer were prospectively enrolled in this study. Routine cytologic examination and NMP22 test were performed on the voided urine sample obtained before the cystoscopy. The patients who had been diagnosed with bladder cancer were categorized according to stage, grade, number, size of the tumor and risk of the disease. Then the diagnostic performance of the NMP22 and the cytology test, alone or in combination, were evaluated separately using ROC curves in the diagnosis and surveillance groups. RESULTS A total of 87 patients (87/136) were investigated because of hematuria. The sensitivity, specificity, positive and, negative predictive values, and positive likelihood ratio (LR+) of the NMP22 test were 70, 80, 68, 81, and 3.42%, respectively. While, the sensitivity, specificity, positive and, negative predictive values, and positive likelihood ratio (LR+) of the cytology examination were 27, 96, 82, 68, and 7.36%, respectively. There were 49 patients in the bladder cancer group. The sensitivity, specificity, positive, and negative predictive values and positive likelihood ratio (LR+) of the NMP22 test in these patients were 33, 76, 31, 78 and 1.37%, respectively. The sensitivity, specificity, positive and, negative predictive values, and positive likelihood ratio (LR+) of the cytology examination were 25%, 97%, 75%, 80% and 9.25, respectively. CONCLUSION NMP22 test can be used as an adjunctive tool for the detection of bladder cancer, but its diagnostic performance is limited in surveillance when used alone or in combination with a cytology examination.
Journal of Urological Surgery | 2015
Levent Verim; Asif Yildirim; Erol Peltekoğlu; Erem Kaan Basok; Sarp K. Keskin; Cengiz Canakci
This study was conducted to investigate the relationship between lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) in aging men. The population of elderly men in Turkey has increased through last two decades. Therefore, problems of aging men had found growing scientific attention in our country. In this study, we investigated the association between LUTS and ED, while considering the other concomitant factors for ED, including severity of urinary symptoms according to uroflowmetric measurements.
The Medical Journal of Goztepe Training and Research Hospital | 2013
Eyyup Sabri Pelit; Asif Yildirim; Gokhan Atis; Cengiz Canakci; Erem Kaan Basok; Turhan Caskurlu
SUMMARY Cystinuria is a hereditary disorder of cystine and dibasic amino acids (lysine, arginine, ornithine) transport across the luminal membrane of renal tubules and intestine, resulting in recurrent nephrolithiasis. Predominant clinical finding of this disease is the occurrence of recurrent cystine stones. Cystine stones frequently occur in the second or third decade of life with an occasional occurrence in infancy. Atypical symptoms of renal stones as anuria can become apparent in infancy. Bilateral cystine stones causing acute anuria in infants are extremely rare. We report the first case of bilateral pyelolitotomy performed for cystine stone and impacted bilateral double-J (DJ) stents in an infant presenting with anuria. In our patients DJ stents were removed, and a stone-free state was successfully achieved.
Urology Journal | 2017
Gokhan Atis; Meftun Culpan; Eyup Sabri Pelit; Cengiz Canakci; Ismail Ulus; Bilal Gunaydin; Asif Yildirim; Turhan Caskurlu
The Journal of Urology | 2015
Turhan Caskurlu; Ozgur Arikan; Asif Yildirim; Berrin Tanidir; Cengiz Canakci; Yavuz Onur Danacioglu; Ramazan Gokhan Atis; Cenk Gurbuz; Bulent Erol; Haluk Vahaboglu
International Braz J Urol | 2015
Ozgur Arikan; Asýf Yýldýrým; Banu Ýsbilen; Cengiz Canakci; Gokhan Atýs; Cenk Gurbuz; Bulent Erol; Ferruh Kemal Ýsman; Seyma Ozkanli; Turhan Caskurlu
International Braz J Urol | 2017
Eyyup Sabri Pelit; Bülent Kati; Cengiz Canakci; Süleyman Sağir; Halil Ciftci
Journal of Cancer Therapy | 2016
Sarp K. Keskin; Asif Yildirim; Cengiz Canakci; Ismail Ulus; Ramazan Gokhan Atis; Turhan Caskurlu