Hüseyin Durukan

The effect of pelvic organ prolapse on sexual function in a general cohort of women.

INTRODUCTION This is a report about the effects of pelvic organ prolapse on sexual function in women. AIM To determine the effect of pelvic organ prolapse on sexual function in women. METHODS The study group consisted of 1,267 sexually active women. Baseline characteristics, medical and obstetric history of the patients were recorded. All women underwent vaginal examination to determine the degree of prolapse by pelvic organ prolapse quantification (POPQ) system. Of 1,267 women, 342 (27.0%) had prolapse stage ≥2. MAIN OUTCOME MEASURE(S) The Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire short form (PISQ-12) scores of the women were recorded. RESULT(S) Women with genital prolapse had lower PISQ-12 scores than women without it. The difference resulted mainly from urinary incontinence during sexual activity, fear of incontinence and avoidance of intercourse due to prolapse. Multivariate analyses showed that genital prolapse was one of the confounding factors for sexual function. CONCLUSION(S) Pelvic floor dysfunction is a multi-faceted problem because it has both anatomical and functional aspects. Although pelvic organ prolapse had an effect on some aspects of sexuality, it has no effect on certain aspects of sexual function such as orgasm and sexual satisfaction.

Effect of cervical length on second trimester pregnancy termination.

Aim:  To evaluate the value of sonographic measurement of cervical length as a predictor of abortion or delivery within 24 h by misoprostol in second trimester termination of pregnancy (TOP).

Oral Mass of a Fetus Incidentally Found during Second Trimester: Ultrasound Survey and Postnatal Prognosis of the Baby

Ultrasound (USG) and magnetic resonance imaging (MRI) can be used to detect and evaluate the face and neck tumors during the in-utero period. We reported and discussed an oral mass which was diagnosed incidentally at mid-trimester exam and managed successfully.

Isolated fetal lymphatic malformation of the thigh: prenatal diagnosis and follow-up

Fetal lymphatic malformation can be found in different parts of the fetal body. It occurs most frequently in the nuchal and axillary region and less frequently in the abdomen or inguinal areas. Lymphatic malformation has been associated with fetal aneuploidy, hydrops fetalis, structural malformations, and intrauterine fetal death. A 31-year-old gravida 3, para 2 woman was admitted to our hospital at 22 weeks of gestation (confirmed by ultrasonographic examination). The fetus was alive, and had a mass derived from the left inguinal region extending to the anterior left leg with fluid-filled cavities about 3–5 cm in size. There was no evidence of intra-abdominal extension of the mass. Amniocentesis was performed. Fetal magnetic resonance imaging revealed a left inguinal cystic mass, which extended to the left thigh. Antenatal follow-up was uneventful. The mother gave birth at term with a cesarean section. Postnatal clinical examination and imaging examination confirmed the diagnosis of lymphatic malformation. Fetal lymphatic malformation carries a high risk of aneuploidy and fetal malformations. Patients diagnosed with lymphatic malformation in antenatal follow-up should be assessed in terms of coexistent anomalies. Fetal karyotyping should be done and the fetus should be monitored for fetal hydrops.

Galen veni anevrizmal malformasyonunun prenatal renkli doppler ultrasonografi ile tanısı ve yönetimi - olgu sunumu

Giris: Galen veni anevrizmal malformasyonu yenidogan doneminde sik gorulen semptomatik serebrovaskuler malformasyonlarin nadir gorulen bir formudur. Damar ici volum artisinin sebep oldugu, degisen duzeyde pulmoner hipertansiyon ve yine intraserebral santlardaki akim artisina bagli olarak gelisen yuksek debili konjestif kalp yetersizligi beraberinde eslik edebilen iki onemli durumdur. Ozellikle yenidogan doneminde artan perinatal morbidite ve mortalitenin buyuk kismi yuksek debili kalp yetersizliginden dolayidir. Olgu ve Sonuc: Bu olgu sunumunda ucuncu trimesterde tani alan Galen ven anevrizmasinin prenatal tanisi ve dogum sonrasi yonetimi tartisilmistir.

ROLE OF DOMINANT FOLLICLE COUNT IN CONTROLLED OVARIAN STIMULATION WITH INTRAUTERINE INSEMINATION CYCLES IN PATIENTS WITH UNEXPLAINED INFERTILITY

Amac: Bu calismanin amaci aciklanmayan infertilite nedeniyle kontrollu overyan hiperstimulasyon (KOH) ve intrauterin inseminasyon (IUI) yapilan kadinlarda dominant folikul sayisinin gebelik basarisi ve cogul gebelik oranlari uzerine etkilerini degerlendirmektir.Gerec ve Yontemler: Prospektif ve non-randomize olarak planlanan ve Mersin Universitesi Kadin Hastaliklari ve Dogum Ana Bilim Dali’nda yapilan bu calismaya Mayis 2008 ile Eylul 2010 tarihleri arasinda aciklanamayan infertilite tanisi ile KOH-IUI uygulanan 214 kadin dahil edildi.Bulgular: KOH baslanan 532 siklustan 513’u tamamlanarak IUI yapilmis ve 62 klinik gebelik elde edilmistir (siklus basina klinik gebelik orani %12,1). Bu gebeliklerden 9’unda cogul gebelik (%14,5) gelisirken 7’si (%11,3) ise abortusla sonuclanmistir. hCG gunu tek, iki ve uc dominant folikul (>16 mm) gelisen sikluslardaki klinik gebelik oranlari sirasiyla %8,3, %14,7 ve %27,1 olarak saptanmistir. Klinik gebelik orani bir ve iki dominant folikul gelisen olgularda benzerken (p>0,05), uc dominant folikul gelisen olgularda bir ve iki dominant folikul gelisenlere kiyasla daha yuksek bulunmustur (p degerleri sirasi ile 0,001 ve 0,044). Bir, iki ve uc folikul gelisen olgularin cogul gebelik oranlari ise sirasiyla %7,4, %15,8 ve %25 olarak saptanmistir. Cogul gebelik oranlari bir ve iki dominant folikul gelisen olgularda benzerken (p>0,05), uc dominant folikul gelisen olgularda bir ve iki dominant folikul gelisenlere kiyasla istatistiksel anlamli olarak daha yuksek bulunmustur (p=0,004).Sonuc: Aciklanamayan infertilite nedeniyle KOH-IUI yapilan kadinlarda hCG gunu uc folikul gelisimi artmis gebelik orani ile iliskilidir. Ancak, uc folikul gelisimi artmis cogul gebelik oranina da sahiptir.

45,X/46,X,i(Xq) ve 46,X,i(Xq) Karyotipi gösteren iki olgunun klinik ve sitogenetik yönden değerlendirilmesi

Correspondence: Etem Akbaş, Mersin University Medical Faculty Department of Medical Biology and Genetics, Mersin, Turkey Email: etem_a@yahoo.com Received: 15.07.2014, Accepted: 04.09.2014 Copyright